Sexualité et infertilité

Salama, S.; Boitrelle, Florence; Gauquelin, Amélie; Jaoul, M.; Albert, Martine; Bailly, M.; Wainer, R.; Veluire, Marie

doi:10.1016/j.gyobfe.2012.10.004

Cited by 6 publications

(5 citation statements)

References 34 publications

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“…Literature has described the desire to become pregnant as the primary reason to seek medical care 19–22. In our study, desire for pregnancy was the reason to consult a medical doctor in 60% of the cases.…”

Section: Discussionmentioning

confidence: 66%

<p>Vaginismus and pregnancy: epidemiological profile and management difficulties</p>

Achour¹,

Koch²,

Zgueb³

et al. 2019

PRBM

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BackgroundVaginismus affects up to 1% of the female population and often represents a physical manifestation of an underlying psychological problem. Our objective was to investigate the psychosomatic impact of vaginismus in pregnant women and evaluate the quality of their therapeutic care in Tunisia.MethodsWe included pregnant patients with vaginismus who presented at our obstetric emergency department between October 2016 and March 2017. All patients were interviewed by one expert psychiatrist and gynecologist using a standardized questionnaire. The State-Trait Anxiety Inventory (STAI) was used to determine anxiety and depression levels. Patients were prospectively followed until their postpartum period and were interviewed by the same experts after delivery. Sixteen weeks after hospital discharge, we contacted all patients via phone. All the information was simultaneously recorded in written form.ResultsTwenty pregnant patients with vaginismus were included (85% primary, 15% secondary). Most women described a conservative family background (70%) in which they received little or no sexual education (60%). All women described a feeling of anxiety and anger immediately before sexual intercourse and 40% have never sought medical consultation regarding their vaginismus before. Only 50% reported regular follow-up visits during their pregnancy (without vaginal examination), whereas 25% reported irregular follow-up visits with subjectively bad experiences during attempts of vaginal examinations.ConclusionPregnant women with vaginismus are at risk of non-follow-up during their pregnancy due to underlying feelings of shame and experienced lack of understanding by medical staff. Obstetricians should carefully and attentively approach pregnant women with vaginismus in order to ensure adequate medical care during pregnancy.

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Section: Discussionmentioning

confidence: 66%

<p>Vaginismus and pregnancy: epidemiological profile and management difficulties</p>

Achour¹,

Koch²,

Zgueb³

et al. 2019

PRBM

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“…The impact of these common cultural myths associated with masturbation can lead to masturbatory guilt when patients are undergoing ART. Consequently, erection is not always obtained at the right time and psychogenic impotency and anejaculation are not rare (Co€ effin-Driol & Giami, 2004;Marci et al, 2012;Salama et al, 2012).…”

Section: Male Sexual Health During the Art Processmentioning

confidence: 99%

Male infertility: an obstacle to sexuality?

2016

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SUMMARYInteractions between infertility and sexuality are numerous and complex. Infertile men may suffer from sexual dysfunction (SD) when undergoing an assisted reproductive technology programme. We undertook a review both in French and English of the available data on male SD when being diagnosed with a fertility problem with a specific focus on azoospermic men. The review was performed over a 30-year time period using PubMed/Medline. The sexual concerns and needs of infertile/sterile men for whom potential parenting can be compromised were evaluated. When diagnosed with infertility, men usually go through a crisis that can have a deleterious effect on their sexuality with sometimes a feeling of sexual inadequacy. Infertile men will feel stigmatized because they are perceived as being deficient in a specific component of their masculinity. Hence, subsequent SD may occur that can impact the couple sexuality and the infertility management. However, little is known on how the announcement of azoospermia may affect male on a sexual and psychological point of view. The present review suggests that a global management through a healthcare network (biologist, andrologist, sexologist and psychologist) is required which will allow to consider infertility and its subsequent sexual disorders as a whole and not as dichotomized issues.

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“…Furthermore, infertility may call a man’s sexual identity into question [ 9 , 10 ]. A diagnosis of infertility may make a man feel unsatisfied with his life [ 11 – 13 ] and may even prompt suicidal feelings and strain in his marital, social and/or sexual relationships [ 7 , 11 , 12 , 14 – 16 ] because of the close relationships between fertility and sexuality [ 15 , 17 – 19 ].…”

Section: Introductionmentioning

confidence: 99%

To be or not to be [fertile], that is the question

Swierkowski-Blanchard

Salama

Muratorio

et al. 2016

Basic Clin. Androl.

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BackgroundAccording to our literature analysis, there are no data focused on spermatozoa emotional representations in childless men and data on the emotional repercussions of a diagnosis of infertility on men are still scarce. Thus, in this work, we investigated what the presence or absence of spermatozoa in the semen symbolize for men.Material and methodsTo answer this question, 441 childless heterosexual men participated in an anonymous, prospective, Internet-based survey.ResultsIn response to the question “What would having a high or normal sperm count symbolize for you?” the most frequent answer was “ability to father a child”. Men living with a partner were significantly more likely than single men to answer “ability to father a child” (p < 0.05) and less likely to answer “virility” and/or “ability to have an erection/ejaculation” (p = 0.001). In response to the question “If you found out that you had a low sperm count or no spermatozoa at all, how would you feel?”, most of the men stated that they would be disappointed. Men living with a partner were more likely to state that they would feel ashamed (p < 0.05) or guilty with regard to their partner (p < 0.0001).ConclusionsThese preliminary results should help us to improve (i) the way that male infertility is announced (it is easier to find the right words if one understands the possible importance of having a high sperm count) and (ii) the psychological, marital and sexual counselling provided to men with a diagnosis of infertility.

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Sexualité et infertilité

Cited by 6 publications

References 34 publications

<p>Vaginismus and pregnancy: epidemiological profile and management difficulties</p>

<p>Vaginismus and pregnancy: epidemiological profile and management difficulties</p>

Male infertility: an obstacle to sexuality?

To be or not to be [fertile], that is the question

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