This article aims to explore Chinese couples' perspectives on sexual dysfunctions in the socio-cultural context of Hong Kong. It enables us to expand our understanding of sexual dysfunction, from etiology to an understanding of human significance. In this qualitative study employed with in-depth interviews, eight couples with sexual dysfunctions were recruited to provide personal accounts of marital experience and perceived significance of sexual dysfunctions in marriage. According to the findings, the spouses reported diversified marital relationships and their views of sexual dysfunctions were inter-subjective in light of socioeconomic, relational and temporal context, more than as a biological given. They interpreted sexual dysfunction in a horizon of temporality stretching through past, present and future, from the sphere of coitus to the sphere beyond coitus. Besides, their reproductive plans were emphasized. Stress arising from their busy lives with household conditions and in socioeconomic context was prominent. In addition, the spouses also sought alternatives for satisfaction apart from coitus, e.g., masturbation, caressing, hugging, kissing and sweet words.

本文旨在探索華人伴侶在香港社會文化背景之下對性功能障礙的觀點，讓我們能夠加深對性功能障礙的理解，從病因擴展到對人的意義。是次質性研究采用深入訪談的方法，並招募了八對有性功能障礙的伴侶，請他們就婚姻的經驗以及性功能障礙對婚姻的影響提供個人的見解。根據調查結果，夫妻雙方反映了多元化的婚姻關系，以及他們以從社會經濟、關系和時空等多元的角度看性功能障礙，而非把它視為生理上的必然。他們以時空的層面解釋性功能失調，由過去、現在伸延至未來，由性交的領域伸延至性交以外的領域。此外，她們還特別強調生育計劃，認為繁忙的生活、家庭條件和社會經濟環境皆非常明顯造成了壓力。另外，夫妻雙方都從性交以外的替代品中尋求滿足感，如自慰、愛撫、擁抱、接吻或甜言蜜語。

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