Unconsummated marriage: etiology and treatment of erectile dysfunction in newlywed men-a narrative review with a focus on China
Abstract
Background and objective: Unconsummated marriage-erectile dysfunction (ED) occurring during the newlywed period-is a globally significant concern that adversely affects sexual quality of life and marital stability. In China, this condition exhibits particularly high prevalence and distinct cultural specificity, warranting focused investigation. This review aims to systematically elucidate the multifactorial etiology of newlywed ED and to propose culturally tailored, comprehensive treatment strategies.
Methods: This study drew upon peer-reviewed literature indexed in PubMed, Web of Science, China National Knowledge Infrastructure (CNKI), and Wanfang Data up to May 2026, concentrating on original research and systematic reviews addressing the etiology and treatment of newlywed ED.
Key content and findings: The onset of newlywed ED is shaped by a complex interplay of multiple factors: sociocultural pressures (e.g., constraints of traditional Chinese concepts, lack of sex education and societal silence, misleading information on social media, and religious and cultural backgrounds); psychological factors (e.g., new marital anxiety, sexual performance stress, problems in marital relationship and interaction, cognitive distortions and psychological imbalance, and sexual psychological trauma or adverse sexual experiences); and physiological factors (e.g., vascular, endocrine, neurological, or anatomical structural elements). These factors form a vicious cycle in which psychological…
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