Abstract
Objective:Sexual dysfunction is a major health concern in infertile men. This research aims to evaluate the sexual dysfunction and its associated risk factors in the male partners of infertile couples.Materials and Methods:The cross-sectional study was performed on 204 male partners of infertile couples that were referred to Fatemeh Zahra Infertility & Reproductive Center, Babol, Iran, in 2015. Sexual dysfunction was evaluated using The International Index of Erectile Function (IIEF). Logistic and linear regression tests were used for statis¬tical analyses. Statistical significance was considered with a p value less than 0.05.Results:The mean total IIEF score was 58.30±8.52. The lowest mean of IIEF domains was related to sexual desire and then orgasmic function in the male partners of the infertile couples. Erectile function contributed to the greatest amount of unique variance in the model for sexual function (p<0.001, R2=69.8%). The strongest correlation value was between the domains of overall satisfaction and intercourse satisfaction. There was a positive statistically significant association between sexual function with wife marital intimacy (p<0.002) and wife sexual function (p<0.001). There was a significant association between sexual dysfunction with job conditions (p<0.037, OR=0.094), and coitus count (p<0.009, OR=6.146). After adjusting for other variables, there was a significant association between sexual function and wife sexual function (p<0.005). Also, after adjusting for other variables, there was a significant association between sexual dysfunction and coitus count (p<0.004, OR=2.496), and job condition (p<0.046, OR=0.081).Conclusion:By considering sexual dysfunction and some related factors, early screening is required for distinguishing predictor factors of sexual dysfunction.
Highlights
Infertility is clinically described as the inability to conceive after 12 months of intercourse without using birth control[1]
Careful assessments of male sexual dysfunction in understanding its detrimental consequences and in distinguishing its risk factors are important for prophylaxis efforts, which can be useful for counseling of the infertile partners
The lowest mean in Index of Erectile Function (IIEF) domains is related to sexual desire (7.75±1.52) and orgasmic function (7.89±1.97)
Summary
Infertility is clinically described as the inability to conceive after 12 months of intercourse without using birth control[1]. Diagnosis of sexual disturbances in the male partners of the infertile couples can increase sexual function and enhances natural pregnancy[7]. Many factors such as demographic conditions, poor relationships, biological and physical or emotional causes are known to be associated with the sexual dysfunction[17,18,19]. Careful assessments of male sexual dysfunction in understanding its detrimental consequences and in distinguishing its risk factors are important for prophylaxis efforts, which can be useful for counseling of the infertile partners. This study aims to evaluate the sexual dysfunction along with the potential risk factor in Iranian infertile men
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