{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T00:34:45Z","timestamp":1760402085667,"version":"build-2065373602"},"reference-count":32,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T00:00:00Z","timestamp":1617235200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: the aim of this study was to perform an Italian telematics survey analysis on the changes in couples\u2019 sex lives during the coronavirus disease 2019 (COVID-19) lockdown. Methods: a multicenter cross sectional study was conducted on people sexually active and in stable relationships for at least 6 months. To evaluate male and female sexual dysfunctions, we used the international index of erectile function (IIEF-15) and the female sexual function index (FSFI), respectively; marital quality and stability were evaluated by the marital adjustment test (items 10\u201315); to evaluate the severity of anxiety symptoms, we used the Hamilton Anxiety Rating Scale. The effects of the quarantine on couples\u2019 relationships was assessed with questions created in-house. Results: we included 2149 participants. The sex lives improved for 49% of participants, particularly those in cohabitation; for 29% it deteriorated, while for 22% of participants it did not change. Women who responded that their sex lives deteriorated had no sexual dysfunction, but they had anxiety, tension, fear, and insomnia. Contrarily, men who reported deteriorating sex lives had erectile dysfunctions and orgasmic disorders. In both genders, being unemployed or smart working, or having sons were risk factors for worsening the couples\u2019 sex lives. Conclusion: this study should encourage evaluation of the long-term effects of COVID-19 on the sex lives of couples.<\/jats:p>","DOI":"10.3390\/jcm10071414","type":"journal-article","created":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T07:23:17Z","timestamp":1617261797000},"page":"1414","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["The Impact of Lockdown on Couples\u2019 Sex Lives"],"prefix":"10.3390","volume":"10","author":[{"given":"Elisabetta","family":"Costantini","sequence":"first","affiliation":[{"name":"Department of Surgical and Biomedical Science, Andrological and Urogynecological Clinic, Santa Maria Terni Hospital, University of Perugia, 05100 Terni, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9291-2426","authenticated-orcid":false,"given":"Francesco","family":"Trama","sequence":"additional","affiliation":[{"name":"Department of Surgical and Biomedical Science, Andrological and Urogynecological Clinic, Santa Maria Terni Hospital, University of Perugia, 05100 Terni, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donata","family":"Villari","sequence":"additional","affiliation":[{"name":"Urology Clinic, Careggi Hospital, University of Florence, 50100 Florence, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Serena","family":"Maruccia","sequence":"additional","affiliation":[{"name":"Istituti Clinici Zucchi, 20861 Brughiero, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6328-7980","authenticated-orcid":false,"given":"Vincenzo","family":"Li Marzi","sequence":"additional","affiliation":[{"name":"Urology Clinic, Careggi Hospital, University of Florence, 50100 Florence, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4099-3233","authenticated-orcid":false,"given":"Franca","family":"Natale","sequence":"additional","affiliation":[{"name":"Urogynecologic Unit, S. Carlo Hospital, 00100 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1019-565X","authenticated-orcid":false,"given":"Matteo","family":"Balzarro","sequence":"additional","affiliation":[{"name":"Urology Clinic, University of Verona, 37100 Verona, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3050-8748","authenticated-orcid":false,"given":"Vito","family":"Mancini","sequence":"additional","affiliation":[{"name":"Urology Clinic, University of Foggia, 71100 Foggia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raffaele","family":"Balsamo","sequence":"additional","affiliation":[{"name":"Urology Clinic, Monaldi Hospital, 80125 Naples, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Marson","sequence":"additional","affiliation":[{"name":"Urology Clinic, Chieri Carmagnola and Moncalieri Hospital, 10121 Turin, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marianna","family":"Bevacqua","sequence":"additional","affiliation":[{"name":"Urology Clinic, Bianchi-Malacrino-Morelli Hospital, 89121 Reggio Calabria, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio Luigi","family":"Pastore","sequence":"additional","affiliation":[{"name":"Urology Clinic, ICOT, Department of Medical Surgical Sciences and Biotechnologies, Sapienza University of Rome, 04100 Latina, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9162-8845","authenticated-orcid":false,"given":"Enrico","family":"Ammirati","sequence":"additional","affiliation":[{"name":"Urology Clinic, Citt\u00e0 della Salute e della Scienza, 10121 Turin, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3486-1226","authenticated-orcid":false,"given":"Marilena","family":"Gubbiotti","sequence":"additional","affiliation":[{"name":"Urology Clinic, San Donato Arezzo Hospital, 52100 Arezzo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Teresa","family":"Filocamo","sequence":"additional","affiliation":[{"name":"Urology Clinic, ASL CN1, 12038 Savigliano, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1204-4401","authenticated-orcid":false,"given":"Gaetano","family":"De Rienzo","sequence":"additional","affiliation":[{"name":"Urology Clinic, University of Bari, 70121 Bari, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enrico","family":"Finazzi Agr\u00f2","sequence":"additional","affiliation":[{"name":"Urology Clinic, Torvergata University, 00100 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0207-0160","authenticated-orcid":false,"given":"Pietro","family":"Spatafora","sequence":"additional","affiliation":[{"name":"Urology Clinic, Careggi Hospital, University of Florence, 50100 Florence, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudio","family":"Bisegna","sequence":"additional","affiliation":[{"name":"Urology Clinic, Careggi Hospital, University of Florence, 50100 Florence, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luca","family":"Gemma","sequence":"additional","affiliation":[{"name":"Urology Clinic, Careggi Hospital, University of Florence, 50100 Florence, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandro","family":"Giamm\u00f2","sequence":"additional","affiliation":[{"name":"Urology Clinic, Citt\u00e0 della Salute e della Scienza, 10121 Turin, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3940-6740","authenticated-orcid":false,"given":"Alessandro","family":"Zucchi","sequence":"additional","affiliation":[{"name":"Urology clinic, University of Pisa, 56121 Pisa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefano","family":"Brancorsini","sequence":"additional","affiliation":[{"name":"Department of Experimental Medicine, University of Perugia, 05100 Terni, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gennaro","family":"Ruggiero","sequence":"additional","affiliation":[{"name":"Department of Psychology, Laboratory of Cognitive Science and Immersive Virtual Reality, Univerity of Campania, Luigi Vanvitelli, 81100 Caserta, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ester","family":"Illiano","sequence":"additional","affiliation":[{"name":"Department of Surgical and Biomedical Science, Andrological 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