# Cognition of the association between sexual dysfunction and fertility

## TL;DR

This study shows that people with poor understanding of how sexual dysfunction relates to fertility tend to experience more severe sexual issues, highlighting the need for better sexual health education.

## Contribution

The study reveals a novel association between public understanding of sexual dysfunction and fertility and the actual severity of sexual dysfunction.

## Key findings

- Lower ASDF cognition correlates with more severe sexual dysfunction in both men and women.
- 45.08% of men and 54.92% of women had low ASDF cognition in the study sample.
- Poor cognition was linked to erectile dysfunction, premature ejaculation, and sexual pain.

## Abstract

While research has shown that sexual dysfunction does not impact fertility, public understanding of this relationship remains unclear.

To investigate the relationship between public cognition of the association between sexual dysfunction and fertility (ASDF) and the occurrence of sexual dysfunction itself.

This cross-sectional study utilized a nationally representative sample of 10 761 reproductive-age individuals across China. Participants completed an anonymous questionnaire assessing sexual function and ASDF cognition, using tools like IIEF-5, PEDT, and FSFI-19. Data analysis was conducted with R software, employing χ2 and Mann–Whitney U tests.

The study identified a significant correlation between ASDF cognition and the severity of sexual dysfunction, with lower levels of cognition associated with more severe dysfunction.

Among 10 761 surveyed, 45.08% of men and 54.92% of women showed low ASDF cognition. There was a significant correlation between ASDF cognition and sexual dysfunction severity, with poor cognition associated with more severe ED and PE in men, and sexual intercourse pain in women.

The findings suggest the need for targeted sexual health education to improve public understanding of sexual dysfunction and its impact on fertility.

Strengths include a large nationally representative sample and the use of validated tools. Limitations are the China-focused sample and subjective assessment tools, which may limit broader applicability.

This study identifies a significant association between ASDF cognition and the severity of sexual dysfunction, underscoring the importance of public education on sexual health.