Maintaining harmony despite the agony; how Sundanese men and Javanese women with sexual dysfunction due to diabetes mellitus establish sexual relationship with the couples

Diabetes-related sexual dysfunction presents complex challenges, including reduced sexual desire, painful intercourse, and emotional distress. In Indonesia, cultural taboos around discussing sexuality exacerbate these issues, despite growing evidence that sexual health plays a vital role in overall quality of life. This study explores the experiences of Sundanese men and Javanese women with type 2 diabetes who suffer from erectile dysfunction (ED), focusing on the impact on their sexual relationships. A phenomenological approach was employed, involving in-depth interviews with 11 married respondents from Subang and Yogyakarta, regions representing distinct cultural backgrounds. Interviews conducted in Bahasa Indonesia were recorded, transcribed, translated into English, and analyzed using Colaizzi’s method. Four central themes emerged: “the dysfunction,” highlighting physical challenges in sexual activity; “psychological impact,” revealing feelings of guilt, shame, and emotional strain; “keep on trying,” capturing couples’ efforts to maintain intimacy and seek treatment; and “wife’s support,” underscoring the significant role of spousal support amid prevailing cultural silence on sexual matters. The findings underscore the interplay of physical, emotional, and relational dimensions in managing ED, and call for culturally sensitive strategies to support diabetic individuals and their partners. Further research should include spouses’ perspectives and examine cultural influences more deeply.