Cognition of the association between sexual dysfunction and fertility.

BACKGROUND

While research has shown that sexual dysfunction does not impact fertility, public understanding of this relationship remains unclear.

AIM: To investigate the relationship between public cognition of the association between sexual dysfunction and fertility (ASDF) and the occurrence of sexual dysfunction itself.

METHODS

This cross-sectional study utilized a nationally representative sample of 10 761 reproductive-age individuals across China. Participants completed an anonymous questionnaire assessing sexual function and ASDF cognition, using tools like IIEF-5, PEDT, and FSFI-19. Data analysis was conducted with R software, employing χ2 and Mann-Whitney U tests.

OUTCOMES: The study identified a significant correlation between ASDF cognition and the severity of sexual dysfunction, with lower levels of cognition associated with more severe dysfunction.

RESULTS

Among 10 761 surveyed, 45.08% of men and 54.92% of women showed low ASDF cognition. There was a significant correlation between ASDF cognition and sexual dysfunction severity, with poor cognition associated with more severe ED and PE in men, and sexual intercourse pain in women.

CLINICAL IMPLICATIONS: The findings suggest the need for targeted sexual health education to improve public understanding of sexual dysfunction and its impact on fertility.

STRENGTHS AND LIMITATIONS: Strengths include a large nationally representative sample and the use of validated tools. Limitations are the China-focused sample and subjective assessment tools, which may limit broader applicability.

CONCLUSION

This study identifies a significant association between ASDF cognition and the severity of sexual dysfunction, underscoring the importance of public education on sexual health.