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Psychological, social, and sexual challenges affecting men receiving male infertility treatment: a systematic review and implications for clinical care

In recent years, social research surrounding the consequences of infertility has increasingly focused on the male perspective; however, a gap exists in the understanding of men’s experiences of male infertility treatment. This review aims to synthesize the existing evidence concerning the psychologi...

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Autores principales: Wu, Winston, La, Justin, Schubach, Kathryn M, Lantsberg, Daniel, Katz, Darren J
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411259/
https://www.ncbi.nlm.nih.gov/pubmed/36412462
http://dx.doi.org/10.4103/aja202282
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author Wu, Winston
La, Justin
Schubach, Kathryn M
Lantsberg, Daniel
Katz, Darren J
author_facet Wu, Winston
La, Justin
Schubach, Kathryn M
Lantsberg, Daniel
Katz, Darren J
author_sort Wu, Winston
collection PubMed
description In recent years, social research surrounding the consequences of infertility has increasingly focused on the male perspective; however, a gap exists in the understanding of men’s experiences of male infertility treatment. This review aims to synthesize the existing evidence concerning the psychological, social, and sexual burden of male infertility treatment on men, as well as patient needs during clinical care. A systematic search identified 12 studies that are diverse in design, setting, and methods. Psychological evaluations have found that urological surgery may have a lasting impact on infertility-specific stress, and treatment failure can lead to feelings of depression, grief, and inadequacy. Men tended to have an avoidant coping mechanism throughout fertility treatment, and their self-esteem, relationship quality, and sexual functions can be tied to outcomes of treatment. Partner bonds can be strengthened by mutual support and enhanced communication; couple separation, however, has been noted as a predominant reason for discontinuing male infertility treatment and may be associated with difficult circumstances surrounding severe male infertility. Surgical treatments can affect the sexual functioning of infertile men; however, the impact of testicular sperm extraction outcomes appears to be psychologically driven whereas the improvements after microsurgical varicocelectomy are only evident in hypogonadal men. Clinically, there is a need for better inclusion, communication, education, and resource provision, to address reported issues of marginalization and uncertainty in men. Routine psychosocial screening in cases of severe male infertility and follow-up in cases of surgical treatment failure are likely beneficial.
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spelling pubmed-104112592023-08-10 Psychological, social, and sexual challenges affecting men receiving male infertility treatment: a systematic review and implications for clinical care Wu, Winston La, Justin Schubach, Kathryn M Lantsberg, Daniel Katz, Darren J Asian J Androl Original Article In recent years, social research surrounding the consequences of infertility has increasingly focused on the male perspective; however, a gap exists in the understanding of men’s experiences of male infertility treatment. This review aims to synthesize the existing evidence concerning the psychological, social, and sexual burden of male infertility treatment on men, as well as patient needs during clinical care. A systematic search identified 12 studies that are diverse in design, setting, and methods. Psychological evaluations have found that urological surgery may have a lasting impact on infertility-specific stress, and treatment failure can lead to feelings of depression, grief, and inadequacy. Men tended to have an avoidant coping mechanism throughout fertility treatment, and their self-esteem, relationship quality, and sexual functions can be tied to outcomes of treatment. Partner bonds can be strengthened by mutual support and enhanced communication; couple separation, however, has been noted as a predominant reason for discontinuing male infertility treatment and may be associated with difficult circumstances surrounding severe male infertility. Surgical treatments can affect the sexual functioning of infertile men; however, the impact of testicular sperm extraction outcomes appears to be psychologically driven whereas the improvements after microsurgical varicocelectomy are only evident in hypogonadal men. Clinically, there is a need for better inclusion, communication, education, and resource provision, to address reported issues of marginalization and uncertainty in men. Routine psychosocial screening in cases of severe male infertility and follow-up in cases of surgical treatment failure are likely beneficial. Wolters Kluwer - Medknow 2022-11-11 /pmc/articles/PMC10411259/ /pubmed/36412462 http://dx.doi.org/10.4103/aja202282 Text en Copyright: © The Author(s)(2022) https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Wu, Winston
La, Justin
Schubach, Kathryn M
Lantsberg, Daniel
Katz, Darren J
Psychological, social, and sexual challenges affecting men receiving male infertility treatment: a systematic review and implications for clinical care
title Psychological, social, and sexual challenges affecting men receiving male infertility treatment: a systematic review and implications for clinical care
title_full Psychological, social, and sexual challenges affecting men receiving male infertility treatment: a systematic review and implications for clinical care
title_fullStr Psychological, social, and sexual challenges affecting men receiving male infertility treatment: a systematic review and implications for clinical care
title_full_unstemmed Psychological, social, and sexual challenges affecting men receiving male infertility treatment: a systematic review and implications for clinical care
title_short Psychological, social, and sexual challenges affecting men receiving male infertility treatment: a systematic review and implications for clinical care
title_sort psychological, social, and sexual challenges affecting men receiving male infertility treatment: a systematic review and implications for clinical care
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411259/
https://www.ncbi.nlm.nih.gov/pubmed/36412462
http://dx.doi.org/10.4103/aja202282
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