Abstract
BackgroundA very small number of studies have indicated that azoospermia or negative testicular sperm extraction (TESE) outcomes are linked to depression or erectile dysfunction. However, the data are often weak, conflicting and gathered with non-validated questionnaires. Hence, we performed a cross-sectional study of 44 men with non-obstructive azoospermia. Levels of self-esteem and the quality of the couple’s sex life and overall relationship were assessed with validated questionnaires before and after the TESE procedure as a function of the TESE outcome.ResultsA positive TESE outcome (n = 24) was associated with a statistically significant increase in self-esteem (particularly with regard to family aspects), sexual health and couples’ adjustment quality. In contrast, a negative TESE outcome (n = 20) was associated with statistically significant decreases in self-esteem, erectile function, intercourse satisfaction, orgasmic function, couples’ adjustment quality and all aspects of the couple’s relationship (consensus, cohesion, satisfaction and affection).ConclusionFor men with non-obstructive azoospermia (NOA), negative TESE outcomes may have a negative impact on self-esteem and the quality of the couple’s sex life and overall relationship. This should be borne in mind when counselling men with NOA and their partners to (ideally) help them to cope with and decrease the harmful impacts of azoospermia and negative TESE.
Highlights
Quelques études concernant l’azoospermie ou les résultats négatifs de l’extraction de sperme testiculaire (TESE) montrent que ces résultats peuvent être liés à la dépression ou aux dysfonctions érectiles
Before the testicular sperm extraction (TESE) procedure, each patient underwent a comprehensive andrology workup to determine the aetiology of azoospermia, as previously recommended
Self-esteem Overall, the 44 patients had slightly higher than average levels of self-esteem before and after the TESE procedure, when looking at the score as a whole and taking all patients into account
Summary
Quelques études concernant l’azoospermie ou les résultats négatifs de l’extraction de sperme testiculaire (TESE) montrent que ces résultats peuvent être liés à la dépression ou aux dysfonctions érectiles. Résultats: Un résultat positif de TESE (n = 24) a été associé à une augmentation statistiquement significative de l’estime de soi (en particulier en ce qui concerne les aspects familiaux), de la santé sexuelle et de la qualité de l’adaptation du couple. Un résultat négatif de TESE (n = 20) a été associé à une diminution statistiquement significative de l’estime de soi, de la fonction érectile, de la satisfaction des rapports sexuels, de la fonction orgasmique, de la qualité de l’adaptation du couple et de tous les aspects de la relation de couple (consensus, cohésion, satisfaction et affection). Azoospermia is defined as the absence of spermatozoa in fresh semen after centrifugation of the entire ejaculate It must be confirmed on at least 2 semen samples 3 months apart [1]. Levels of self-esteem and the quality of the couple’s sex life and overall relationship were assessed with validated questionnaires before and after the TESE procedure as a function of the TESE outcome
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