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Related Experiment Videos

Sexual dysfunction in men undergoing infertility evaluation: a cohort observational study.

Ramadan A Saleh1, Geetha M Ranga, Rupesh Raina

  • 1Center for Advanced Research in Human Reproduction, Infertility, and Sexual Function, Urological Institute, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.

Fertility and Sterility
|May 17, 2003
PubMed
Summary

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Infertility evaluation can trigger psychogenic sexual dysfunction in men, impacting erection and orgasm. Anxiety during masturbation and intercourse is common among those struggling with semen collection.

Area of Science:

  • Reproductive medicine
  • Men's health
  • Psychosexual medicine

Background:

  • Male infertility diagnosis involves semen analysis.
  • Psychosexual issues can complicate infertility evaluations.
  • Understanding the psychological impact on male sexual function is crucial.

Purpose of the Study:

  • To investigate psychosexual problems in men during infertility evaluation.
  • To identify the prevalence and nature of sexual dysfunction in this population.

Main Methods:

  • A cohort observational study was conducted at a male infertility diagnostic center.
  • 412 men undergoing infertility evaluation between 1999 and 2001 were assessed.
  • Sexual functions, including erection and orgasm, were evaluated alongside semen analysis.

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Main Results:

  • 11% of men (46 out of 405) failed initial semen collection attempts via masturbation.
  • These men reported significant problems with erection or orgasm and severe anxiety.
  • Penile vibratory stimulation aided semen collection in 20% of those who initially failed.

Conclusions:

  • Infertility diagnosis can precipitate psychogenic sexual dysfunction in men.
  • Anxiety and sexual performance issues are linked to the infertility evaluation process.
  • Further research into the psychosexual impact of infertility is warranted.