Male Sexual Function and Sexual Quality of Life in Polygamous Versus Monogamous Marriages

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexMale
Age18+
SponsorAl-Azhar University

About this trial

This web-based comparative cross-sectional survey will assess sexual function, sexual quality of life, psychological status, and marital satisfaction among Egyptian men in monogamous and polygamous marriages. Eligible participants will be married Egyptian men aged 18 years or older who provide electronic informed consent and complete an anonymous Arabic-language questionnaire. The primary outcome will be sexual function measured using the Sexual Health Inventory for Men (SHIM/IIEF-5). Secondary outcomes will include Sexual Quality of Life-Male (SQOL-M), Depression Anxiety Stress Scales-21 (DASS-21), marital satisfaction, and sociodemographic and clinical predictors of impaired sexual function. Data will be analyzed using descriptive, comparative, correlation, and multivariable regression methods.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Egyptian males aged 18 years or older.

Currently married at the time of questionnaire completion.

Currently in either a monogamous marriage, defined as marriage to one wife, or a polygamous marriage, defined as marriage to two or more wives.

Able to read and understand Arabic.

Disqualifiers

Unmarried, divorced, or widowed individuals.

Individuals who do not provide electronic informed consent.

Incomplete questionnaire responses that do not contain the primary outcome measure.

Duplicate or clearly invalid questionnaire responses.

Trial population

The study population will consist of Egyptian men aged 18 years or older who are currently married and living in Egypt or residing in different Egyptian governorates. Participants will be classified into two observational groups according to their existing marital structure: men married to one wife and men married to two or more wives. Participants will be recruited through an anonymous Arabic-language web-based questionnaire. The study team will not assign or modify marital status or any other exposure.

Trial design

Design model

Other

Time perspective

Cross-sectional

Treatments tested in this trial

  • Monogamous marital structure

    Other intervention

    Existing marital structure consisting of one current wife at the time of questionnaire completion. This is an observational exposure and is not assigned, modified, or administered by the study team. Participants in this exposure group will complete the same anonymous Arabic-language questionnaire as participants in the polygamous-marriage group.

  • Polygamous marital structure

    Other intervention

    Existing marital structure consisting of two or more current wives at the time of questionnaire completion. This is an observational exposure and is not assigned, modified, or administered by the study team. Participants in this exposure group will complete the same anonymous Arabic-language questionnaire as participants in the monogamous-marriage group.

Treatment groups

1,820 Participants
are divided into 2 treatment groups
Group A: Monogamous marriage1 intervention
Group B: Polygamous marriage1 intervention

Trial outcomes

Primary outcomes

1

Sexual function score measured by the Sexual Health Inventory for Men

Sexual function will be assessed using the five-item Sexual Health Inventory for Men, also known as the International Index of Erectile Function-5 (SHIM/IIEF-5). Scores range from 5 to 25, with higher scores indicating better erectile function. The mean or median SHIM score will be compared between men in monogamous and polygamous marriages.

Time frame
Baseline (single assessment at questionnaire completion)

Secondary outcomes

1

Proportion of participants with impaired sexual function

Impaired sexual function will be defined as a SHIM/IIEF-5 score of 21 or less. The outcome will be reported as the number and percentage of participants with impaired sexual function in each marital-structure group.

Time frame
Baseline (single assessment at questionnaire completion)
2

Sexual Quality of Life-Male questionnaire score

Sexual quality of life will be assessed using the Sexual Quality of Life-Male questionnaire. The total score will be reported according to the scoring system of the validated questionnaire, with higher scores indicating better sexual quality of life if applicable to the selected version. Scores will be compared between monogamous and polygamous marriage groups.

Time frame
Baseline (single assessment at questionnaire completion)
3

Relationship satisfaction score

Relationship satisfaction will be assessed using predefined Likert-type questions regarding satisfaction with the marital relationship. Scores will be summarized and compared between monogamous and polygamous marriage groups, with higher scores indicating greater satisfaction.

Time frame
Baseline (single assessment at questionnaire completion)

Other outcomes

Sponsors and contacts

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