For patients with non-obstructive azoospermia, the outcome of testicular sperm extraction correlates with self-esteem, sexual health and the quality of the couple’s relationship

Basic and Clinical Andrology

Florence BOITRELLE¹  Marion BENDAYAN¹  Emine SAIS¹  Laura ALTER¹  Geoffroy ROBIN²  Monique JAOUL³  Pierre Olivier BOSSET⁴  Khadija FATHALLAH⁵ 

[1] Department of Reproductive Biology, Fertility Preservation, Andrology, CECOS, Poissy Hospital, Poissy, France;Paris Saclay University, UVSQ, INRAE, BREED, Jouy-en-Josas, France;Department of Reproductive Medicine, CHRU de Lille, Lille, France;Department of Reproductive Medicine, Poissy Hospital, Poissy, France;Department of Urology, Poissy Hospital, Poissy, France;Paris Saclay University, UVSQ, INRAE, BREED, Jouy-en-Josas, France;Department of Reproductive Medicine, Poissy Hospital, Poissy, France;

关键词: Non-obstructive azoospermia;    Self-esteem;    Sexual disorder;    Couple;    Relationship;    Testicular sperm extraction;    Azoospermie non-obstructive;    estime de soi;    dysfonction sexuelle;    relation de couple;    biopsie testiculaire;   

DOI  :  10.1186/s12610-022-00153-z

来源: Springer

【 摘 要 】

BackgroundA very small number of studies have indicated that azoospermia or negative testicular sperm extraction (TESE) outcomes are linked to depression or erectile dysfunction. However, the data are often weak, conflicting and gathered with non-validated questionnaires. Hence, we performed a cross-sectional study of 44 men with non-obstructive azoospermia. Levels of self-esteem and the quality of the couple’s sex life and overall relationship were assessed with validated questionnaires before and after the TESE procedure as a function of the TESE outcome.ResultsA positive TESE outcome (n = 24) was associated with a statistically significant increase in self-esteem (particularly with regard to family aspects), sexual health and couples’ adjustment quality. In contrast, a negative TESE outcome (n = 20) was associated with statistically significant decreases in self-esteem, erectile function, intercourse satisfaction, orgasmic function, couples’ adjustment quality and all aspects of the couple’s relationship (consensus, cohesion, satisfaction and affection).ConclusionFor men with non-obstructive azoospermia (NOA), negative TESE outcomes may have a negative impact on self-esteem and the quality of the couple’s sex life and overall relationship. This should be borne in mind when counselling men with NOA and their partners to (ideally) help them to cope with and decrease the harmful impacts of azoospermia and negative TESE.

【 授权许可】

CC BY