Unconsummated marriage (UCM) or honeymoon impotence is still common among couples in some worlds, especially in the Middle East, Arab countries, Asia, and even Western countries. The incidence is around 17% of the total visits to the clinic. However, this figure could be higher because UCM is known as an embarrassing condition for couples, so many cases go unreported. The causes of UCM can be from both sides, women, and men. Sometimes women’s vaginismus is a problem, even though men also cause UCM. Various etiologies cause UCM in men, from psychogenic to organic, such as erectile dysfunction and premature ejaculation. But whatever the cause, couples need help from a therapist—interventions ranging from drugs to sex therapy. Compared with women, UCM by male factors has the same chance of success in treatment as women. The results of our review follow the PRISMA procedure from 9 databases. There are 31 eligible studies for consideration, totalling 3118 patients. Our appraisal reports that sex therapy of varying lengths of sessions combined with treatment according to the etiology is effective in helping couples achieve consummation. This review reports that comprehensive and holistic sexualhealth assessment is needed to manage UCM to achieve common goals.

Original languageEnglish
JournalSexual and Relationship Therapy
Publication statusAccepted/In press - 2023


  • Unconsummated marriage
  • erectile dysfunction
  • honeymoon impotence
  • premature ejaculation
  • sexual health
  • vaginismus


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