The Fertility quality of life and Sexual dysfunction in men seeking fertility treatment
Zhang, Z1; Yang, Y1; Jiang, H1
1: Peking university Third Hospital, China
Objective: To investigate the fertility quality of life (FertiQoL) and the prevalence of erectile dysfunction (ED) and premature ejaculation (PE) in infertile men.
Method: In a cross-sectional study, a total of 351 men seeking fertility treatment completed a questionnaire about sexual experiences and quality of life. ED was evaluated through the simplified International Index of Erectile Function (IIEF-5), ejaculation status was determined by the PE diagnostic tool (PEDT), and the quality of life was measured using the FertiQoL tool.
Result: Reliability analyses for the FertiQoL tool demonstrate a sufficiently strong fit (Cronbach’s alpha=0.891). Social and relational domains of FertiQoL were lower in infertile men compared with that reported in other countries. ED and PE were found in 125 (35.6%) and 90 (25.6%) subjects respectively. The emotional, mind/body, relational and social domain scores of FertiQoL were positively associated with the IIEF-5 score whereas the scores were negatively associated with the PEDT score. In a logistic multivariate model, emotional, relational and social domains were significantly associated with ED, while only the emotional domain was related to PE. Furthermore, our data suggested that overweight, extended family, smoking, male factor infertility and primary infertility are risk factors for ED and PE, while the duration of infertility only affect erectile function. However, the education level, family income and the treatment of infertility had no significant effect on sexual experience.
Conclusion: ED and PE are prevalent among infertile men, who also have poor FertiQoL. The emotional, mind/body, relational and social domains of FertiQoL may be associated with sexual dysfunction in infertile men.
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