Determinants of Male Coital Difficulties among Attendees of the Gynae Clinic at a Tertiary Health Center in North-Central Nigeria

Background: Male sexual or coital difficulties are among the factors contributingto infertility in couples seeking fertility as this may result in low coitalfrequency. Aims/Objectives: To evaluate the causes of male sexual or coitaldifficulties among couples attending the infertility clinic at BSUTH, Makurdiover a 2 year period. Methodology: This was a cross-sectional study involvingall males attending the infertility clinic at Benue State University TeachingHospital (BSUTH) who consent to participate in the study. A pretested structuredquestionnaire was administered and analyzed with statistical packagefor social sciences (version 23.0) and the results were presented in simpleproportions. Results: There were several factors responsible for male coitaldifficulties. The most common was male erectile dysfunction 33 (32.4%), vaginismus11 (10.8%), penile pain 14 (13.7%), poor response from the femalepartner 8 (7.8%) and severe dyspareunia 18 (17.1%). Conclusion: Coital difficultiesresulting to low frequency of sexual exposure constitutes a majorcause of infertility among males attending the infertility clinic at BSUTH,Makurdi. Therefore efforts should be made to evaluate these factors while assessinginfertility couples in order to mitigate the effect.