İnfertilitede unutulan bir kavram: Erkek cinselliği

İnfertilite süreci, çiftlerde cinsellik kavramının değişmesine yol açan ve cinselliğe bakışın daha çok çocuk yapma odaklı ve bir görev gibi atfedilmesini getiren bir süreçtir. Aynı zamanda, geçmişte ve günümüzde çiftlerin hayatını psiko-sosyo-seksüel bağlamlarda etkileyen, çok yönlü ele alınması gereken ve multidisipliner yaklaşım gerektiren bir kavramdır. Kadınlara orantısız biçimde yoğunlaşan çalışmalar ve kadın merkezli tedavi süreçleri nedeniyle, erkekler infertilite sürecinde dışarıda kalmışlardır. İnfertilitede cinselliğin incelendiği çalışmalarda, erkeklerin özellikle prematür ejekülasyon (PE) ve erektil disfonksiyon (ED) sorunları yaşadığı belirlenmiştir. Danışmanlık süreçlerinde de genellikle erkeklere özel bir hizmetin verilmemesi nedeniyle cinsellik ile ilgili sorunlar daha çok gizlenmekte ve hatalı bilişsel şemalar ortaya çıkabilmektedir.

A forgotten concept in infertility: Male sexuality

The process of infertility leads to the change of the concept of sexuality in couples, which brings the view of sexuality more as a child-bearing task. It is also a concept that affects the life of couples in the psycho-sociosexual contexts from the past to nowadays and needs multidisciplinary approach. Due to disproportionate studies on women and womencentered treatment processes, men have been excluded from the process of infertility. In the studies of sexuality in infertility, men especially experienced premature ejaculation (PE) and erectile dysfunction (ED) problems. In the counseling process, the problems related to sexuality are more concealed and incorrect cognitive schemas may arise due to the fact that no special service is given to men.

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1. Ramezanzadeh F, Aghssa MM, Jafarabadi M, Zayeri F. Alterations of sexual desire and satisfaction in male partners of infertile couples. Fertil Steril 2006;85:139–43. [CrossRef]
2. Boivin J, Bunting L, Collins JA, Nygren KG. International estimates of infertility prevalence and treatment-seeking: Potential need and demand for infertility medical care. Hum Reprod 2007;22:1506–12. [CrossRef]
3. Agarwal A, Mulgund A, Hamada A, Chyatte MR. A unique view on male infertility around the globe. Reprod Biol Endocrinol 2015;13:1–9. [CrossRef]
4. Cousineau TM, Domar AD. Psychological impact of infertility. Best Pract Res Clin Obstet Gynaecol 2007;21:293–308. [CrossRef]
5. Arya ST, Dibb B. The experience of infertility treatment: the male perspective. Hum Fertil 2016;19:242–8. [CrossRef]
6. Peterson ZD, Buday SK. Sexual coercion in couples with infertility: prevalence, gender differences, and associations with psychological outcomes. Sex Relatsh Ther 2018;2:1–16. [CrossRef]
7. Boivin J. A review of psychosocial interventions in infertility. Soc Sci Med 2003;57:2325–41. [CrossRef]
8. Nene UA, Coyaji K, Apte H. Infertility: A label of choice in the case of sexually dysfunctional couples. Patient Educ Couns 2005;59:234–8. [CrossRef]
9. Shindel AW, Nelson CJ, Naughton CK, Ohebshalom M, Mulhall JP. Sexual function and quality of life in the male partner of infertile couples: prevalence and correlates of dysfunction. J Urol 2008;179:1056–9. [CrossRef]
10. Monga M, Alexandrescu B, Katz SE, Stein M, Ganiats T. Impact of infertility on quality of life, marital adjustment, and sexual function. Urology 2004;63:126–30. [CrossRef]
11. Dooley M, Dineen T, Sarma K, Nolan A. The psychological impact of infertility and fertility treatment on the male partner. Hum Fertil 2014;17:203–9. [CrossRef]
12. Luk BHK, Loke AY. Sexual satisfaction, intimacy and relationship of couples undergoing infertility treatment. J Reprod Infant Psychol 2019;37:108–22. [CrossRef]
13. Boorjian S, Hopps CV, Ghaly SW, Parker M, Mulhall JP. The utility of sildenafil citrate for infertile men with sexual dysfunction: A pilot study. BJU Int 2007;100:603–6. [CrossRef]
14. Lee T-Y, Sun G-H, Chao S-C. The effect of an infertility diagnosis on the distress, marital and sexual satisfaction between husbands and wives in Taiwan. Hum Reprod 2001;16:1762–7. [CrossRef]
15. Smith JF, Walsh TJ, Shindel AW, Turek PJ, Wing H, Pasch L, Katz PP. Sexual, Marital, and Social Impact of a Man’s Perceived Infertility Diagnosis. J Sex Med 2009;6:2505–15. [CrossRef]
16. Drosdzol A, Skrzypulec V. Evaluation of Marital and Sexual Interactions of Polish Infertile Couples. J Sex Med 2009;6:3335– 46. [CrossRef]
17. Saleh RA, Ranga GM, Raina R, Nelson DR, Agarwal A. Sexual dysfunction in men undergoing infertility evaluation: A cohort observational study. Fertil Steril 2003;79:909–12. [CrossRef]
18. Gao J, Zhang X, Su P, Liu J, Shi K, Hao Z, Zhou J, Liang C. Relationship between Sexual Dysfunction and Psychological Burden in Men with Infertility: A Large Observational Study in China. J Sex Med 2013;10:1935–42. [CrossRef]
19. Ozkan B, Orhan E, Aktas N, Coskuner ER. Depression and sexual dysfunction in Turkish men diagnosed with infertility. Urology 2015;85:1389–93. [CrossRef]
20. Song S-H, Kim DS, Yoon TK, Hong JY, Shim SH. Sexual function and stress level of male partners of infertile couples during the fertile period. BJU Int 2016;117:173–6. [CrossRef]
21. Bakhtiari A, Basirat Z, Aghajani Mir M-R. Sexual dysfunction in men seeking infertility treatment: the prevalence and associations. Caspian J Reprod Med 2015;1:2–6. Erişim: http://caspjrm.ir/ article-1-71-fa.pdf
22. Gabr AA, Omran EF, Abdallah AA, Kotb MM, Farid EZ, Dieb AS, Belal DS. Prevalence of sexual dysfunction in infertile versus fertile couples. Eur J Obstet Gynecol Reprod Biol 2017;217:38–43. [CrossRef]
23. Lotti F, Corona G, Castellini G, Maseroli E, Fino MG, Cozzolino M, Maggi M. Semen quality impairment is associated with sexual dysfunction according to its severity. Hum Reprod 2016;31:2668– 80. [CrossRef]
24. Ma J-X, Wang B, Dang J, Li XB, Ding J, Zhu YT, et al. Erectile dysfunction and psychological status in infertile males. Zhonghua Nan Ke Xue 2017;23:609–14.
25. Ergin RN, Polat A, Kars B, Öztekin D, Sofuoğlu K, Çalışkan E. Social stigma and familial attitudes related to infertility. Turk Jinekoloji ve Obstet Dern Derg 2018;15:46–9. [CrossRef]
26. Johansson M, Hellström AL, Berg M. Severe male infertility after failed ICSI treatment-a phenomenological study of men’s experiences. Reprod Health 2011;8. [CrossRef]
27. Badroddin N, Seyyed Saeed A, Gholamreza G. Psychological characteristics of infertile couples referring to Isfahan Fertility and Infertility Center (IFIC). J Reprod Infertil 2001;2:40–5.
28. Guerra D, Llobera A, Veiga A, Barri PN. Psychiatric morbidity in couples attending a fertility service. Hum Reprod 1998;13:1733– 6. [CrossRef]
29. Aksoy O. İnfertilite tedavisi için başvuran çiftlerde, erkeklerin cinsel tutumları ve cinsel mitlere yaklaşımı (Yayınlanmamış Yüksek Lisans Tezi). İstanbul: İstanbul Üniversitesi; 2018.
30. O’Donnell E. Making room for men in infertility counseling. Sex Reprod Menopause 2007;5:28–32.
31. Furman I, Parra L, Fuentes A, Devoto L. Men’s participation in psychologic counseling services offered during in vitro fertilization treatments. Fertil Steril 2010;94:1460–4. [CrossRef]