The impact of male reproductive health challenges within the conjugal relationship and their
management have not been conspicuous in the literature till date. This study examined the
incidence of male sexual diseases, the influence of fertility desire and coping strategies among
currently married women in Nigeria. The data for the study was extracted from a 2010 survey of
435 couples in the southwest Nigeria supported by Covenant University as part of PhD
programme. Data obtained were analyzed using a combination of univariate and binary
logistic. The common male reproductive health challenges identified include erectile dysfunction
(10.5%), gonorrhea (12.7%), low sperm count (0.1%), testicular cancer (6.3%), prostate (3.2%)
and prostate cancer (1.6%). Where the husbands experience erectile dysfunction, prostate or
gonorrhea, the couples are 0.064, 0.898 and 0.583 times (respectively) less likely to enjoy
marital satisfaction. It recommends establishment of robust specialized reproductive healthcare
services to cater for health needs of men who may be experiencing sexual problems in order to
engender stability in family and stable nation. The study concludes that marriage counselors,
social workers and other health officials need to focus on erectile dysfunction, gonorrhea and
prostate as major determinants of sustainable marital satisfaction.