International Journal of Medical Sciences And Clinical Research
16
https://theusajournals.com/index.php/ijmscr
VOLUME
Vol.05 Issue06 2025
PAGE NO.
16-19
10.37547/ijmscr/Volume05Issue06-03
The Role of Partner Relationships in The Etiology of
Psychogenic-Type Sexual Disorders in Men
Dursunov Sardor
Lecturer at the Department of Pedagogy and Psychology at Tashkent Medical Academy, Uzbekistan
Received:
12 April 2025;
Accepted:
08 May 2025;
Published:
10 June 2025
Abstract:
This research paper analyzes the impact of organic and predominantly functional types of sexual
disorders among male urological diseases on the psycho-emotional sphere, as well as the psycho-diagnostics of
these disorders and the role of partner relationships.
Keywords:
Psychogenic sexual disorder, partner relationship, diagnosis.
Introduction:
Human needs are limitless; however, the
primary and inexhaustible needs are biological,
psychological, and social. Based on this, a human being
is considered a biopsychosocial entity. The biological
need, while existing on Earth, includes the need for
food, movement, sleep, and the instincts of
reproduction and mating. Among these instincts, the
reproductive and mating instinct is natural for all living
beings. When characterizing these instincts, men are
typically associated with physical activity, sexual
arousal, and the expression of masculinity through
dominance and independence, while women are
associated with emotionality, sensitivity to external
factors, and a tendency toward observance, which also
relates to their excitability. Unlike animals, humans are
capable of recognizing and controlling their emotional
and mental processes and states. For this reason,
sexual processes have a complex and multifaceted
structure.
When discussing the ideal of human relationships,
scientific research and practical experience show that
in a social context, couples behave somewhat
differently than they do in personal and intimate
relationships. Sexual harmony between spouses
involves mutual adjustment of their psychological,
sexual, and physiological behavior. It is characterized
by compatibility in levels of sexual desire and activity,
as well as in sexual constitution and temperament of
both partners. This reflects their ability to experience
adequate and optimal erotic sensations, which in turn
contributes to full psychosexual satisfaction and sexual
harmony (Kibrik N.D., Reshetnyak Yu.A., Deinega G.F.,
1993).
The sexual organs, like other div organs, function
according to biological (somatic) and psychological
(psycho-emotional) structures. They have their own
organic, physiological, and functional roles, as well as
pathological conditions. Functional, or psychogenic,
disorders of sexual function are the main topic and
focus of this study, which will be examined and
presented based on the findings obtained. In the
etiology of psychogenic sexual dysfunction in men, the
presence of a partner relationship plays an important
role. These disorders are often caused by psychological
factors, including social behavior in relationships, the
individual's attitude toward intimacy, and psycho-
emotional states, which are closely interrelated.
Psychogenic sexual dysfunctions are not congenital
disorders but arise during the course of life depending
on individual personality traits, especially as a result of
the influence of partner or family relationships, which
significantly affect the psycho-emotional sphere of the
individual. Such disorders, being functional in nature,
have no organic cause, and in most cases, no organic
diseases are detected during a medical-biological
examination. However, despite this, neurogenic
disorders may lead to dysfunctions of the sexual organs
and associated systems.
LITERATURE REVIEW
Numerous studies conducted around the world
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International Journal of Medical Sciences And Clinical Research (ISSN: 2771-2265)
indicate that psychogenic erectile dysfunction accounts
for approximately 20
–
30% of all cases of erectile
dysfunction. In some studies, this figure may reach 30
–
40%, although the exact percentage depends on the
age of the men, their psychological state, and factors
related to sexual health. For example, the international
study The Massachusetts Male Aging Study (1994)
found that psychogenic erectile dysfunction occurs in
20
–
25% of cases, with higher rates observed in younger
men [1,2].
Studies conducted in Uzbekistan have similarly shown
that psychogenic disorders account for approximately
30
–
35% of all erectile dysfunction cases. In the works
of Sultonov M. and Ismoilov A. (2019), it is noted that
in 25
–
30% of erectile dysfunction cases, psychological
factors are the primary cause. These disorders are
often linked to socio-psychological issues in
relationships, such as stress, dissatisfaction, insecurity,
and other psycho-emotional tensions [3,4].
These findings underscore the importance of
considering psycho-emotional and social factors in the
diagnosis and treatment of erectile dysfunction.
Psychogenic disorders require a comprehensive
approach that includes both medical and psychological
assistance, as well as attention to the dynamics within
the couple's relationship.
METHODOLOGY
One of the key observed aspects in our research was
determining the type of attitude women exhibit toward
their husbands who are experiencing illness. Through
interviews with couples, it was identified that women's
attitudes toward their husbands can be categorized
into four types, which are of significant importance:
•
Nurse-wife (caring),
•
Conflict-prone wife (egocentric),
•
Aggressive wife,
•
Initiative-taking wife.
It is crucial to emphasize that attention to the nature of
familial and sexual relationships between men and
these types of spouses, as well as their level of sexual
satisfaction, plays a vital role.
The objective of our research is to conduct a
psychodiagnostic assessment of urological and sexual
disorders in men. Specifically, the study aims to analyze
how organic and non-organic aspects of these
disorders influence the psycho-emotional sphere of
married patients, using psychodiagnostic tools and to
determine the statistical significance of the obtained
results.
During the study, the participating patients were
diagnosed with the following urological and sexual
functional disorders:
•
Varicocele: 12 patients (20%),
•
Chronic prostatitis: 13 patients (26%),
•
Asthenozoospermia: 12 patients (20%),
•
Psychogenic erectile dysfunction (ED): 17
patients (34%).
Patients aged 20 to 45 years participated voluntarily in
the research. Clinical interviews were conducted as
part of the examination process, and psychodiagnostic
tools
were
administered.
The
following
psychodiagnostic methods were employed:
•
HADS (Hospital Anxiety and Depression Scale)
—
to assess levels of depression and anxiety,
•
Frustration condition diagnostics (according to
V.V. Boyko),
•
MIEF-5 (International Index of Erectile Function
- 5)
—
to evaluate erectile dysfunction severity.
A one-way ANOVA (Analysis of Variance) was
conducted (Table 1) to compare MIEF-5 scores among
patients with different urological diagnoses. The mean
values are presented in the following table.
Table 1. ANOVA Results
Urological diagnosis
N
M
(Average)
SD (Standard
Deviation
)
Asthenozoospermia
(Ast))
10
21.40
4.77
Erectile Dysfunction
(ED)
17
13.94
3.36
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International Journal of Medical Sciences And Clinical Research (ISSN: 2771-2265)
Urological diagnosis
N
M
(Average)
SD (Standard
Deviation
)
Chronic Prostatitis
(Prosate)
13
18.77
4.00
Varicocele (Varcol)
10
18.10
3.54
This table presents the mean values and standard
deviations of IIEF-5 scores based on urological
diagnoses.
The relationship between urological diagnosis and the
level of depression is also examined.
(Figure 2)
RESULTS
Chi-
square test: Χ²(6) = 16.595,
p = 0.011. There is a
statistically significant association between urological
diagnoses and levels of depression (p < 0.05). This
result indicates a notable correlation between
urological conditions and depression levels (Figure 2).
The study findings show that patients with
asthenozoospermia (Ast), erectile dysfunction (ED),
prostatitis, and varicocele experience psycho-
emotional changes. In particular, the association
between ED and depression, as well as between anxiety
and ED, shows significant differences compared to
other diagnoses. Χ²(6) = 16.595, p = 0.011. This, in turn,
suggests that patients with ED may suffer from
depression and apathy. From a psychological
perspective, the study results suggest that patients
with high (clinical) and moderate (subclinical) levels of
depression exhibit deteriorated psycho-emotional
states, lack or low levels of relationship satisfaction,
and diminished social functioning. These patients are
likely to experience symptoms such as apathy, anxiety,
neurasthenia,
and
obsessive
worries
within
relationships.
CONCLUSION
The psychogenic etiology of sexual disorders is
associated with a variety of psychological and social
factors, and the psychological profiles of both the man
and the woman in a relationship play a crucial role in
this process. Analyzing this profile is important for
understanding
sexual
dysfunction.
Stress
in
relationships, infidelity, mutual distrust, or postpartum
pressure can negatively affect the quality of sexual life.
These stressors may reduce sexual arousal and lead to
decreased libido.
The quality of intimate life depends not only on the
roles within the family or relationship but also on
individual personality accentuations. Character type
reflects a person's attitude toward health and illness.
This, in turn, plays an important role in how one partner
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International Journal of Medical Sciences And Clinical Research (ISSN: 2771-2265)
perceives and responds to the other’s illness.
Furthermore, the psycho-emotional sphere of patients
is influenced by the emotional bond between partners.
When there is a lack of emotional connection or love
within the couple, this also impacts sexual relations.
Emotional isolation or discomfort in the relationship
may lead to a loss of sexual desire or dysfunction. In
such situations, consultation with qualified specialists,
such as andrologists and sexologists, is necessary for
the diagnosis and treatment of male patients.
REFERENCES
Laumann, E. O., et al. (2005). The Social Organization of
Sexuality: Sexual Practices in the United States.
University of Chicago Press.
Feldman, H. A., & McKinlay, J. B. (2002). Psychological
factors and erectile dysfunction: A review. Journal of
Urology, 168(3), 905-909.
Sultonov,
M.,
&
Ismoilov,
A.
(2019).
Juft
munosabatlarining
jinsiy
salomatlikka
ta'siri:
O‘zbekiston statistikasi va ilmiy tahlili. Jinsiy S
alomatlik
Markazlari Tadqiqotlari.
Mavlonov, A., & Karimov, R. (2018). Jinsiy buzilishlar va
juft
munosabatlar:
O‘zbekistondagi
psixologik
omillarning ro‘li. O‘zbekiston Tibbiyot Jurnali, 58(3), 45
-
51.
Dursunov, S. (2023). ОИЛАВИЙ ИНҚИРОЗЛАР ВА
ПСИХОТEРАПИЯ ЙЎНАЛИШИНИНГ АСОСЛАРИ.
Axmat o’g’li, D. S., & Sevinch, A. (2023). BEMORLARDA
NEVROTIK HOLATLAR TAHLILI. Scientific Impulse, 1(8),
716-719.
