The Chinese Experience of Male Infertility

Lee, Tsorng-Yeh; Chu, Tang-Yuan

doi:10.1177/01939450122045500

Cited by 28 publications

(19 citation statements)

References 19 publications

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“…In ‘Shang han lun’ and ‘Jin kui yao lue’, the representative classical textbook of traditional Chinese medicine, we cannot find descriptions about other significant clinical efficacies of herbal drugs on improving fertile function other than Unkei‐to. In addition to our reports, several recent investigators, however, demonstrated that some herbal medicines can play a significant role in improving the human fertility rate 4,24,50–54 …”

Section: Conclusion and Recommendationssupporting

confidence: 55%

Endocrinological actions of Unkei‐to, a herbal medicine, and its clinical usefulness in anovulatory and/or infertile women

Ushiroyama

2003

Reprod Medicine & Biology

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Kampo medicine (Chinese herbal medicine) has been reported to be effective in the treatment of pituitary-ovarian dysfunction in young women and in the treatment of undefined symptoms in perimenopausal women. It has been considered that both the diagnosis and treatment of ovulatory failure in adolescent girls or young women are necessary for the sake of future fertile capacity. However, treatment for the above patients is not easy as steroid hormones and strong stimulators of ovulation should not be recommended because of the several side-effects it causes. Furthermore, young women, especially teenagers, seem to be reluctant to visit gynecology clinics. A number of herbal medicines have been used for many centuries in China and Japan for the treatment of menstrual disorders and infertility. In general, the traditional Chinese herbal prescriptions are rather inexpensive and safe with little side-effects, and have properties for normalizing biological balances. Unkei-to is known to stimulate the synthesis and release of gonadotropins in the rat pituitary. In humans, Unkei-to is known to be effective in various menstrual disorders, abnormal uterine bleeding, and infertility. In the treatment of ovulatory failure, recent dynamic studies have revealed the mechanism by which Unkei-to stimulates the diencephalon-pituitary-ovarian axis in humans. In this paper, we critically review the clinical data available (to date) in order to assess the efficacy of Unkei-to in inducing ovulation in several types of ovulatory disturbances. (Reprod Med Biol 2003;: 45-61).

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Section: Conclusion and Recommendationssupporting

confidence: 55%

Endocrinological actions of Unkei‐to, a herbal medicine, and its clinical usefulness in anovulatory and/or infertile women

Ushiroyama

2003

Reprod Medicine & Biology

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“…Based on this background, infertile men reportedly suffered from a feeling of helplessness, a humiliating sense of shame, and reduced reproductive function (Asazawa, 2012). The stress and frustration of infertile men because of the non-continuity of the family line and infertility onset also have been reported previously (Lee & Chu, 2001). In Japan, there is a normative model that "reproduction is a female task," as well as a culture that men's infertility should not be known.…”

Section: Providing Care To Maintain the Quality Of Life Of Male Patientsmentioning

confidence: 68%

Quality‐of‐life predictors for men undergoing infertility treatment in Japan

Asazawa

Jitsuzaki

Mori

et al. 2018

Japan Journal Nursing Sci

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Aim To dentify the predictors of the quality of life (QOL) of infertile men who are undergoing infertility treatments in Japan and to create a QOL prediction model, with the main variables aimed at providing more adequate support to male patients. Methods This cross‐sectional study used the quantitative data that were collected from 321 returned self‐report questionnaires that had been distributed to the men of 411 couples who were undergoing fertility treatment. The following four scales were used to measure the main outcomes: FertiQoL, psychological distress, spousal support, and workplace support. The data were analyzed by descriptive statistics, multiple regression analyses, and structural equation modeling. Results The number of returned questionnaires was 321 (78.1%). The QOL that was measured by FertiQoL was significantly lower in those men who were diagnosed with male factor infertility than in the other male patients. The two significant predictors of QOL were: spousal support and the infertility period. The structural equation modeling revealed that the same factors were related to QOL. Conclusions Male factor infertility, less spousal support, and a longer period of infertility were associated with a poorer QOL of those men who were undergoing infertility treatment. These results suggest that focusing on infertility causes, the length of the infertility period, and the couples’ partnership during treatment is needed to provide full support to men who have been diagnosed with infertility.

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“…In general, shame about the diagnosis constrained disclosure to anyone apart from their wives. 75 Malik and Coulson 76 investigated the extent to which the internet was used as a resource for information and emotional support, postulating that availability, accessibility and anonymity would make it especially acceptable to men. They undertook a thematic analysis of 728 messages posted by men on an online infertility support group message board.…”

Section: Male Experiences Of Infertility Treatmentmentioning

confidence: 99%

Psychological and social aspects of infertility in men: an overview of the evidence and implications for psychologically informed clinical care and future research

Fisher¹,

Hammarberg²

2011

Asian J Androl

192

162

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Research concerning the psychosocial aspects of infertility and infertility treatment focuses more often on women than men. The aim of this review was to synthesize the English-language evidence related to the psychological and social aspects of infertility in men and discuss the implications of these reports for clinical care and future research. A structured search identified 73 studies that reported data concerning the desire for fatherhood and the psychological and social aspects of diagnosis, assisted reproductive technology (ART) treatment and unsuccessful treatment among men with fertility difficulties. The studies are diverse in conceptualisation, design, setting and data collection, but the findings were reasonably consistent. These studies indicated that fertile and infertile childless men of reproductive age have desires to experience parenthood that are similar to those of their female counterparts; in addition, diagnosis and initiation of treatment are associated with elevated infertility-specific anxiety, and unsuccessful treatment can lead to a state of lasting sadness. However, rates of clinically significant mental health problems among this patient population are no higher than in the general population. Infertile men who are socially isolated, have an avoidant coping style and appraise stressful events as overwhelming, are more vulnerable to severe anxiety than men without these characteristics. Men prefer oral to written treatment information and prefer to receive emotional support from infertility clinicians rather than from mental health professionals, self-help support groups or friends. Nevertheless, structured, facilitated psycho-educational groups that are didactic but permit informal sharing of experiences might be beneficial. There are gaps in knowledge about factors governing seeking, persisting with and deciding to cease treatment; experiences of invasive procedures; parenting after assisted conception; adoption and infertility-related grief and shame among men. Few resource-constrained countries have any data concerning male experiences of infertility.

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The Chinese Experience of Male Infertility

Cited by 28 publications

References 19 publications

Endocrinological actions of Unkei‐to, a herbal medicine, and its clinical usefulness in anovulatory and/or infertile women

Endocrinological actions of Unkei‐to, a herbal medicine, and its clinical usefulness in anovulatory and/or infertile women

Quality‐of‐life predictors for men undergoing infertility treatment in Japan

Psychological and social aspects of infertility in men: an overview of the evidence and implications for psychologically informed clinical care and future research

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