The relationship of male condoms and withdrawal contraceptive methods with female sexual function and satisfaction: a cross sectional study

Mitra Tadayon, Maryam Honarjoo, Zahra Abbaspoor


Background: Men's participation is an important issue in family planning and reproductive health. Coitus interruptus and condom use are two reversible and non-hormonal methods of contraception to engage men in family planning. The present study is aimed to evaluate the relationship of male condom use and withdrawal as contraception with female sexual function and satisfaction.

Methods: A cross-sectional study was conducted on 215 married women aged 15-45 years in Ahvaz. Necessary data were collected using three demographic, female sexual function index (FSFI), and female sexual satisfaction questionnaires. The data were analyzed using SPSS software version 22 and descriptive and analytical tests (independent t-test and Pearson's and Spearman's correlation coefficients) were used. A P level of less than 0.05 was considered significant.

Results: Although there was no significant difference in the areas of sexual desire (p=0.31), sexual arousal (p=0.18), vaginal lubrication (p=0.63), and pain (p=0.06) between two groups, but significant differences were found between the areas of orgasm (p=0.004), sexual satisfaction (p=0.009) and overall sexual function index (p=0.04) in both groups, which were higher in the condoms-used group. There was a significant direct relationship between female sexual function index and satisfaction in the condom method (p=0.001, r=0.48) and the withdrawal method (p=0.001, r=0.38).

Conclusions: Female sexual function and satisfaction in the users of male condoms is higher than the withdrawal method of contraception, while significant direct relationship was found between female sexual function and satisfaction in both methods. For a more detailed conclusion on female sexual function and satisfaction of users of these methods, longitudinal studies are suggested to be done by performing follow-up periods before, during and after cessation of method.


Female sexual function, FSFI, Male condom, Coitus interruptus, Withdrawal method

Full Text:



Adewuyi A, Ogunjuyigbe P. The role of men in family planning: an examination of men’s knowledge and attitude to contraceptive use among the Yorubas. African Population Studies. 2003;18(1):1043-49.

Hatami H, Razavi M, Eftekhar H, Maglesi F, sayednozadi M, Parizadeh M. Public Health. 2nd ed Tehran. Arjmand; 2006:1687-1688.

Rosenberg M. Pral contraceptive discontinuation: a prospective evaluation of frequency and reasons. AM J Obstet Gynecol. 1998;179(3):577-82.

Detels R, Beaglehole R, Lansang MA, Gulliford M. Textbook of public health. 5th ed London. Oxford University Press; 2011:1598.

Aghajanian A, Mehryar AH, Delavar B, Kazemipour SH, Hassaneini Z. Continuing use of withdrawal as contraceptive method in Oran. Canadian Studies Population. 2007;34(2):179-90.

Rachel K, Fennell JJ, Jennj A. Better than nothing or savvy risk reduction practice? The importance of withdrawal. Contraception. 2009;79:407-10.

Rahmani A, Sadeghi N, Allagholi L, Merghati A. The relation of sexual satisfaction and demographic factors. J Uni Sci Med Iran. 2010;23(66):14-22.

Ortayli N, Bulut A, Ozugurlu M, Cokar M. Why withdrawal? Why not withdrawal? Men’s perspective. Rerod Health Matters. 2005;13(25):164-73.

Mohamadi KH, Heidari M, Faghihzadeh S. The female sexual function index (FSFI): validation of the Iranian vertion. Payesh. 2008;7(3):269-78.

Litzinger S, Gordon KC. Exploring relationships among communication sexual satisfaction, and marital satisfaction. J Sex Marital Taylor and Francis. 2005;31(5):409-24.

Tavakol Z, mirmolaie T, momenie Z, maksori A. Association between sexual satisfaction with sexual function. J Hamedan Uni Med Sci. 2011;36:50-6.

Christian W, Wallwiener MD. Prevalence of sexual dysfunction and impact of contraception in female German medical students. J Sexual Medicine. 2010;7(6):2139-48.

Mardani Hamoleh M, Ebrahimi E, Hedari H. The survey of sexual function and sexual satisfaction in contraceptive user. Payesh. 2012;11(3):371-6.

Auslander BA, Rosenthal SL, Fortenbrry JD, Biro FFM, Bemstein DI, Zimet GD. Predictors of sexual satisfaction in an adolescent and college population. Pediatric Adolescent Gynecology. 2007;20(1):25-8.

Bahrami N, Soleimani M, Shraifnia H, Masoodi R, Shaigan H, Mohammad RZ. Female sexual satisfaction with different contraceptive methods. Iran Journal of Nursing. 2012;25(76):53-63.

Higgins JA, Hoffman S, Graham CA, Sanders SA. Relationships between condoms, hormonal method, and sexual pleasure and satisfaction: an exploratory analysis from the women's well- Being and sexuality. Sexual Health. 2008;321-330.

Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, et al. The female sexual function index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sexual Marital Therapy. 2000;26(2):191-208.

Safarinejad MR. Female sexual dysfunction in a population-based study in Iran: prevalence and associated risk factors. International of Impotence Research. 2006;18:382-95.

Mohammadi KH, Heydari M, Faghihzadeh S. The female sexual function index (FSFI): validation of the Iranian version. Payesh J. 2008;7(3):269-78.

Azari S, Shahnazi M, Farshbaf A, Abasnejad A. Sexual satisfaction in women using medicine and withdrawal contraceptive methods. J Azad Uni Sci Med. 2013;24(1):54-60.

Bolurian Z, Ganjloo J. Evaluating sexual dysfunction and some related factors in women attending Sabzevar Health Care Centers. Journal of Reproduction and Infertility. 2007;2(31):163-70.

Bianchi F, Perrin E, Ludicke F, Fert D. sexuality, partner relations and contraceptive practice after termination of pregnancy. J Psychosomatic Obstetrics Gynecology. 2001;22:83-90.

Young M, Denny G, Young T, Luqui R. Sexual satisfaction among married women. AM J Health Studies. 2000;16:73-84.

Barrientos J, Dario P, Psycholisocial variable of sexual satisfaction in Chile. J Sex Marital Ther. 2000;18:351-68.

Bayrami R, Satterzadeh N, Ranjbar Koochaksaraiie F, Pezeshki MZ. Sexual dysfunction in couples and related factores during pregnancy. J Reproduct Infertilit. 2008;9(3):271-82.

Bitzer J, Alder J. Sexuality during pregnancy and the postpartum. J Sex Education and Therapy. 2000;25(1):49-58.

Van Brummen HJ, Bruinse HW, Van de Pol G, Heintz AP, Van der Vaart CH. Which factors determine the sexual function 1 year after childbirth? BJOG. 2006;113(8):914-18.

Tessler S, Lindau MD, Philip Schumm MA. A study of sexuality and health among older adults in the United States. N Engl Med. 2007;357:762-74.

Jiann BP, Su CC, Tsai JY. Is female sexual function related to the male partner erectile function? J Sexual Medicine. 2013;10(2):420-9.