Sexual Function Profile in Couples Using Withdrawal and Intrauterine Device Methods: A Comparative Analysis

Background: The sexual function of men and women is affected by many factors. One of these factors is the contraceptive method used. The aim of this study was to investigate the sexual function profile and male and female sexual function correlation in couples using intrauterine device (IUD) and withdrawal (WD) methods. Methods: In this descriptive study, the sample consisted of 55 couples (55 women and 55 men=110 persons) living in a city in the Central Anatolia Region of Turkey between December 2015 and June 2016. The data were collected by the questionnaire form, male and female Premature Ejaculation Profile, The International Index of Erectile Function, and the Female Sexual Function Index. The data were analyzed with the descriptive statistics, Chi-square, t-test, Wilcoxon, Kappa, and Spearman’s correlation test. Results: Male and female Premature Ejaculation Profile was lower in couples using the WD method, and these couples had more problems with ejaculation (P<0.001). In couples with better male erectile functions, orgasm and sexual satisfaction were higher in both sexes. Premature ejaculation had a significant positive relationship with the sexual functions of females (P<0.01). Conclusions: The results showed that there are problems associated with premature ejaculation in couples using WD; the sexual function of the couples might be related to the erectile function and premature ejaculation status of men rather than the method used.