Drosdzol Agnieszka, Skrzypulec Violetta
Woman's Health Chair, The Medical University of Silesia, Katowice, Poland.
Eur J Contracept Reprod Health Care. 2008 Sep;13(3):271-81. doi: 10.1080/13625180802049187.
To evaluate the influence of infertility on the quality of life (QoL) and sexual functioning of infertile couples.
The research group consisted of 206 infertile couples and the control group of 190 fertile couples. A specific questionnaire was used as a research tool. It gathered information about socio-demographic features and infertility status, and included validated scales: Short Form-36 Health Survey, Female Sexual Function Index and International Index of Erectile Function.
The QoL parameters in all categories were generally lower for infertile women than for those of the control group. Clinical sexual dysfunctions were not significantly more common among infertile than fertile women (17.5% versus 12.1%, p=0.13). Clinically relevant erectile dysfunctions were diagnosed in 23.9% of infertile men and in 13.7% of the controls. Male infertility had the most significant negative effect on men's sexual functioning.
The risk groups for decreased QoL are infertile women and older subjects with lower education and occupationally inactive. Clinically relevant sexual disorders in the infertile population most frequently affect older men, with a lower educational level and with previously diagnosed male infertility.
评估不孕症对不孕夫妇生活质量（QoL）和性功能的影响。
研究组由206对不孕夫妇组成，对照组由190对可育夫妇组成。使用一份特定问卷作为研究工具。该问卷收集了社会人口学特征和不孕状况的信息，并包括经过验证的量表：简短健康调查问卷-36、女性性功能指数和国际勃起功能指数。
不孕女性在所有类别中的生活质量参数总体上低于对照组女性。临床性功能障碍在不孕女性中并不比可育女性更常见（17.5%对12.1%，p = 0.13）。23.9%的不孕男性和13.7%的对照男性被诊断出有临床相关的勃起功能障碍。男性不育对男性性功能的负面影响最为显著。
生活质量下降的风险群体是不孕女性以及教育程度较低且无职业活动的老年受试者。不孕人群中临床相关的性功能障碍最常影响年龄较大、教育水平较低且先前被诊断为男性不育的男性。
