Lee T Y, Sun G H, Chao S C
Department of Nursing, Tri-Service General Hospital, National Defense Medical Center, P.O.Box 90055, Neihu, Taiwan, Republic of China.
Hum Reprod. 2001 Aug;16(8):1762-7. doi: 10.1093/humrep/16.8.1762.
Few studies have explored the effect of a gender-specific infertility diagnosis on the responses of couples in Taiwan. The purpose of this research was to compare the differences in distress, marital and sexual satisfaction in husbands and wives based on an infertility diagnosis.
Three structured questionnaires were used.
Female members of couples in which both partners were infertile expressed less marital and sexual satisfaction than their husbands. No differences in marital and sexual satisfaction were found between wives and husbands with unexplained infertility. Only wives with a diagnosed female infertility expressed higher distress to infertility than their husbands. Although no differences in psychosocial responses were found among husbands, regardless of the diagnosis, wives with a diagnosed female infertility experienced higher distress in self-esteem and less satisfaction in acceptance by in-laws than wives experiencing a diagnosed male infertility.
These findings suggest that the diagnosis of infertility is an important factor in assessing the differences in infertility distress and marital and sexual satisfaction between husbands and wives. Health professionals can explain the gender differences when counselling infertile couples and encourage them to share each other's feelings, which may help couples to cope with the communication problems they may experience.
很少有研究探讨特定性别的不孕症诊断对台湾夫妻反应的影响。本研究的目的是比较基于不孕症诊断的夫妻双方在痛苦、婚姻和性满意度方面的差异。
使用了三份结构化问卷。
双方均不孕的夫妻中的女性成员在婚姻和性满意度方面低于其丈夫。原因不明的不孕症夫妻在婚姻和性满意度上未发现差异。只有被诊断为女性不孕症的妻子对不孕症表现出比丈夫更高的痛苦。尽管无论诊断如何，丈夫之间在心理社会反应上未发现差异，但被诊断为女性不孕症的妻子比被诊断为男性不孕症的妻子在自尊方面经历更高的痛苦，在公婆接纳方面满意度更低。
这些发现表明，不孕症诊断是评估夫妻间不孕症痛苦以及婚姻和性满意度差异的一个重要因素。健康专业人员在为不孕夫妻提供咨询时可以解释性别差异，并鼓励他们分享彼此的感受，这可能有助于夫妻应对他们可能遇到的沟通问题。
