Myths, challenges, and misconceptions around men's sexual health in Saudi Arabia

Men's sexual health is an essential yet under-addressed aspect of well-being in Saudi Arabia, shaped by a complex interplay of cultural traditions, religious teachings, and stigma. While Islam encourages marital intimacy, open conversations on sexual health are obstructed by taboos and misinformation. Misconceptions about erectile dysfunction, penile size, masturbation effects, and sexual performance, fueled by pornography, uncontrolled social media, and limited education, result in poor health-seeking behaviors and incorrect use of medications.

This article is based on clinical opinion and cultural insights of experts from Saudi Arabia and examines myths, sociocultural challenges, and treatment patterns that influence men's sexual health. A literature review was performed to identify studies and regional data to support the expert perspectives.

An unstructured literature search was conducted on PubMed, Google Scholar, and Cochrane Library without any date restrictions to ensure a thorough review of available evidence. The initial literature search was conducted in January 2025, with subsequent search in August 2025.

The experts highlight barriers including limited premarital counseling, preference for non-Arab physicians, gender-specific stigma and unrealistic expectations. Recommendations from experts include integrating sexual health into medical training and religious teachings, launching culturally destigmatizing education programs, and establishing virtual sexology clinics. Experts emphasized the value of emotional planning, promoting the concept of planning for intimacy, not just intercourse in an effort to permit couples to connect and reduce anxiety. By bridging Islamic values with modern medical practice, Saudi healthcare providers can normalize sexual health discussions, improve adherence, and promote marital harmony. Collaborations among healthcare professionals, educators, religious scholars, and policymakers are essential to advance this national health priority.

Sexual health in Saudi Arabia is hindered by cultural stigma, misinformation, and limited access to care. A coordinated, culturally sensitive strategy integrating education, regulation, and open dialog is essential for meaningful progress.