Abstract：
Despite ongoing medical advancements in infertility treatment, the significant impact of sexuality on this journey often goes unaddressed. The present research aims to examine sexual conversations during ART visits, including who initiate the conversation and their content.This quali-quantitative study delves into analyzed video-recorded ART visits to explore how \"sex\" conversations are broached during healthcare interactions. Our findings reveal a strikingly low proportion of utterances related to sexuality, accounting for only 1.3% of the total 14,372 utterances analyzed. Sex utterances were mainly introduced by physicians (72%), while regarding those introduced by the couple, 64% were reported by men. From the qualitative analysis on the utterances emerged three distinct levels of communication about sex: explicit, almost explicit, and implicit. While physicians and males exhibit an almost balanced distribution across the 3 levels, female patients primarily respond to explicit and almost explicit communication initiated by physicians. The low percentage of sexual utterances underscores the rarity of these conversations during ART interactions, despite the clinical field where sexual health should deserve a crucial attention. Opening the door to conversations about sexuality could help to create a safe and supportive space for patients to talk about sex, with a potential impact on well-being and quality of care during the ART process.
摘要：
尽管不孕症治疗的医学进展不断，性在这段旅程中的重大影响往往得不到解决。本研究旨在检查ART访问期间的性对话，包括谁发起对话和他们的内容。这项定性定量研究深入研究了经过分析的视频录制的ART访问，以探索在医疗保健互动过程中如何进行“性”对话。我们的研究结果表明，与性有关的话语比例非常低，仅占分析的14372条话语总数的1.3%。性话语主要由医生介绍(72%)，至于这对夫妇介绍的，64%是男性报告的。从对话语的定性分析中，出现了关于性的三个不同层次的交流：明确，几乎明确，和隐含的。虽然医生和男性在三个级别上表现出几乎平衡的分布，女性患者主要对医生发起的明确和几乎明确的沟通做出反应。性话语的比例较低，突显了在ART互动过程中这些对话的稀有性，尽管在临床领域，性健康应该得到至关重要的关注。打开关于性的对话的大门可能有助于为患者创造一个安全和支持的空间来谈论性，在ART过程中对福祉和护理质量有潜在影响。
