期刊论文详细信息
Health and Quality of Life Outcomes
Procreative sex in infertile couples: the decay of pleasure?
Alfredo Patella1  Stefano Caracciolo2  Maria Carbonara2  Roberta Capucci1  Silvia Mazzoni1  Emilio Giugliano1  Ilaria Soave1  Giuseppe Lo Monte1  Isabella Piva1  Angela Graziano1  Roberto Marci1 
[1] Department of Biomedical Sciences and Advanced Therapies, Section of Obstetrics and Gynecology, University of Ferrara, Corso Giovecca 183, 44121, Ferrara, Italy;Department of Experimental and Clinical Medicine, Section of General and Clinical Psychology, University of Ferrara, Ferrara, Italy
关键词: Psycho-sexology;    Sexual behavior;    Sexual disorders;    Assisted Reproductive Technology;    Sexual dysfunction;    Sexuality;    Psychology;    Infertility;   
Others  :  824865
DOI  :  10.1186/1477-7525-10-140
 received in 2012-08-21, accepted in 2012-11-16,  发布年份 2012
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【 摘 要 】

Background

Infertility represents a major challenge to the emotional balance and sexual life of couples, with long-lasting and gender-specific effects. The objective of this study is to explore personality features of infertile patients and detect possible sexual disorders in couples undergoing infertility treatment.

Materials and methods

In this prospective study 60 infertile couples and 52 fertile control couples were asked to complete standardized and validated questionnaires: the Adjective Check List (ACL) to enquire about personality features and the Female Sexual Function Index (FSFI) or the International Index of Erectile Function (IIEF) to assess sexual functioning of female and male partners. The study population was divided into 3 groups: Group A (N = 30, recently diagnosed infertile couples) Group B (N = 30, infertile couples already undergoing Intrauterine Insemination) and Group C (N = 52, fertile control group).

Results

Infertile patients did not display any distinguishing personality features. Regarding sexual function, men of all the three groups scored higher in both questionnaires (sexual satisfaction, desire and orgasm) than their female partners. Comparing results between groups, Group A male partners obtained lower scores in all the subscales. Women belonging to Group A and Group B showed an impairment of sexual arousal, satisfaction, lubrification and orgasm when compared to fertile controls.

Conclusions

Even if at the very first stages of infertility treatment no personality disturbances can be detected, the couples’ sexual life is already impaired with different sexual disorders according to gender.

【 授权许可】

   
2012 Marci et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Zegers-Hochschild F, Adamson GD, de Mouzon J, Ishihara O, Mansour R, Nygren K, Sullivan E, Vanderpoel S: International Committee for Monitoring Assisted Reproductive Technology; World Health Organization. International Committee for Monitoring Assisted Reproductive Technology (ICMART) and the World Health Organization (WHO) revised glossary of ART terminology. Fertil Steril 2009, 92:1520-1524.
  • [2]Wischmann TH: Psychogenic infertility–myths and facts. J Assist Reprod Genet 2003, 20:485-494.
  • [3]Nene UA, Coyaji K, Apte H: Infertility: a label of choice in the case of sexually dysfunctional couples. Patient Educ Couns 2005, 59:234-238.
  • [4]Wischmann TH: Sexual disorders in infertile couples. J Sex Med 2010, 7:1868-1876.
  • [5]Cousineau TM, Domar AD: Psychological impact of infertility. Best Pract Res Clin Obstet Gynaecol 2007, 21:293-308.
  • [6]Wirtberg I, Möller A, Hogström L, Tronstad SE, Lalos A: Life 20 years after unsuccessful infertility treatment. Hum Reprod 2007, 22:598-604.
  • [7]Ohl J, Reder F, Fernandez A, Bettahar-Lebugle K, Rongières C, Nisand I: Impact of infertility and assisted reproductive techniques on sexuality. Gynecol Obstet Fertil 2009, 37:25-32.
  • [8]Coëffin-Driol C, Giami A: L’impact de l’infertilité et de ses traitments sur la vie sexuelle et la relation de couple: revue de la literature. Gynecol Obstet Fertil 2004, 32:624-637.
  • [9]Greil AL: Infertility and psychological distress: a critical review of the literature. Soc Sci Med 1997, 45:1679-1704.
  • [10]Nelson CJ, Shindel AW, Naughton CK, Ohebshalom M, Mulhall JP: Prevalence and predictors of sexual problems, relationship stress, and depression in female partners of infertile couples. J Sex Med 2008, 5:1907-1914.
  • [11]Seibel M, Taymore M: Emotional aspects of infertility. Fertil Steril 1982, 37:137-145.
  • [12]Cloninger CR, Svrakic DM, Przybeck TR: A psychobiological model of temperament and character. Arch Gen Psychiatry 1993, 50:975-990.
  • [13]Fassino S, Garzaro L, Peris C, Amianto F, Pierò A, Abbate Daga G: Temperament and character in couplet with fertility disorders: a double-blind, controlled study. Fertil Steril 2002, 77:1233-1240.
  • [14]Rothman D, Kaplan DH, Nettles E: Psychosomatic infertility. Am J Obstet Gynecol 1962, 83:373-378.
  • [15]Csemiczky G, Landgren BM, Collins A: The influence of stress and state anxiety on the outcome of IVF-treatment: psychological and endocrinological assessment of Swedish women entering IVF-treatment. Acta Obstet Gynecol Scand 2000, 79:113-118.
  • [16]American Psychiatric Association: Diagnostic and statistical manual of mental health disorders (4th ed). Washington DC: American Psychiatric Association; 1994.
  • [17]Epstein YM, Rosenberg HS: Depression in primary versus secondary infertility egg recipients. Fertil Steril 2005, 83:1882-1884.
  • [18]Lerman H: Questions of validity raised by an adjective check list technique. J Clin Psychol 1963, 19:198-199.
  • [19]Zuckerman M, Lubin B: Normative data for the multiple affect adjective check list. Psychol Rep 1965, 16:438.
  • [20]Bloom PM, Brady JP: An ipsative validation of the multiple affect adjective check list. J Clin Psychol 1968, 24:45-46.
  • [21]Gough HG, Heilbrun AB, Fioravanti M: L’Adjective Check list. Firenze: Organizzazioni Speciali; 1980.
  • [22]Herron EW: The multiple affect adjective check list: a critical analysis. J Clin Psychol 1969, 25:46-53.
  • [23]Itzhar-Nabarro Z, Silberschatz G, Curtis JT: The adjective check list as an outcome measure: assessment of personality change in psychotherapy. Psychother Res 2009, 19(6):707-717.
  • [24]Rosen RC, Riley A, Wagner G, Osterloh IH, Kirkpatrick J, Mishra A: The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology 1997, 49:822-830.
  • [25]Rosen RC, Cappelleri JC, Gendrano N: The international index of erectile function (IIEF): a state-of-the-science review. Int J Impot Res 2002, 14:226-244.
  • [26]Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, Ferguson D, D'Agostino R: The female sexual function index (FSFI): a multidimensional self-reported instrument for the assessment of female sexual function. J Sex Marital Ther 2000, 26:191-208.
  • [27]Nappi RE, Albani F, Vaccaro P, Gardella B, Salonia A, Chiovato L, Spinillo A, Polatti F: Use of the Italian translation of the Female Sexual Function Index (FSFI) in routine gynecological practice. Gynecol Endocrinol 2008, 24:214-219.
  • [28]Monga M, Alexandrescu B, Katz SE, Stein M, Ganiats T: Impact of infertility on quality of life, marital adjustment, and sexual function. Urology 2004, 63:126-130.
  • [29]Anderson KM, Sharpe M, Rattray A, Irvine DS: Distress and concerns in couples referred to a specialist infertility clinic. J Psychosom Res 2003, 54:353-355.
  • [30]Hamberger L, Janson PO: Global importance of infertility and its treatment: role of fertility technologies. Int J Gynaecol Obstet 1997, 58:149-158.
  • [31]Wright J, Duchesne C, Sabourin S, Bissonnette F, Benoit J, Girard Y: Psychosocial distress and infertility: men and women respond differently. Fertil Steril 1991, 55:100-108.
  • [32]Benazon N, Wright J, Sabourin S: Stress, sexual satisfaction, and marital adjustment in infertile couples. J Sex Marital Ther 1992, 18:273-284.
  • [33]Laffont I, Edelmann RJ: Psychological aspects of in vitro fertilization: a gender comparison. J Psychosom Obstet Gynaecol 1994, 15:85-92.
  • [34]Saleh RA, Ranga GM, Raina R, Nelson DR, Agarwal A: Sexual dysfunction in men undergoing infertility evaluation: a cohort observational study. Fertil Steril 2003, 79:909-912.
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