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

作　　者：Winston Wu Justin La Kathryn M Schubach Daniel Lantsberg Darren J Katz 

机构地区：[1]Department of Urology,Western Health,St Albans,VIC 3021,Australia [2]Department of Urology,Kaiser Permanente San Rafael Medical Center,San Rafael,CA 94903,USA [3]Men’s Health Melbourne,Melbourne,VIC 3000,Australia [4]Reproductive Services Unit,The Royal Women’s Hospital,Parkville,VIC 3052,Australia [5]Melbourne IVF,East Melbourne,VIC 3002,Australia [6]Department of Surgery,Western Precinct,University of Melbourne,Parkville,VIC 3010,Australia

出　　处：《Asian Journal of Andrology》2023年第4期448-453,共6页亚洲男性学杂志（英文版）

摘　　要：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 theexisting evidence concerning the psychological, social, and sexual burden of male infertility treatment on men, as well as patientneeds during clinical care. A systematic search identified 12 studies that are diverse in design, setting, and methods. Psychologicalevaluations have found that urological surgery may have a lasting impact on infertility-specific stress, and treatment failure canlead to feelings of depression, grief, and inadequacy. Men tended to have an avoidant coping mechanism throughout fertilitytreatment, and their self-esteem, relationship quality, and sexual functions can be tied to outcomes of treatment. Partner bonds canbe strengthened by mutual support and enhanced communication;couple separation, however, has been noted as a predominantreason for discontinuing male infertility treatment and may be associated with difficult circumstances surrounding severe maleinfertility. Surgical treatments can affect the sexual functioning of infertile men;however, the impact of testicular sperm extractionoutcomes appears to be psychologically driven whereas the improvements after microsurgical varicocelectomy are only evident inhypogonadal men. Clinically, there is a need for better inclusion, communication, education, and resource provision, to addressreported issues of marginalization and uncertainty in men. Routine psychosocial screening in cases of severe male infertility andfollow-up in cases of surgical treatment failure are likely beneficial.

关 键 词：male infertility male infertility treatment patient experience patient-centered care PSYCHOSOCIAL sexual 

分 类 号：R698.2[医药卫生—泌尿科学]