Erectile dysfunction and psychological status in infertile males.
- Author:
Jian-Xiong MA
1
;
Bin WANG
1
;
Jin DANG
1
;
Xiang-Bin LI
2
;
Jin DING
3
;
Yu-Tian ZHU
1
;
Ji-Sheng WANG
1
;
Hai-Song LI
1
Author Information
1. Department of Andrology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China.
2. Nanchang Hospital of Reproduction, Nanchang, Jiangxi 330001, China.
3. Department of Andrology, Shenzhen Bao'an Hospital of Traditional Chinese Medicine, Guangzhou University of Chinese Medicine, Shenzhen, Guangdong 518133, China.
- Publication Type:Journal Article
- Keywords:
erectile dysfunction;
psychological status;
male infertility
- MeSH:
Anxiety;
epidemiology;
Depression;
epidemiology;
Erectile Dysfunction;
epidemiology;
psychology;
Humans;
Infertility, Male;
psychology;
Libido;
Male;
Patient Health Questionnaire;
Prevalence;
Risk Factors;
Semen Analysis;
Sexual Behavior
- From:
National Journal of Andrology
2017;23(7):609-614
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the relationship of erectile dysfunction (ED) with psychological factors in male patients with infertility.
METHODS:We conducted a questionnaire investigation among 252 male patients with infertility, which involved the general condition, results of semen routine examination, sexual life, and scores in IIEF-5, self-reported 9-item patient health questionnaire (PHQ-9) and 7-item generalized anxiety disorder scale (GAD-7). We analyzed the prevalence of ED, depression, and anxiety and their correlations among the patients in comparison with 100 fertile male controls.
RESULTS:In 245 of the infertility patients, the most common symptoms of depression and anxiety were "feeling tired or no vitality" and "easily getting worried or impatient", 20.4% of them with depression disorder and 42.9% with anxiety disorder. The PHQ-9 and GAD-7 scores were significantly higher in the infertile males than in the normal fertile controls (P <0.05), and so was the incidence of ED (28.6% vs 12.4%, P <0.05), while the IIEF-5 scores were markedly lower in the former than in the latter group (P <0.01), and so were sex frequency and sexual satisfaction (P <0.05). The PHQ-9 and GAD-7 scores were remarkably higher in the infertility patients with ED than in those without (P <0.01). Logistic regression analysis showed that the level of libido and results of semen routine examination were the risk factors for depression disorder, while age, education level, disease course and experience of assisted reproduction were those for anxiety disorder.
CONCLUSIONS:Male infertility patients have a poorer mental health and a higher incidence of ED than normal fertile men, and there is some interaction between psychological status and ED prevalence.
