Sexual and Marital Satisfaction Among Couples Opting for Assisted Reproductive Technology for Primary Infertility: A Qualitative Study

Procreation is increasingly perceived as an essential expectation of marriage and is often seen as a symbol of social status and acceptance. The global prevalence of infertility has been estimated as about 17.5%. The prevalence of psychological distress associated with infertility is about 25%–60%. Assisted reproductive technology (ART) also has a significant impact on the overall quality of life, sexual life, and marital harmony. This study qualitatively assessed the sexual and marital satisfaction among couples opting for ARTs. The study was conducted in couples with primary infertility who were taking ART. In-depth interviews were conducted with 12 couples with a preset interview guide structured in simple language. The interview was voice-recorded, transcribed verbatim, and analyzed using a manual content analysis method. In the analysis, six major themes emerged: Psychological impact of infertility, marital dynamics, intimacy and sexual satisfaction, coping strategies, support systems, and perceptions of ART. The couples experienced mental stress secondary to self-perceived stigma and role expectations. The involvement of family and society had been more supportive and less detrimental. Couples demonstrated adaptive coping, strong spousal support, and openness to treatment despite financial burdens. There was a significant impact on the sexual functioning of the couples secondary to treatment for infertility; however, there was adequate emotional fulfillment. Addressing both partners’ mental health and sexual well-being may improve treatment outcomes and quality of life, while promoting a more compassionate societal outlook on infertility and ART.