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Infertility and Sexual Dysfunction (SD) in the Couple

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Management of Sexual Dysfunction in Men and Women

Abstract

A diagnosis of infertility in the male or female partner within a couple can cause significant stress, leading to sexual dysfunction in either or both partners. The causes of infertility and the related sexual dysfunction can be organic or psychosocial in nature, but are frequently linked. As such, having a more complete understanding of the interplay between the organic and psychosocial factors relating infertility and sexual dysfunction, as well as an understanding of treatments addressing both types of causes, is essential to successful treatment of these patients. Here, we discuss the interplay between infertility and sexual dysfunction in the man, woman, and the couple and focus on psychosocial interventions in the setting of the couple.

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References

  1. Jiann BP, Su CC, Tsai JY. Is female sexual function related to the male partners’ erectile function? J Sex Med. 2013;10(2):420–9.

    Article  PubMed  Google Scholar 

  2. Boddi V, Corona G, Fisher AD, Mannucci E, Ricca V, Sforza A, et al. “It takes two to tango”: the relational domain in a cohort of subjects with erectile dysfunction (ED). J Sex Med. 2012;9(12):3126–36.

    Article  PubMed  Google Scholar 

  3. Latif EZ, Diamond MP. Arriving at the diagnosis of female sexual dysfunction. Fertil Steril. 2013;100(4):898–904.

    Article  PubMed  Google Scholar 

  4. Shifren JL, Monz BU, Russo PA, Segreti A, Johannes CB. Sexual problems and distress in United States women: prevalence and correlates. Obstet Gynecol. 2008;112(5):970–8.

    Article  PubMed  Google Scholar 

  5. Monga M, Alexandrescu B, Katz SE, Stein M, Ganiats T. Impact of infertility on quality of life, marital adjustment, and sexual function. Urology. 2004;63(1):126–30.

    Article  PubMed  Google Scholar 

  6. Mosher WD. Infertility trends among U.S. couples: 1965–1976. Fam Plan Perspect. 1982;14(1):22–7.

    Article  CAS  Google Scholar 

  7. Thonneau P, Marchand S, Tallec A, Ferial ML, Ducot B, Lansac J, et al. Incidence and main causes of infertility in a resident population (1,850,000) of three French regions (1988–1989). Hum Reprod. 1991;6(6):811–16.

    CAS  PubMed  Google Scholar 

  8. Eisenberg ML, Lathi RB, Baker VL, Westphal LM, Milki AA, Nangia AK. Frequency of the male infertility evaluation: data from the national survey of family growth. J Urol. 2013;189(3):1030–4.

    Article  PubMed  Google Scholar 

  9. Wong WY, Thomas CM, Merkus JM, Zielhuis GA, Steegers-Theunissen RP. Male factor subfertility: possible causes and the impact of nutritional factors. Fertil Steril. 2000;73(3):435–42.

    Article  CAS  PubMed  Google Scholar 

  10. Burns L. An overview of sexual dysfunction in the infertile couple. J Fam Psychother. 1995;6:25–46.

    Article  Google Scholar 

  11. Irvine S. Male infertility and its effect on male sexuality. Sex Relat Ther. 1996;11:273–80.

    Google Scholar 

  12. Applegarth L, Grill E. Psychological issues in reproductive disorders. In: Chan P, Goldstein M, Rosenwaks Z, editors. Reproductive medicine secrets. Philadelphia: Hanley and Belfus; 2004. p. 391–402.

    Google Scholar 

  13. Andrews FM, Abbey A, Halman LJ. Is fertility-problem stress different? The dynamics of stress in fertile and infertile couples. Fertil Steril. 1992;57(6):1247–53.

    Article  CAS  PubMed  Google Scholar 

  14. Domar AD, Zuttermeister PC, Friedman R. The psychological impact of infertility: a comparison with patients with other medical conditions. J Psychosom Obstet Gynaecol. 1993;14(Suppl):45–52.

    PubMed  Google Scholar 

  15. Lenzi A, Lombardo F, Salacone P, Gandini L, Jannini EA. Stress, sexual dysfunctions, and male infertility. J Endocrinol Investig. 2003;26(3 Suppl):72–6.

    CAS  Google Scholar 

  16. Keye W. The impact of infertility on psychosexual function. Fertil Steril. 1980;34:308–9.

    Google Scholar 

  17. Wischmann TH. Psychogenic infertility—myths and facts. J Assist Reprod Genet. 2003;20(12):485–94.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Lewis RW, Fugl-Meyer KS, Corona G, Hayes RD, Laumann EO, Moreira Jr ED, et al. Definitions/epidemiology/risk factors for sexual dysfunction. J Sex Med. 2010;7(4 Pt 2):1598–607.

    Article  PubMed  Google Scholar 

  19. Nene UA, Coyaji K, Apte H. Infertility: a label of choice in the case of sexually dysfunctional couples. Patient Educ Couns. 2005;59(3):234–8.

    Article  PubMed  Google Scholar 

  20. Wischmann TH. Sexual disorders in infertile couples. J Sex Med. 2010;7(5):1868–76.

    Article  PubMed  Google Scholar 

  21. Burns L. Sexual counseling and infertility. In: Burns LH, Covington SN, editors. Infertility counseling: a comprehensive handbook for clinicians. New York: Parthenon Publishing; 2006. p. 212–35.

    Google Scholar 

  22. Whiteford LM, Gonzalez L. Stigma: the hidden burden of infertility. Soc Sci Med. 1995;40(1):27–36.

    Article  CAS  PubMed  Google Scholar 

  23. Lewis RW, Fugl-Meyer KS, Bosch R, Fugl-Meyer AR, Laumann EO, Lizza E, et al. Epidemiology/risk factors of sexual dysfunction. J Sex Med. 2004;1(1):35–9.

    Article  PubMed  Google Scholar 

  24. Laumann EO, Paik A, Rosen RC. Sexual dysfunction in the United States: prevalence and predictors. JAMA. 1999;281(6):537–44.

    Article  CAS  PubMed  Google Scholar 

  25. Ralph D, McNicholas T. UK management guidelines for erectile dysfunction. BMJ. 2000;321(7259):499–503.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  26. Araujo AB, Durante R, Feldman HA, Goldstein I, McKinlay JB. The relationship between depressive symptoms and male erectile dysfunction: cross-sectional results from the Massachusetts male aging study. Psychosom Med. 1998;60(4):458–65.

    Article  CAS  PubMed  Google Scholar 

  27. Perelman MA. Erectile dysfunction and depression: screening and treatment. Urol Clin N Am. 2011;38(2):125–39.

    Article  Google Scholar 

  28. Althof SE, Wieder M. Psychotherapy for erectile dysfunction: now more relevant than ever. Endocrine. 2004;23(2–3):131–4.

    Article  CAS  PubMed  Google Scholar 

  29. Morse WI, Morse JM. Erectile impotence precipitated by organic factors and perpetuated by performance anxiety. Can Med Assoc J. 1982;127(7):599–601.

    CAS  PubMed  PubMed Central  Google Scholar 

  30. Nudell DM, Monoski MM, Lipshultz LI. Common medications and drugs: how they affect male fertility. Urol Clin N Am. 2002;29(4):965–73.

    Article  Google Scholar 

  31. Kolettis PN, Sabanegh ES. Significant medical pathology discovered during a male infertility evaluation. J Urol. 2001;166(1):178–80.

    Article  CAS  PubMed  Google Scholar 

  32. Howell SJ, Shalet SM. Spermatogenesis after cancer treatment: damage and recovery. J Natl Cancer Inst Monogr. 2005;34:12–7.

    Article  CAS  PubMed  Google Scholar 

  33. Osterberg EC, Ramasamy R, Masson P, Brannigan RE. Current practices in fertility preservation in male cancer patients. Urol Ann. 2014;6(1):13–7.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Stahl PJ, Stember DS, Mulhall JP. Options for fertility preservation in men and boys with cancer. Adv Exp Med Biol. 2012;732:29–39.

    Article  PubMed  Google Scholar 

  35. Kedia KR, Markland C, Fraley EE. Sexual function after high retroperitoneal lymphadenectomy. Urol Clin N Am. 1977;4(3):523–8.

    CAS  Google Scholar 

  36. Nijman JM, Schraffordt Koops H, Oldhoff J, Kremer J, Sleijfer DT. Sexual function after surgery and combination chemotherapy in men with disseminated nonseminomatous testicular cancer. J Surg Oncol. 1988;38(3):182–6.

    Article  CAS  PubMed  Google Scholar 

  37. Hendry WF. Iatrogenic damage to male reproductive function. J R Soc Med. 1995;88(10):579P–84P.

    CAS  PubMed  PubMed Central  Google Scholar 

  38. Bettocchi C, Verze P, Palumbo F, Arcaniolo D, Mirone V. Ejaculatory disorders: pathophysiology and management. Nat Clin Pract Urol. 2008;5(2):93–103.

    Article  PubMed  Google Scholar 

  39. Wein AJ, Kavoussi LR, Campbell MF. In: Wein AJ (editor-in-chief), Kavoussi LR, et al., editors. Campbell-Walsh urology. 10th ed. Philadelphia, PA: Elsevier Saunders; 2012.

    Google Scholar 

  40. Link PW, Darling CA. Couples undergoing treatment for infertility: dimensions of life satisfaction. J Sex Marital Ther. 1986;12(1):46–59.

    Article  CAS  PubMed  Google Scholar 

  41. Wright J, Duchesne C, Sabourin S, Bissonnette F, Benoit J, Girard Y. Psychosocial distress and infertility: men and women respond differently. Fertil Steril. 1991;55(1):100–8.

    Article  CAS  PubMed  Google Scholar 

  42. Stanton AL, Tennen H, Affleck G, Mendola R. Cognitive appraisal and adjustment to infertility. Women Health. 1991;17(3):1–15.

    Article  CAS  PubMed  Google Scholar 

  43. Berg BJ, Wilson JF. Psychological functioning across stages of treatment for infertility. J Behav Med. 1991;14(1):11–26.

    Article  CAS  PubMed  Google Scholar 

  44. Khademi A, Alleyassin A, Amini M, Ghaemi M. Evaluation of sexual dysfunction prevalence in infertile couples. J Sex Med. 2008;5(6):1402–10.

    Article  PubMed  Google Scholar 

  45. Drosdzol A, Skrzypulec V. Evaluation of marital and sexual interactions of Polish infertile couples. J Sex Med. 2009;6(12):3335–46.

    Article  PubMed  Google Scholar 

  46. Abbey A, Andrews FM, Halman LJ. Provision and receipt of social support and disregard: what is their impact on the marital life quality of infertile and fertile couples? J Pers Soc Psychol. 1995;68(3):455–69.

    Article  CAS  PubMed  Google Scholar 

  47. O’Brien JH, Lazarou S, Deane L, Jarvi K, Zini A. Erectile dysfunction and andropause symptoms in infertile men. J Urol. 2005;174(5):1932–4; discussion 4.

    Google Scholar 

  48. Slade P, Raval H, Buck P, Lieberman BE. A 3-year follow-up of emotional, marital, and sexual functioning in couples who were infertile. J Reprod Infant Psychol. 1992;10:233–43.

    Article  Google Scholar 

  49. Shindel AW, Nelson CJ, Naughton CK, Ohebshalom M, Mulhall JP. Sexual function and quality of life in the male partner of infertile couples: prevalence and correlates of dysfunction. J Urol. 2008;179(3):1056–9.

    Article  PubMed  Google Scholar 

  50. Sigg C. Sexuality and sterility. Therapeutische Umschau Revue therapeutique. 1994;51(2):115–19.

    CAS  PubMed  Google Scholar 

  51. Zoldbrod A. Men, women, and infertility: intervention and treatment strategies. New York: Lexington Books; 1993.

    Google Scholar 

  52. Mazor M. Emotional reactions to infertility. In: Mazor M, Simons H, editors. Infertility: medical, emotional and social considerations. New York: Human Science Press; 1984. p. 23–35.

    Google Scholar 

  53. Schilling G, Muller MJ, Haidl G. Sexual dissatisfaction and somatic complaints in male infertility. Psychother Psychosom Med Psychol. 1999;49(8):256–63.

    CAS  PubMed  Google Scholar 

  54. Impaired Fecundity: CDC [cited 2015 May 1]. Available from http://www.cdc.gov/nchs/nsfg/key_statistics/i.htm-impaired

  55. Collins HA. Unexplained infertility. In: Key WR, Chang RJ, Rebar RW, Soules MR, editors. Infertility: evaluation and teatment. Philadelphia, PA: Saunders; 1995.

    Google Scholar 

  56. Bazarganipour F, Ziaei S, Montazeri A, Foroozanfard F, Kazemnejad A, Faghihzadeh S. Health-related quality of life in patients with polycystic ovary syndrome (PCOS): a model-based study of predictive factors. J Sex Med. 2014;11(4):1023–32.

    Article  PubMed  Google Scholar 

  57. Mahan ME. Ovulatory disorders and infertility. J Reprod Med. 2008;53(4):311; author reply.

    Google Scholar 

  58. March CM, Israel R. Gestational outcome following hysteroscopic lysis of adhesions. Fertil Steril. 1981;36(4):455–9.

    Article  CAS  PubMed  Google Scholar 

  59. Buster JE. Managing female sexual dysfunction. Fertil Steril. 2013;100(4):905–15.

    Article  PubMed  Google Scholar 

  60. Montanari G, Di Donato N, Benfenati A, Giovanardi G, Zannoni L, Vicenzi C, et al. Women with deep infiltrating endometriosis: sexual satisfaction, desire, orgasm, and pelvic problem interference with sex. J Sex Med. 2013;10(6):1559–66.

    Article  PubMed  Google Scholar 

  61. Keskin U, Coksuer H, Gungor S, Ercan CM, Karasahin KE, Baser I. Differences in prevalence of sexual dysfunction between primary and secondary infertile women. Fertil Steril. 2011;96(5):1213–17.

    Article  PubMed  Google Scholar 

  62. Oddens BJ, den Tonkelaar I, Nieuwenhuyse H. Psychosocial experiences in women facing fertility problems—a comparative survey. Hum Reprod. 1999;14(1):255–61.

    Article  CAS  PubMed  Google Scholar 

  63. Muller MJ, Schilling G, Haidl G. Sexual satisfaction in male infertility. Arch Androl. 1999;42(3):137–43.

    Article  CAS  PubMed  Google Scholar 

  64. Hammarberg K, Astbury J, Baker H. Women’s experience of IVF: a follow-up study. Hum Reprod. 2001;16(2):374–83.

    Article  CAS  PubMed  Google Scholar 

  65. Hurwitz MB. Sexual dysfunction associated with infertility. A comparison of sexual function during the fertile and the non-fertile phase of the menstrual cycle. S Afr Med J. 1989;76(2):58–61.

    CAS  PubMed  Google Scholar 

  66. Oskay U, Beji N, Serdaroglu H. The issue of infertility and sexual function in Turkish women. Sex Disabil. 2010;28:71–9.

    Article  Google Scholar 

  67. Millheiser LS, Helmer AE, Quintero RB, Westphal LM, Milki AA, Lathi RB. Is infertility a risk factor for female sexual dysfunction? A case-control study. Fertil Steril. 2010;94(6):2022–5.

    Article  PubMed  Google Scholar 

  68. Boivin J, Takefman JE, Brender W, Tulandi T. The effects of female sexual response in coitus on early reproductive processes. J Behav Med. 1992;15(5):509–18.

    Article  CAS  PubMed  Google Scholar 

  69. Andrews FM, Abbey A, Halman LJ. Stress from infertility, marriage factors, and subjective well-being of wives and husbands. J Health Soc Behav. 1991;32(3):238–53.

    Article  CAS  PubMed  Google Scholar 

  70. Dunn ME, Althof SE, Perelman MA. Phosphodiesterase type 5 inhibitors’ extended duration of response as a variable in the treatment of erectile dysfunction. Int J Impot Res. 2007;19(2):119–23.

    Article  CAS  PubMed  Google Scholar 

  71. Perelman M. Combination therapy for sexual dysfunction: integrating sex therapy and pharmacotherapy. In: Balon R, Segraves R, editors. Handbook of sexual dysfunction. Boca Raton: Taylor and Francis; 2005. p. 13–41.

    Google Scholar 

  72. Gagnon JH, Rosen RC, Leiblum SR. Cognitive and social aspects of sexual dysfunction: sexual scripts in sex therapy. J Sex Marital Ther. 1982;8(1):44–56.

    Article  CAS  PubMed  Google Scholar 

  73. Boxer A. Infertility and sexual dysfunction. Infertil Reprod Med Clin N Am. 1996;7:565–75.

    Google Scholar 

  74. Perelman MA. Sex coaching for physicians: combination treatment for patient and partner. Int J Impot Res. 2003;15 Suppl 5:S67–74.

    Article  PubMed  Google Scholar 

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Correspondence to Alexander W. Pastuszak M.D., Ph.D. .

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Grill, E., Khavari, R., Zurawin, J., Gonzalez, J.R.F., Pastuszak, A.W. (2016). Infertility and Sexual Dysfunction (SD) in the Couple. In: Lipshultz, L., Pastuszak, A., Goldstein, A., Giraldi, A., Perelman, M. (eds) Management of Sexual Dysfunction in Men and Women. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-3100-2_32

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  • DOI: https://doi.org/10.1007/978-1-4939-3100-2_32

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