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

NCT07783958 | Recruiting

• 1 other identifier: UroAzhar_11_026
• Study Type: observational
• Target: 1,820
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Erectile Dysfunction; Sexual Dysfunction

Outcome Measures

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.

  Baseline (single assessment at questionnaire completion)

Secondary Outcomes (3)

• Proportion of participants with impaired sexual function

  Baseline (single assessment at questionnaire completion)

• Sexual Quality of Life-Male questionnaire score

  Baseline (single assessment at questionnaire completion)

• Relationship satisfaction score

  Baseline (single assessment at questionnaire completion)

Study Arms (2)

Monogamous marriage

Egyptian men aged 18 years or older who are currently married to one wife and complete the anonymous online questionnaire.

Other: Monogamous marital structure

Polygamous marriage

Egyptian men aged 18 years or older who are currently married to two or more wives and complete the anonymous online questionnaire.

Other: Polygamous marital structure

Interventions

Monogamous marital structure OTHER

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.

Monogamous marriage

Polygamous marital structure OTHER

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.

Polygamous marriage

Eligibility Criteria

• Age: 18 Years+
• Sex: male
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study 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.

You may qualify if:

• 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.
• Willing to complete the anonymous online questionnaire.
• Able to provide electronic informed consent before accessing the questionnaire

You may not qualify if:

• 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.
• Self-reported major psychiatric illness or neurological disease that substantially affects sexual function.
• Participants receiving active treatment that substantially affects sexual function, unless the treatment can be documented and appropriately considered in the statistical analysis.
• Individuals unable to read or understand Arabic.

Sponsors & Collaborators

• Al-Azhar University: lead

Study Sites (1)

Department of Urology, Al-Hussein and Sayed Galal University Hospitals, Al-Azhar University

Cairo, Egypt

RECRUITING

MeSH Terms

Conditions

Erectile Dysfunction; Sexual Dysfunction, Physiological

Condition Hierarchy (Ancestors)

Genital Diseases, Male; Genital Diseases; Urogenital Diseases; Male Urogenital Diseases; Sexual Dysfunctions, Psychological; Mental Disorders

Study Officials

• Abul-fotouh Ahmed, MD

  Department of Urology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Abul-fotouh Ahmed, MD

CONTACT

+201001066756; abulfotouhahmed@yahoo.com

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor of Urology

Study Record Dates

• First Submitted: August 19, 2026
• First Posted: August 25, 2026
• Study Start: August 20, 2026
• Primary Completion (Estimated): May 1, 2027
• Study Completion (Estimated): August 1, 2027
• Last Updated: August 25, 2026

Record last verified: 2026-08

Locations

EG (1)