Table 2 A summary of themes, subthemes and key codes

Sexual life suspension

Unfulfilled sexual expectations

Reduced frequency of sexual relationships

Diminished sexual desire

Sexual dissatisfaction

Perceived barriers to satisfy sexual expectations

Sense of human aestheticism

Culture impact

Lack of sexual health, support and education

Efforts to adapt to sexual problems

Empathy, loyalty, and affection

Reduced sexual expectations, patience, and hope for the future

Extramarital relationship

Suppression of sexual desire