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Depression in Chinese men undergoing different assisted reproductive technique treatments: prevalence and risk factors

  • ASSISTED REPRODUCTION TECHNOLOGIES
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Abstract

Purpose

To explore the prevalence and risk factors for depression in men undergoing different assisted reproductive technique (ART) treatments in Chinese population.

Method

This was a prospective study of 844 men undergoing ART treatments. All men were distributed to four groups, according to they received treatments. The treatments included IUI (intrauterine insemination), IVF(in vitro fertilization), ICSI(intra cytoplasmatic sperm injection) and TESA/PESA (percutaneous epididymal sperm aspiration/testicular sperm aspiration). Their symptoms of depression were measured with use of the Center for Epidemiologic Studies of Depression scale(CES-D). Data were collected about age, BMI, education, duration of marriage, duration of infertility, smoking, type of infertility, infertility causes, history of ejaculation failure, and financial burden of the treatment. We estimated the prevalence of depressive symptom in men undergoing different ART and used logistic regression models to identify risk factors for depression in different groups.

Results

The overall prevalence of depression was 13.3 % for men undergoing ART treatments: 14.5 % of IUI group, 12.4 % of IVF group, 19.2 % of ICSI group and 6.2 % of TESA/PESA group. Prevalence of depression among IUI group, IVF group and ICSI group were not significantly different. For IUI group, the factors were found to increase depression risk were treatment financial burden and duration of marriage, to decrease depression risk was age. For IVF group, the risk factors independently associated with depression were both male and female infertility, unexplained infertility, and history of ejaculation failure.

Conclusion

In a sample of Chinese men undergoing ART treatments, the prevalence of depression was higher than other country. The risk factors for depression varied in different ART treatments groups. when routine screening to identify the sub-group of vulnerable men which need counselling before ART treatments, we should also consider which pattern of ART treatments the man underwent.

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Authors and Affiliations

  1. Reproductive Medicine Center, Zhongnan Hospital of Wuhan University, 169 DongHu Rd, Wuhan, 430071, China

    Li Li

  2. Department of Obstetrics and Gynecology, Reproductive Medicine Center, Zhongnan Hospital of Wuhan University, 169 DongHu Rd, Wuhan, China, 430071

    Yuanzhen Zhang & Fei Li

  3. Reproductive Medicine Center, Tongji Hospital, Tongji Medical college, Huazhong University of Science and Technology, 1095 Jie Fang Rd, Wuhan, China, 430074

    Dan Zeng

  4. School of public health of Wuhan University, 185 DongHu Rd, Wuhan, China, 430071

    Dan Cui

Authors
  1. Li Li
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  2. Yuanzhen Zhang
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  3. Dan Zeng
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  4. Fei Li
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  5. Dan Cui
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Correspondence to Yuanzhen Zhang.

Additional information

Capsule The prevalence of depression for Chinese men undergoing ART treatments was higher than other countries. Risk factors for male depression varied among different ART treatments.

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Li, L., Zhang, Y., Zeng, D. et al. Depression in Chinese men undergoing different assisted reproductive technique treatments: prevalence and risk factors. J Assist Reprod Genet 30, 1161–1167 (2013). https://doi.org/10.1007/s10815-013-0057-3

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  • DOI: https://doi.org/10.1007/s10815-013-0057-3

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