Pasha Hajar, Faramarzi Mahbobeh, Basirat Zahra, Kheirkha Farzan, Shafee Hamid
Babol University of Medical Sciences, Health Research Institute, Infertility and Reproductive Health Research Center, Babol, Iran.
Babol University of Medical Sciences, Social Determinants of Health Research Center, Babol, Iran.
Turk J Obstet Gynecol. 2020 Mar;17(1):1-8. doi: 10.4274/tjod.galenos.2019.89801. Epub 2020 Apr 6.
Sexual dysfunction is a major health concern in infertile men. This research aims to evaluate the sexual dysfunction and its associated risk factors in the male partners of infertile couples.
The cross-sectional study was performed on 204 male partners of infertile couples that were referred to Fatemeh Zahra Infertility & Reproductive Center, Babol, Iran, in 2015. Sexual dysfunction was evaluated using The International Index of Erectile Function (IIEF). Logistic and linear regression tests were used for statis¬tical analyses. Statistical significance was considered with a p value less than 0.05.
The mean total IIEF score was 58.30±8.52. The lowest mean of IIEF domains was related to sexual desire and then orgasmic function in the male partners of the infertile couples. Erectile function contributed to the greatest amount of unique variance in the model for sexual function (p<0.001, R=69.8%). The strongest correlation value was between the domains of overall satisfaction and intercourse satisfaction. There was a positive statistically significant association between sexual function with wife marital intimacy (p<0.002) and wife sexual function (p<0.001). There was a significant association between sexual dysfunction with job conditions (p<0.037, OR=0.094), and coitus count (p<0.009, OR=6.146). After adjusting for other variables, there was a significant association between sexual function and wife sexual function (p<0.005). Also, after adjusting for other variables, there was a significant association between sexual dysfunction and coitus count (p<0.004, OR=2.496), and job condition (p<0.046, OR=0.081).
By considering sexual dysfunction and some related factors, early screening is required for distinguishing predictor factors of sexual dysfunction.
性功能障碍是不育男性的一个主要健康问题。本研究旨在评估不育夫妇男性伴侣的性功能障碍及其相关危险因素。
2015年,对转诊至伊朗巴博勒法特梅·扎赫拉不孕不育与生殖中心的204对不育夫妇的男性伴侣进行了横断面研究。使用国际勃起功能指数(IIEF)评估性功能障碍。采用逻辑回归和线性回归检验进行统计分析。p值小于0.05被认为具有统计学意义。
IIEF总评分的平均值为58.30±8.52。不育夫妇男性伴侣中,IIEF各领域得分最低的是性欲,其次是性高潮功能。勃起功能在性功能模型中贡献了最大量的独特方差(p<0.001,R=69.8%)。最强的相关值出现在总体满意度和性交满意度领域之间。性功能与妻子的婚姻亲密度(p<0.002)和妻子的性功能(p<0.001)之间存在统计学上显著的正相关。性功能障碍与工作条件(p<0.037,OR=0.094)和性交次数(p<0.009,OR=6.146)之间存在显著关联。在对其他变量进行调整后,性功能与妻子的性功能之间存在显著关联(p<0.005)。此外,在对其他变量进行调整后,性功能障碍与性交次数(p<0.004,OR=2.496)和工作条件(p<0.046,OR=0.081)之间存在显著关联。
考虑到性功能障碍及一些相关因素,需要进行早期筛查以辨别性功能障碍的预测因素。