Non Consummation is the inability of the couple to have successful intercourse.

It is an important reason for infertility as male cannot deposit semen inside wife’s vagina.

About 15% of couples have this problem even though they achieve orgasm by masturbation / stimulation of genitals.

Causes of Non Consummation –

1. Ignorance about the sexual act
2. Sexual Aversion of one or both partners
3. Decrease in desire for sex in one or both partners
4. Vagnismus (Involuntary Spasm of vaginal wall of female partner which does not allow penetration of penis)
5. Dyspareunia ( Painful intercourse )
6. Thick Hymen
7. Fear of the consequences of sexual act

Common complaints in couples who are affected from Non Consummation

1. “I cannot penetrate” – He may try to penetrate at a wrong site or in a wrong direction or she may be having vaginismus
2. “My penis gets soft when I try for penetration” – Due to performance anxiety
3. “I ejaculate before penetration” – Due to premature ejaculation
4. “My wife does not allow because she is too much scared of doing it. Whenever I approach her, she just pushes me away.”

Consequences of Non Consummation

1. Marital Conflict
2. Divorce
3. Depression
4. Infertility
5. Suicide

Treatment Plan for Couples with Non Consummation

1. Both the partners must attend the counseling by their Doctor. It is OK to ask for help.
2. Anatomy and Physiology of Male and Female Reproductive System are well explained.
3. Medications & Techniques for Erectile Dysfunction, Premature Ejaculation, Anxiety and Lack of Libido.
4. Couple Therapy / Sex Therapy – Very effective method

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