Simionescu Gabriela, Doroftei Bogdan, Maftei Radu, Obreja Bianca-Elena, Anton Emil, Grab Delia, Ilea Ciprian, Anton Carmen
Department of Mother and Child Medicine, University of Medicine and Pharmacy 'Gr. T. Popa' Iasi, Faculty of Medicine, 700115 Iasi, Romania.
Clinical Department, Clinical Hospital of Obstetrics and Gynecology 'Cuza Voda', 700038 Iasi, Romania.
Exp Ther Med. 2021 Apr;21(4):306. doi: 10.3892/etm.2021.9737. Epub 2021 Feb 1.
Infertility is defined as the inability to procreate, or carry or deliver a baby naturally. The majority of specialists describe infertility as being unable to get pregnant after having tried for at least one year. The relationship between infertility and psychological stress is complex. On the one hand, infertile couples are subject to greater stress and have a greater risk of developing psychological disorders compared with normal, healthy couples. On the other hand, high levels of psychological distress have been indicated to increase infertility. Therefore, in the present review, the main factors that may lead to increased stress in couples who try to conceive, psychological stress as the reason for infertility, and the therapies that can help decrease psychological distress and increase chances of pregnancy are underlined. In addition to the psychological side effects that may occur from infertility itself, a range of other side effects can be caused by hormones and drugs used to treat infertility. Additionally, problem during erection and ejaculation can cause of psychological distress, which can lead to infertility among men. Psychotherapy is the main intervention recommended for couples who suffer from any form of infertility. Ideally, counselling should begin before patients start any medical intervention to help with their infertility.
不孕症的定义是无法自然生育、怀胎或分娩。大多数专家将不孕症描述为在尝试至少一年后仍无法怀孕。不孕症与心理压力之间的关系很复杂。一方面，与正常健康的夫妇相比，不孕夫妇承受着更大的压力，患心理障碍的风险也更高。另一方面，高水平的心理困扰已被表明会增加不孕的几率。因此，在本综述中，强调了可能导致试图受孕的夫妇压力增加的主要因素、心理压力作为不孕原因以及有助于减轻心理困扰和增加怀孕几率的疗法。除了不孕症本身可能产生的心理副作用外，用于治疗不孕症的激素和药物还可能导致一系列其他副作用。此外，勃起和射精问题会引起心理困扰，进而导致男性不育。心理治疗是推荐给患有任何形式不孕症夫妇的主要干预措施。理想情况下，咨询应在患者开始任何治疗不孕症的医疗干预之前进行。
