Fagan P J, Schmidt C W, Rock J A, Damewood M D, Halle E, Wise T N
Fertil Steril. 1986 Oct;46(4):668-72. doi: 10.1016/s0015-0282(16)49646-9.
Couples requesting in vitro fertilization (IVF) may be sexually dysfunctional either as an etiologic factor in their infertility or because they experience decreased sexual satisfaction as a reaction to previous infertility treatment. The present study assessed the sexual functioning and psychologic status of 45 married couples who had requested IVF. The couples were given complete psychosexual evaluation by senior staff members of the Sexual Behaviors Consultation Unit and each participant completed the Derogatis Sexual Functioning Inventory (DSFI). Seven couples (15.5%) were experiencing a sexual dysfunction and 13 individuals (14.4%) were given Diagnostic and Statistical Manual of Mental Disorders III diagnoses. In total, 19 individuals (21%) of the sample were found to have either a sexual dysfunction or psychologic disorder. Couples with a sexual dysfunction were more likely (P = 0.05) to have unexplained infertility. Norms for psychologic evaluation as part of IVF are suggested and the role of such evaluation discussed.
寻求体外受精（IVF）的夫妇可能存在性功能障碍，这要么是导致他们不孕的病因，要么是因为他们对之前的不孕治疗产生反应，性满意度下降。本研究评估了45对寻求体外受精的已婚夫妇的性功能和心理状态。这些夫妇接受了性行为咨询部门高级工作人员的全面性心理评估，每位参与者都完成了德罗加蒂斯性功能量表（DSFI）。7对夫妇（15.5%）存在性功能障碍，13名个体（14.4%）被诊断为符合《精神疾病诊断与统计手册》第三版的诊断标准。在样本中，总共19名个体（21%）被发现存在性功能障碍或心理障碍。存在性功能障碍的夫妇更有可能（P = 0.05）患有不明原因的不孕症。文中建议将心理评估作为体外受精的一部分，并讨论了这种评估的作用。
