Berger D M
Fertil Steril. 1980 Aug;34(2):154-6. doi: 10.1016/s0015-0282(16)44899-5.
Sixteen couples were interviewed after the male had been discovered to be infertile. Of these couples, 63% of the men had experienced a period of impotence and 87% of the women had experienced rage toward the husband, symptoms, and/or dreams which incorporated three themes: concern for the husband, a wish to be rid of him, and guilt over this wish. Husbands whose wives were symptom-free did not experience impotence. These findings suggest that impotence following the discovery of azoospermia is common and should be regarded as an interactional problem. Clinical management is recommended which includes reassuring the couple that the impotence is expected and that it will resolve within 3 months, and focusing on the couple's reaction to the diagnosis.
在男方被查出不育后,对16对夫妻进行了访谈。在这些夫妻中,63%的男性曾经历过一段时间的阳痿,87%的女性曾对丈夫感到愤怒,出现过包含三个主题的症状和/或梦境:对丈夫的关心、希望摆脱他以及对这种愿望的愧疚。妻子没有症状的丈夫没有经历阳痿。这些发现表明,无精子症被发现后的阳痿很常见,应被视为一个相互影响的问题。建议进行临床管理,包括向夫妻保证阳痿是预期中的,且会在3个月内解决,并关注夫妻对诊断的反应。