对于即将使用自身精子开始体外受精（IVF）或卵胞浆内单精子注射（ICSI）治疗的男性，性别不育诊断的心理影响。
The psychological influence of gender infertility diagnoses among men about to start IVF or ICSI treatment using their own sperm.
作者信息
Holter H, Anderheim L, Bergh C, Möller A
机构信息
Centre for Reproductive Medicine, Department of Obstetrics and Gynaecology, Sahlgrenska University Hospital/Sahlgrenska, Institution of Clinical Sciences, Göteborg University, SE-413 45 Göteborg, Sweden.
出版信息
Hum Reprod. 2007 Sep;22(9):2559-65. doi: 10.1093/humrep/dem189. Epub 2007 Jun 27.
BACKGROUND
The aim of the present study was to investigate the psychological influence of gender infertility diagnoses among men in couples about to start their first IVF or ICSI treatment.
METHODS
The study was a part of a prospective study of 65 men with male infertility diagnosis and 101 men in couples with female, mixed and unexplained infertility diagnoses. Of the 200 men invited, 166 agreed to participate (83% response rate). The men answered questionnaires concerning psychological and social factors on three occasions, at the information meeting held 2-4 weeks prior to first treatment, 1 h before oocyte retrieval and 2 weeks after the pregnancy test.
RESULTS
The main findings of this study gave no indication that male infertility influenced men negatively concerning their experience of infertility, view of life and relationships and psychological well-being. We found that men with a male factor infertility diagnosis reacted in a similar way as compared with men in couples where the diagnosis was female, mixed or unexplained infertility.
CONCLUSIONS
In general, men are well adjusted with regard to a first IVF/ICSI treatment cycle, independent of gender infertility diagnoses.
背景
本研究旨在调查即将开始首次体外受精（IVF）或卵胞浆内单精子注射（ICSI）治疗的夫妇中男性对性别不育诊断的心理影响。
方法
该研究是一项前瞻性研究的一部分，该前瞻性研究涉及65名被诊断为男性不育的男性以及101名配偶被诊断为女性不育、混合性不育和不明原因不育的男性。在邀请的200名男性中，166名同意参与（应答率为83%）。这些男性在三个时间点回答了有关心理和社会因素的问卷，分别是在首次治疗前2 - 4周举行的信息会议上、取卵前1小时以及妊娠试验后2周。
结果
本研究的主要发现并未表明男性不育会对男性在不育经历、人生观、人际关系和心理健康方面产生负面影响。我们发现，与配偶被诊断为女性不育、混合性不育或不明原因不育的男性相比，被诊断为男性因素不育的男性反应相似。
结论
总体而言，男性对首次IVF/ICSI治疗周期适应良好，与性别不育诊断无关。
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