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Stress reduction in male infertility patients: a randomized, controlled trial
1Department of Psychology, University of Siegen, Siegen, Germany. martin.pook@isb.bayern.de
Objective:
To assess the impact of preparatory information about the fertility workup on the patients' well-being.
Design:
Two-group, randomized controlled study.
Setting:
An andrology clinic.
Patient(S):
Two hundred fifty men enrolled for fertility workup.
Intervention(S):
A two-page leaflet with preparatory information about the fertility workup, which was mailed to half of the participants after they had made an appointment.
Main Outcome Measure(S):
Questionnaire score for infertility-related distress at clinic attendance, proportion of participants that still had not attended 6 months after the scheduled appointment.
Result(S):
Distress scores and the proportion of nonattendees were significantly reduced in the group receiving the leaflet. An additional analysis revealed that 55% of the receivers did not know that the andrology clinic has its own web site, which was mentioned in the leaflet several times.
Conclusion(S):
Although it is uncertain how many patients actually read a routinely sent leaflet, preparatory information in written form is beneficial, at least for a significant subgroup of men who consider undergoing fertility workup. Fertility services might reduce the number of nonattendees by sending out leaflets.
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