The Effect of Couple-centered Counseling Based on the Ex-Plissit Model on the Sexual Satisfaction of Infertile Couples

Abstract

Infertility and its treatments can adversely affect sexual health. This study aimed to evaluate the impact of couple-centered counseling based on the Ex-Plissit model on improving sexual satisfaction among infertile couples. Conducted at the Infertility Department of Fatemieh Hospital in Hamadan from 2022 to 2023, this study included 60 infertile couples randomly assigned to an intervention group (30 couples) or a control group (30 couples). Sexual satisfaction was assessed using the Lindaberg questionnaire. The intervention group received four counseling sessions based on the Ex-Plissit model, while the control group received routine care. Post intervention, both groups completed the questionnaire again. Data were analyzed using SPSS version 26 with descriptive and inferential statistics (paired t -tests, independent t -tests, Wilcoxon tests, and analysis of covariance) at a significance level of p < 0.05. Before the intervention, no significant difference in sexual satisfaction was observed between groups ( p = 0.925). Post intervention, the intervention group showed significant improvement compared to the control group ( p = 0.001). Within the intervention group, both men and women reported significant increases in sexual satisfaction ( p = 0.001). In contrast, the control group showed no significant changes ( p = 0.893 for women, p = 0.144 for men). Couple-centered counseling using the Ex-Plissit model significantly enhances sexual satisfaction in infertile couples. It is recommended to assess sexual satisfaction in infertile couples and provide appropriate educational or therapeutic interventions.