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肥胖与不孕男女的心理困扰和生活质量。

Psychological disturbances and quality of life in obese and infertile women and men.

机构信息

Health Promotion and Obesity Management Unit, Department of Pathophysiology, Medical University of Silesia, 40-752 Katowice, Poland.

出版信息

Int J Endocrinol. 2012;2012:236217. doi: 10.1155/2012/236217. Epub 2012 Jul 16.

Abstract

Anovulatory cycles and endometriosis are the main causes of female infertility. The most frequently anovulatory cycles are related to polycystic ovary syndrome (PCOS) commonly associated with obesity and hormonal disturbances in the course of obesity. Recently published studies revealed that infertility affects about one in six couples during their lifetime and is more frequent in obese. Obesity is also associated with male infertility related to erectile dysfunction, hormonal disturbances and lower semen quality. Any of these above mentioned disorder is the important risk factor of psychological disturbances and poor quality of life among women and men in the reproductive age. On the other hand the mood disorders may exacerbate the hormonal disturbances and worsen the effectiveness of infertility management. Infertility, its therapy with accompanying psychological disturbances may also significantly affect the partners relationships. The review summarize the results described in the current literature on the association between obesity and infertility and psychological disturbances as well as their impact on quality of life and sexual functioning in women and men. Moreover, the impact of infertility and psychological disturbances on partners relationships is discussed.

摘要

排卵障碍和子宫内膜异位症是女性不孕的主要原因。最常见的排卵障碍与多囊卵巢综合征(PCOS)有关,PCOS 通常与肥胖以及肥胖过程中的激素紊乱相关。最近发表的研究表明,不孕不育在一生中大约影响六分之一的夫妇,而肥胖患者中更为常见。肥胖也与男性不孕相关,与勃起功能障碍、激素紊乱和精液质量下降有关。上述任何一种疾病都是生殖年龄段的女性和男性出现心理障碍和生活质量下降的重要危险因素。另一方面,情绪障碍可能会加剧激素紊乱,降低不孕不育管理的效果。不孕不育及其伴随的心理障碍治疗也可能会显著影响伴侣关系。本文综述了目前关于肥胖与不孕不育以及心理障碍之间的关系,以及它们对女性和男性生活质量和性功能的影响,还讨论了不孕不育和心理障碍对伴侣关系的影响。

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