PDF(Pubmed)
Abstract：
In recent years, social research surrounding the consequences of infertility has increasingly focused on the male perspective; however, a gap exists in the understanding of men\'s experiences of male infertility treatment. This review aims to synthesize the existing evidence concerning the psychological, social, and sexual burden of male infertility treatment on men, as well as patient needs during clinical care. A systematic search identified 12 studies that are diverse in design, setting, and methods. Psychological evaluations have found that urological surgery may have a lasting impact on infertility-specific stress, and treatment failure can lead to feelings of depression, grief, and inadequacy. Men tended to have an avoidant coping mechanism throughout fertility treatment, and their self-esteem, relationship quality, and sexual functions can be tied to outcomes of treatment. Partner bonds can be strengthened by mutual support and enhanced communication; couple separation, however, has been noted as a predominant reason for discontinuing male infertility treatment and may be associated with difficult circumstances surrounding severe male infertility. Surgical treatments can affect the sexual functioning of infertile men; however, the impact of testicular sperm extraction outcomes appears to be psychologically driven whereas the improvements after microsurgical varicocelectomy are only evident in hypogonadal men. Clinically, there is a need for better inclusion, communication, education, and resource provision, to address reported issues of marginalization and uncertainty in men. Routine psychosocial screening in cases of severe male infertility and follow-up in cases of surgical treatment failure are likely beneficial.
摘要：
近年来,围绕不孕症后果的社会研究越来越关注男性的观点；然而，对男性不育治疗经验的理解存在差距。这篇综述旨在综合现有的证据，社会,男性不育治疗对男性的性负担，以及临床护理期间的患者需求。一项系统的搜索确定了12项设计多样化的研究，设置,和方法。心理评估发现，泌尿外科手术可能对不孕症特异性压力产生持久影响，治疗失败会导致抑郁，悲伤,和不足。男性在整个生育治疗过程中往往有一种回避的应对机制，和他们的自尊，关系质量,性功能可以与治疗结果联系在一起。可以通过相互支持和加强沟通来加强合作伙伴关系；夫妻分离，然而,已被认为是停止男性不育治疗的主要原因，并且可能与严重男性不育的困难情况有关。手术治疗会影响不育男性的性功能;然而，睾丸精子提取结局的影响似乎是心理驱动的,而显微外科精索静脉曲张切除术后的改善仅在性腺功能减退的男性中明显.临床上,需要更好的包容，通信,教育,和资源供应，解决据报道的男性边缘化和不确定性问题。在严重男性不育症的情况下进行常规的社会心理筛查，在手术治疗失败的情况下进行随访可能是有益的。
