Erectile DysfunctionNCT07783958
Male Sexual Function and Sexual Quality of Life in Polygamous Versus Monogamous Marriages
An observational study of Erectile Dysfunction and Sexual Dysfunction, run by Al-Azhar University at 1 site in Egypt.
Trial 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. Read more about this study
- Who is it for?
- Ages 18 years and older, men only
- Conditions the study is for
- Erectile Dysfunction, Sexual Dysfunction
- What is being tested?
- Monogamous marital structure and Polygamous marital structure
- How many people
- 1,820 participants
- Where
- 1 siteEgypt
- Study dates
- 20 Aug 2026to Aug 2027
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Men only
- Adult, Older adult
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.
Who may be able to join
- 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
Who cannot join
- 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.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Egypt1 site, 1 recruiting
- Recruiting
Department of Urology, Al-Hussein and Sayed Galal University Hospitals, Al-Azhar University
Cairo
Abul-fotouh Ahmed, +201001066756, abulfotouhahmed@yahoo.com
About this study
Official title: Sexual Function and Sexual Quality of Life Among Egyptian Men in Polygamous and Monogamous Marriages: A Web-Based Comparative Cross-Sectional Survey
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.
Read the detailed description
Sexual function and sexual quality of life are influenced by biological, psychological, social, and relationship-related factors. Marital structure may be associated with differences in sexual function, sexual satisfaction, psychological distress, and quality of life; however, evidence among Egyptian men is limited.
This study will use an anonymous Arabic-language web-based questionnaire to compare married Egyptian men in monogamous and polygamous marriages. Participants will be recruited from different Egyptian governorates through online dissemination of the survey. Before completing the questionnaire, participants will review the study information sheet and provide electronic informed consent.
The questionnaire will collect sociodemographic, clinical, lifestyle, sexual, psychological, and relationship-related information. Sexual function will be assessed using the Arabic version of the Sexual Health Inventory for Men/Sexual Health Inventory for Men-5 (SHIM/IIEF-5). Sexual quality of life will be assessed using the Sexual Quality of Life-Male questionnaire. Depression, anxiety, and stress will be assessed using the Depression Anxiety Stress Scales-21. Marital satisfaction and relationship satisfaction will be assessed using predefined Likert-type questions.
The monogamous group will include men currently married to one wife. The polygamous group will include men currently married to two or more wives. Participants will be analyzed according to marital structure, and additional descriptive analyses may be performed according to the number of wives among polygamous participants.
The primary analysis will compare SHIM scores and the proportion of participants with impaired sexual function between the two marital groups. Secondary analyses will compare sexual quality of life, psychological status, marital satisfaction, and other clinical and sociodemographic variables. Multivariable regression models will be used to assess whether marital structure is independently associated with impaired sexual function or poor sexual quality of life after adjustment for relevant confounding factors.
- Conditions
- Erectile Dysfunction, Sexual Dysfunction
- Being tested
- Monogamous marital structure, Polygamous marital structure
- Medical subject headings
- Erectile Dysfunction, Sexual Dysfunction, Physiological
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Monogamous marital structureOther
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.
Polygamous marital structureOther
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.
| Study group | Role | What they receive |
|---|---|---|
| Monogamous marriage | Egyptian men aged 18 years or older who are currently married to one wife and complete the anonymous online questionnaire. Receives: 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. Receives: Other: Polygamous marital structure |
What is being measured
The primary outcome is the main question the study is designed to answer.
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.
Measured: Baseline (single assessment at questionnaire completion)
Secondary outcomes (3)
Proportion of participants with impaired sexual function
Impaired sexual function will be defined as a SHIM/IIEF-5 score of 21 or less. The outcome will be reported as the number and percentage of participants with impaired sexual function in each marital-structure group.
Measured: Baseline (single assessment at questionnaire completion)
Sexual Quality of Life-Male questionnaire score
Sexual quality of life will be assessed using the Sexual Quality of Life-Male questionnaire. The total score will be reported according to the scoring system of the validated questionnaire, with higher scores indicating better sexual quality of life if applicable to the selected version. Scores will be compared between monogamous and polygamous marriage groups.
Measured: Baseline (single assessment at questionnaire completion)
Relationship satisfaction score
Relationship satisfaction will be assessed using predefined Likert-type questions regarding satisfaction with the marital relationship. Scores will be summarized and compared between monogamous and polygamous marriage groups, with higher scores indicating greater satisfaction.
Measured: Baseline (single assessment at questionnaire completion)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Aug 2026
- Study start20 Aug 2026
- Primary completionMay 2027 (estimated)
- Study completionAug 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Erectile DysfunctionStudies of the same condition, open and under way.
- More trials run by Al-Azhar UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Other
- Time perspective
- Cross-sectional
- Enrolment
- 1,820 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Al-Azhar University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Abul-fotouh Ahmed, Al-Azhar University
- Investigators
- Abul-fotouh Ahmed, MD, Principal investigator, Department of Urology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07783958
- Sponsor's protocol ID
- UroAzhar_11_026
- Status last verified
- Aug 2026
- First submitted
- 19 Aug 2026
- Last updated
- 25 Aug 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 25 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Sexual Function and Sexual Quality of Life Among Egyptian Men in Polygamous and Monogamous Marriages: A Web-Based Comparative Cross-Sectional Survey
- ClinicalTrials.gov ID
- NCT07783958
- Acronym / sponsor ID
- UroAzhar_11_026
- Conditions
- Erectile Dysfunction, Sexual Dysfunction
- Study type
- Observational
- Recruitment status
- Recruiting
- Enrolment
- 1,820 participants (estimated)
- Lead sponsor
- Al-Azhar UniversityUniversity, hospital or other
- Study start
- 20 Aug 2026 (actual)
- Primary completion
- May 2027 (estimated)
- Study completion
- Aug 2027 (estimated)
- First posted
- 25 Aug 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Detailed description
Sexual function and sexual quality of life are influenced by biological, psychological, social, and relationship-related factors. Marital structure may be associated with differences in sexual function, sexual satisfaction, psychological distress, and quality of life; however, evidence among Egyptian men is limited.
This study will use an anonymous Arabic-language web-based questionnaire to compare married Egyptian men in monogamous and polygamous marriages. Participants will be recruited from different Egyptian governorates through online dissemination of the survey. Before completing the questionnaire, participants will review the study information sheet and provide electronic informed consent.
The questionnaire will collect sociodemographic, clinical, lifestyle, sexual, psychological, and relationship-related information. Sexual function will be assessed using the Arabic version of the Sexual Health Inventory for Men/Sexual Health Inventory for Men-5 (SHIM/IIEF-5). Sexual quality of life will be assessed using the Sexual Quality of Life-Male questionnaire. Depression, anxiety, and stress will be assessed using the Depression Anxiety Stress Scales-21. Marital satisfaction and relationship satisfaction will be assessed using predefined Likert-type questions.
The monogamous group will include men currently married to one wife. The polygamous group will include men currently married to two or more wives. Participants will be analyzed according to marital structure, and additional descriptive analyses may be performed according to the number of wives among polygamous participants.
The primary analysis will compare SHIM scores and the proportion of participants with impaired sexual function between the two marital groups. Secondary analyses will compare sexual quality of life, psychological status, marital satisfaction, and other clinical and sociodemographic variables. Multivariable regression models will be used to assess whether marital structure is independently associated with impaired sexual function or poor sexual quality of life after adjustment for relevant confounding factors.
Study design
- Observational model
- Other
- Time perspective
- Cross-sectional
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Monogamous marriage | – | Other: Monogamous marital structureEgyptian men aged 18 years or older who are currently married to one wife and complete the anonymous online questionnaire. |
| Polygamous marriage | – | Other: Polygamous marital structureEgyptian men aged 18 years or older who are currently married to two or more wives and complete the anonymous online questionnaire. |
Who may qualify
- Ages
- 18 years and older
- Sex
- Male only
- Age groups
- Adult, Older adult
- 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.
Key inclusion criteria (6 listed)
- 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.
Key exclusion criteria (7 listed)
- 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.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Monogamous marital structureExisting 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. | Other | Monogamous marriage |
| Polygamous marital structureExisting 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. | Other | Polygamous marriage |
Primary outcome
Sexual function score measured by the Sexual Health Inventory for Men
Time frame: Baseline (single assessment at questionnaire completion)
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.
3 secondary outcomes
Proportion of participants with impaired sexual function
Time frame: Baseline (single assessment at questionnaire completion)
Sexual Quality of Life-Male questionnaire score
Time frame: Baseline (single assessment at questionnaire completion)
Relationship satisfaction score
Time frame: Baseline (single assessment at questionnaire completion)
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Aug 2026.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Abul-fotouh Ahmed, MD principal investigator
Department of Urology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Erectile Dysfunction and Sexual Dysfunction, run by Al-Azhar University at 1 site in Egypt.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 25 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Egypt. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Abul-fotouh Ahmed, MD (+201001066756, abulfotouhahmed@yahoo.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Sexual function score measured by the Sexual Health Inventory for Men (time frame: Baseline (single assessment at questionnaire completion)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Aug 2026.