Zhang Xinting, Yang Lexia, Wang Wei, Yang Lejin
Department of Pediatrics, Qilu Hospital of Shandong University, Jinan, China.
Nursing Department, The Third Hospital of Jinan, Jinan, China.
Front Psychol. 2023 Jan 6;13:1090244. doi: 10.3389/fpsyg.2022.1090244. eCollection 2022.
Temporary ejaculation failure on the oocyte retrieval day might leading interruption of the oocyte retrieval procedure. The present study aims to understand the psychosocial factor that affects men with temporary ejaculation failure (TEF) fertilization-embryo transfer (IVF-ET) patients, and thus provide new ideas for optimal clinical treatment.
In a prospective study, the male patients during IVF treatment in a reproductive center of a tertiary hospital in Shandong were divided into two groups, 70 men with TEF and 79 normal controls. General population sociology and clinical disease were investigated, and the Kessler 10 scale, emotion regulation questionnaire, big five inventory questionnaire, and sex subscale of marriage quality were used to assess the psychological distress, emotion regulation, neuroticism, and satisfaction with sexual life.
The scores of perceived distress and neuroticism of the TEF group were higher than the non-TEF group ( < 0.001), and cognitive reappraisal and sexual relationship were significantly lower than those in the non-TEF group ( < 0.001). Psychological distress (OR 1.130, = 0.031) and neuroticism (OR 1.096, = 0.050) were risk factors for TEF, while cognitive reappraisal (OR 0.883, = 0.004) and sexual relationship (OR 0.712, < 0.001) was protective factors.
The present study demonstrates that psychosocial factors influence TEF in IVF-ET patients, which provides the basis for the prevention of the occurrence of TEF in a male undergoing IVF-ET.
取卵日出现暂时性射精失败可能导致取卵手术中断。本研究旨在了解影响患有暂时性射精失败(TEF)的男性体外受精-胚胎移植(IVF-ET)患者的心理社会因素,从而为优化临床治疗提供新思路。
在一项前瞻性研究中,将山东某三级医院生殖中心接受IVF治疗的男性患者分为两组,70例患有TEF的男性和79例正常对照。调查一般人群社会学和临床疾病情况,并使用凯斯勒10量表、情绪调节问卷、大五人格问卷和婚姻质量的性分量表来评估心理困扰、情绪调节、神经质和对性生活的满意度。
TEF组的感知困扰和神经质得分高于非TEF组(<0.001),认知重评和性关系得分显著低于非TEF组(<0.001)。心理困扰(OR 1.130,=0.031)和神经质(OR 1.096,=0.050)是TEF的危险因素,而认知重评(OR 0.883,=0.004)和性关系(OR 0.712,<0.001)是保护因素。
本研究表明心理社会因素影响IVF-ET患者的TEF,这为预防接受IVF-ET的男性发生TEF提供了依据。