Amraei Samira, Abedi Parvin, Nikbakht Roshan, Tadayon Mitra, Maraghi Elham
Reproductive Health Promotion Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Front Med (Lausanne). 2022 Jun 22;9:896538. doi: 10.3389/fmed.2022.896538. eCollection 2022.
The issue of infertility is a worldwide challenge, estimated to affect around 50 million couples. This study aimed to evaluate the relationship between infertility stress and sexual function in men and women with infertility.
In this cross-sectional study, 300 men and women with infertility were recruited. A demographic questionnaire, the Fertility Problem Inventory, the Female Sexual Function Scale (FSFI), and the International Index of Erectile Function (IIEF) were used to collect data. Independent -test, Chi-square, and linear and logistic regressions were used to assess the data.
The total score of sexual function in women and men was 22.18 ± 7.86 and 57.7 ± 17.8, respectively. Infertility duration and the ability to pay for the costs of infertility treatment had a significant relationship with sexual function in women. A significant association was found between communication concerns and sexual function scores in men with infertility. Infertile women had more sexual concerns, while infertile men had more communication concerns.
This study showed that women with infertility had more infertility stress than men with infertility. Women with higher infertility duration and the inability to pay for the infertility treatment costs impaired sexual function. Women with infertility had more sexual concerns, while Men with infertility had more communication concerns. Policymakers need to consider strategies such as counseling for men and women with infertility to help them cope with their problems, especially their psychological problems. The lack of random enrollment of participants and lack of control group were the limitations of this study.
不孕症问题是一项全球性挑战，据估计影响着约5000万对夫妇。本研究旨在评估不孕压力与不孕男性和女性性功能之间的关系。
在这项横断面研究中，招募了300名不孕男性和女性。使用人口统计学问卷、生育问题量表、女性性功能量表（FSFI）和国际勃起功能指数（IIEF）收集数据。采用独立样本t检验、卡方检验以及线性和逻辑回归对数据进行评估。
女性和男性性功能的总分分别为22.18±7.86和57.7±17.8。不孕持续时间和支付不孕治疗费用的能力与女性性功能有显著关系。在不孕男性中，沟通方面的担忧与性功能得分之间存在显著关联。不孕女性有更多性方面的担忧，而不孕男性有更多沟通方面的担忧。
本研究表明，不孕女性比不孕男性承受更多的不孕压力。不孕持续时间较长且无力支付不孕治疗费用的女性性功能受损。不孕女性有更多性方面的担忧，而不孕男性有更多沟通方面的担忧。政策制定者需要考虑采取诸如为不孕男性和女性提供咨询等策略，以帮助他们应对问题，尤其是心理问题。本研究的局限性在于参与者缺乏随机入组且没有对照组。
