Two sexual complaints are prevalent in conservative societies of the Middle East. These include Honeymoon Erectile Dysfunction (ED) and Body Dysmorphic Disorder (Penis). The high prevalence is probably related to cultural myths and lack of sexuality education.
We review the etiologies and management for unconsummated marriage. We also review the literature and evaluate the evidence about what the normal penile size is, what patients complaining of a small penis usually suffer from, benefits versus complications of surgery, penile stretching /traction devices, and patient education and counseling versus surgery.
Six to 17% of patients presenting to sexual dysfunction clinics in Egypt and Saudi Arabia complain of unconsummated marriages. Most cases are diagnosed to be mainly psychogenic in origin (performance anxiety or Vaginismus), and are managed through a combination of psychosexual therapy, sex education and short-term use of PDE-5 inhibitors.
Research from Egypt shows large numbers of patients presenting with concerns regarding penile size. We propose a practical approach for evaluating and counseling patients complaining of a small sized penis. Based on the current status of evidence, surgery is still considered experimental.
The prevalence rates of these 2 disorders remain alarmingly high and warrant serious public awareness and sex education programs in the Middle East and in countries with Immigrant populations from the Middle East.
Recorded June 12 – 16, 2011 at the 20th WAS World Congress for Sexual Health
Forging the Future: Sexual Health for the 21th Century, Glasgow, United Kingdom
Visit The World Association Of Sexual Health at http://www.worldsexology.org
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