Sexual Dysfunction, Emotional Distress and Marital Adjustment in Women with Endogenous Reproductive Tract Infections

Author: Amna Batool

Supervisor: Hira Fatima

Degree: BS

Year: 2010-2014

University: Institute of Applied Psychology, Punjab University, Lahore, Pakistan


The aim of present study was to investigate the relationship between female sexual dysfunction, emotional distress and marital adjustment in women with endogenous reproductive tract infections. It was hypothesized that sexual functioning is likely to be negatively correlated with emotional distress. Also, that it is likely to be a positive relationship between sexual functioning and marital adjustment and a negative relationship between marital adjustment and emotional distress. It was hypothesized that women using birth control methods will respond differently as compared to women not using them. The sample was selected by purposive sampling and comprised of 111 women attending the government and private hospitals for treatment of endogenous reproductive tract infections. A structured interview was devised to gather information regarding demographic variables of participants. The Urdu translated versions of Female Sexual Function Index (FSFI) (Rehman & Sheikh, 2013), Self-Reporting Questionnaire (SRQ)-20 (Rahman, Iqbal; Waheed & Husain 2003) and Locke and Wallace Marital  Adjustment Test (MAT) (Qadir, Khalid, Haqqani & Medhin, 2013) were used to assess sexual dysfunction, emotional distress and marital adjustment. The results illustrated a negative relationship between female sexual functioning and emotional distress and a positive relationship between female sexual functioning and marital adjustment. Furthermore, it was demonstrated that the responses of women using birth control differed from those who did not. A multiple regression analysis showed that among subscales of Female Sexual Function Index, orgasm was a predictor of marital adjustment. Further results revealed that among subscales of Female Sexual Function Index sexual satisfaction was a strong predictor of emotional distress. The research implications included that there is a dire need to create awareness regarding women sexual health to induce health seeking behaviors in women. Also, that sex education is needed to change society’s perspective regarding sexual dysfunctions and their treatment. Moreover, training of health  professionals  is  needed  so  they  can  provide  counseling services to patients on time, who need that.

Keywords: Sexual Dysfunction, Emotional Distress, Marital Adjustment, Endogenous Reproductive Tract Infections.

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Corresponding Address: Department of Applied Psychology, University of the Punjab, Lahore, Pakistan. Email:, Phone: 92-42-9231245