Evaluation of the Psychological Status, Infertility-Associated Factors, and Erectile Function in Patients with Timely Ovulatory Intercourse Failure in China: Evidence from a Cross-Sectional Study.

Jian Xiong,Bin Yang,Chengquan Ma,Jianzhong Zhang,Hongjun Li,Zhonglin Cai

doi:10.1155/2020/2850507

Abstract

Results A total of 1128 patients were enrolled, and 264 of them (23.40%) suffered from TOIF. TOIF was positively associated with smoking, drinking, hypertension, diabetes, anxiety, unknown cause of infertility, lower semen concentration, lower frequency of intercourse, and decreased erectile function. The total IIEF-15 scores, erectile function, orgasmic function, sexual desire, intercourse satisfaction, and overall satisfaction were significantly decreased in patients with TOIF. Conclusion TOIF is associated with lower semen concentration, anxiety, and other comorbidities such as hypertension and diabetes. Clinicians are required to focus on these associated factors in addition to improve the erectile function.

Highlights

Ovulatory intercourse failure (TOIF), which occurs when the males failed to penetrate their wives’ vagina during the ovulatory time, may affect physical and psychosocial health and may have a significant influence on the quality of life of the patients and their partners [1]
The inclusion criteria were (1) men living day to day with their wives or common-law partners and planning to have a baby, (2) females failing to achieve a clinical pregnancy after engaging in regular unprotected sexual intercourse for at least 1 year, (3) men attending the andrologic clinics for infertility with at least two semen samples analyzed, and (4) men who were aware of the ovulatory time of their female partners and using timely ovulatory intercourse
In terms of the factors associated with infertility, the results indicated that timely ovulatory intercourse failure (TOIF) was positively associated with unknown cause of infertility and lower sperm concentration

Summary

Introduction

Ovulatory intercourse failure (TOIF), which occurs when the males failed to penetrate their wives’ vagina during the ovulatory time, may affect physical and psychosocial health and may have a significant influence on the quality of life of the patients and their partners [1]. Based on the previous study by Yang et al, a patient diagnosed with TOIF should fulfill the following criteria: (1) were aware of their partners’ ovulatory time, (2) had tried sexual intercourse during their partners’ ovulatory time, and (3) experienced at least three failed attempts. The current study is aimed at investigating the psychological status, infertility-associated factors, and erectile function in males with TOIF. TOIF was positively associated with smoking, drinking, hypertension, diabetes, anxiety, unknown cause of infertility, lower semen concentration, lower frequency of intercourse, and decreased erectile function. The total IIEF-15 scores, erectile function, orgasmic function, sexual desire, intercourse satisfaction, and overall satisfaction were significantly decreased in patients with TOIF. Clinicians are required to focus on these associated factors in addition to improve the erectile function

Methods

Results

Discussion

Conclusion