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Psychological, social, and sexual challenges affecting men receiving male infertility treatment: a systematic review and implications for clinical care

Asian journal of andrology, 2023-07, Vol.25 (4), p.448-453 [Peer Reviewed Journal]

COPYRIGHT 2023 Medknow Publications and Media Pvt. Ltd. ;Copyright: © The Author(s)(2022) 2022 ;ISSN: 1008-682X ;ISSN: 1745-7262 ;EISSN: 1745-7262 ;DOI: 10.4103/aja202282 ;PMID: 36412462

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  • Title:
    Psychological, social, and sexual challenges affecting men receiving male infertility treatment: a systematic review and implications for clinical care
  • Author: Wu, Winston ; La, Justin ; Schubach, Kathryn ; Lantsberg, Daniel ; Katz, Darren
  • Subjects: Care and treatment ; Fertility ; Humans ; Infertility ; Infertility, Male ; Infertility, Male - psychology ; Infertility, Male - therapy ; Male ; male infertility; male infertility treatment; patient experience; patient-centered care; psychosocial; sexual ; Original ; Semen ; Stress, Psychological
  • Is Part Of: Asian journal of andrology, 2023-07, Vol.25 (4), p.448-453
  • Description: In recent years, social research surrounding the consequences of infertility has increasingly focused on the male perspective; however, a gap exists in the understanding of men's experiences of male infertility treatment. This review aims to synthesize the existing evidence concerning the psychological, social, and sexual burden of male infertility treatment on men, as well as patient needs during clinical care. A systematic search identified 12 studies that are diverse in design, setting, and methods. Psychological evaluations have found that urological surgery may have a lasting impact on infertility-specific stress, and treatment failure can lead to feelings of depression, grief, and inadequacy. Men tended to have an avoidant coping mechanism throughout fertility treatment, and their self-esteem, relationship quality, and sexual functions can be tied to outcomes of treatment. Partner bonds can be strengthened by mutual support and enhanced communication; couple separation, however, has been noted as a predominant reason for discontinuing male infertility treatment and may be associated with difficult circumstances surrounding severe male infertility. Surgical treatments can affect the sexual functioning of infertile men; however, the impact of testicular sperm extraction outcomes appears to be psychologically driven whereas the improvements after microsurgical varicocelectomy are only evident in hypogonadal men. Clinically, there is a need for better inclusion, communication, education, and resource provision, to address reported issues of marginalization and uncertainty in men. Routine psychosocial screening in cases of severe male infertility and follow-up in cases of surgical treatment failure are likely beneficial.
  • Publisher: China: Wolters Kluwer India Pvt. Ltd
  • Language: English
  • Identifier: ISSN: 1008-682X
    ISSN: 1745-7262
    EISSN: 1745-7262
    DOI: 10.4103/aja202282
    PMID: 36412462
  • Source: GFMER Free Medical Journals
    MEDLINE
    PubMed Central
    ProQuest Central
    DOAJ Directory of Open Access Journals
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