The Sexual Impact of Infertility Among Women Seeking Fertility Care.
The Sexual Impact of Infertility Among Women Seeking Fertility Care.
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DOI：
10.1016/j.esxm.2016.04.001
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发表时间：
2016-09
期刊：
影响因子：
2.6
通讯作者：
Infertility Outcomes Program Project Group
中科院分区：
文献类型：
--
作者：
Winkelman WD;Katz PP;Smith JF;Rowen TS;Infertility Outcomes Program Project Group
在美国，大约有670万女性患有不孕症。不孕不育的夫妇明显有更多的焦虑、抑郁和压力。更糟糕的是，近40%接受辅助生殖技术的夫妇仍然无法怀孕，这可能对生活质量、婚姻调整和性影响产生持续影响。评估不孕不育对接受生育治疗的妇女的性影响。本研究是对在学术或私人不育诊所寻求治疗的不孕夫妇中的妇女进行横断面分析。收集了基本的人口统计信息。受访者接受了关于性影响和对其不孕病因的看法的调查。多变量回归分析用于确定与性影响增加独立相关的因素。感知生育诊断对性的影响。总共有809名女性符合纳入标准，其中437人（54%）同意参与，382人完成了性影响项目。女性因素占绝大多数（58.8%），男女兼有占30.4%，男性因素占7.3%，不明原因不孕占3.5%。在双变量和多变量分析中，认为自己患有女性因素不育的女性比患有男性因素不育的女性报告了更大的性影响（P = 0.01）。年龄小于40岁的被调查者的性影响显著高于年龄大于40岁的被调查者（P < 0.01）。当按原发性和继发性不孕症分层时，原发性不孕症的受访者总体上报告了更高的性影响评分。在寻求生育治疗的女性中，年龄较小和女性因素不孕与性影响增加有关，因此这些女性潜在的性功能障碍风险更高。提供者应该考虑年轻和不孕症诊断在女性性健康中的作用。
Infertility affects approximately 6.7 million women in the United States. Couples with infertility have significantly more anxiety, depression, and stress. This is compounded by the fact that almost 40% of couples undergoing assisted reproduction technology still cannot conceive, which can have an ongoing effect on quality of life, marital adjustment, and sexual impact. To assess the sexual impact of infertility in women undergoing fertility treatment. This study is a cross-sectional analysis of women in infertile couples seeking treatment at academic or private infertility clinics. Basic demographic information was collected. Respondents were surveyed regarding sexual impact and perception of their infertility etiology. Multivariate regression analyses were used to identify factors independently associated with increased sexual impact. Sexual impact of perceived fertility diagnosis. In total, 809 women met the inclusion criteria, of whom 437 (54%) agreed to participate and 382 completed the sexual impact items. Most of the infertility was female factor only (58.8%), whereas 30.4% of infertility was a combination of male and female factors, 7.3% was male factor only, and 3.5% was unexplained infertility. In bivariate and multivariate analyses, women who perceived they had female factor only infertility reported greater sexual impact compared with woman with male factor infertility (P = .01). Respondents who were younger than 40 years experienced a significantly higher sexual impact than respondents older than 40 years (P < .01). When stratified by primary and secondary infertility, respondents with primary infertility overall reported higher sexual impact scores. In women seeking fertility treatment, younger age and female factor infertility were associated with increased sexual impact and thus these women are potentially at higher risk of sexual dysfunction. Providers should consider the role young age and an infertility diagnosis plays in a women’s sexual well-being.
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DOI：
10.1016/j.ejogrb.2013.06.029
发表时间：
2013-09-01
影响因子：
2.6
作者：
Karabulut, Aysun;Ozkan, Sevgi;Oguz, Nevin
通讯作者：
Oguz, Nevin
影响因子：
105.7
作者：
HULL, MGR;GLAZENER, CMA;DESAI, KM
通讯作者：
DESAI, KM
影响因子：
3.5
作者：
Hendrickx, Lies;Gijs, Luk;Enzlin, Paul
通讯作者：
Enzlin, Paul
影响因子：
6.1
作者：
Peterson, B. D.;Pirritano, M.;Schmidt, L.
通讯作者：
Schmidt, L.
影响因子：
6.7
作者：
Schanz, Stefan;Reimer, Thorisa;Fierlbeck, Gerhard
通讯作者：
Fierlbeck, Gerhard