Men's perception and understanding of male-factor infertility in the UK

Stevenson, Eleanor L.; Cheng, Ching‐Yu; Chia-Hao, Chang; McEleny, Kevin

doi:10.12968/bjon.2021.30.9.s8

Cited by 6 publications

(3 citation statements)

References 37 publications

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“…>15 years of age). Notwithstanding this, low levels of fertility knowledge have the potential to jeopardise testicular health and fertility ( Stevenson et al , 2021 ). The fertility knowledge questions included in the current study referred to content that was in the animations, content that could ultimately help boys, men, and individuals assigned male at birth safeguard their testicular health and fertility (e.g.…”

Section: Discussionmentioning

confidence: 99%

The effect of an educational animation on knowledge of testicular health and fertility of adolescents

Harrison,

Greves,

Barnard

et al. 2023

Human Reproduction

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STUDY QUESTION Does the provision of an educational animation, developed with young people, about testicular health and fertility impact the knowledge of these topics among adolescents? SUMMARY ANSWER The development and provision of education on testicular health and fertility were welcomed by adolescents and associated with a significant increase in knowledge. WHAT IS KNOWN ALREADY Young people may know less than they should about testicular health and male fertility topics. Lack of knowledge can have implications for health including late medical help-seeking for signs and symptoms of scrotal disorders, such as torsion, for which late presentation frequently results in testicular damage. STUDY DESIGN, SIZE, DURATION A mixed methods experimental pre- and post-design was used with embedded qualitative data collection. High school students completed a pre-animation questionnaire, watched four animations on testicular health and fertility, and completed a post-animation questionnaire. Data were collected during Personal Social and Health Education lessons across a 2-week period. PARTICIPANTS/MATERIALS, SETTING, METHODS Four animations on testicular health and fertility, informed by andrologists, academics, designers, boys, and young men, were developed. Eligible participants were boys and girls in the UK school years 8 and 9 (age 13–14 years). Participants completed a Time 1 (T1) survey (fertility knowledge, demographics) prior to watching the animations and a Time 2 (T2) survey (fertility knowledge, perceptions of the animations) immediately after the animations. Perceptions were rated on 10-point response scales (higher scores better). Participants additionally expressed in their own words positive and negative aspects of the animations. ANOVA was used to examine the effects of the animations using a 2 (time: T1, T2)×2 (gender: male, female) design on topic knowledge, perceived importance, usefulness, and style of the animations according to gender. Regression analysis examined the associations between gender, disability, class year, and knowledge at T2 while controlling for knowledge at T1. Qualitative data on perceptions of the animations were analyzed using inductive thematic analysis. MAIN RESULTS AND THE ROLE OF CHANCE Results showed that the animations significantly increased testicular health and fertility-related knowledge from T1 (x̄=41.84 ± 24.72) to T2 (x̄=79.15, ±15.04). Boys had significantly higher levels of knowledge compared to girls at T1 (x̄=44.74, SD = 25.16 versus x̄=37.79 ± 23.49, respectively) and T2 (x̄=80.07, SD = 15.68 versus x̄=77.89 ± 14.30, respectively) but knowledge gain from T1 to T2 was not significantly different according to gender (P = 0.11) as shown by non-significant gender×time interaction. There were no significant gender differences in the perceived usefulness and importance of the animations or liking of the style of the animations, with both genders considering the animations as useful, important, and likable. Regression analysis showed only knowledge at T1 to be significantly associated with knowledge at T2. Qualitative data showed three main themes: accessibility of important and useful information; information engagement and help-seeking behaviour; and inclusivity of information. LIMITATIONS, REASONS FOR CAUTION This was a pre- and post-study with a sample of young people from a selected educational institution without a control group. Only short-term effects of the animations were recorded. WIDER IMPLICATIONS OF THE FINDINGS Adolescents are interested in and learn from the provision of engaging fertility-related information. Boys and men should be considered as being a relevant target population for fertility education, not just girls and women. STUDY FUNDING/COMPETING INTEREST(S) This research was carried out in partnership with the British Fertility Society, was financially supported by an Economic and Social Research Council Impact Acceleration Award (520792) and commercial sponsorship from iMediCare Ltd, Bayer AG, Merck Group, Cryos International given to the British Fertility Society, and a financial contribution from Orchid Cancer Appeal. The authors are fully responsible for the content of the animations and this manuscript, and the views and opinions described in the publication reflect solely those of the authors. J.B. reports a grant from Merck Serono Ltd outside the submitted work. C.H., G.G., A.D., E.B., U.G., M.L, B.W., and M.H. declare no conflict of interest. K.M. reports honoraria from Bayer and Merck. A.P. reports paid consultancy for Cryos International, Cytoswim Ltd, Exceed Health, and Merck Serono in the last 2 years, but all monies have been paid to the University of Sheffield. TRIAL REGISTRATION NUMBER N/A.

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Section: Discussionmentioning

confidence: 99%

The effect of an educational animation on knowledge of testicular health and fertility of adolescents

Harrison,

Greves,

Barnard

et al. 2023

Human Reproduction

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“…While there is a small body of research exploring men’s experiences of infertility, some specifically including male-factor infertility (e.g., Dolan et al, 2017 ; Dooley et al, 2011 ; Hanna & Gough, 2020 ; Peronace et al, 2007 ), fewer previous studies have examined what information and support men desire after being diagnosed specifically with male-factor infertility and undertaking assisted reproductive technology (ART) treatments ( Culley et al, 2013 ; Stevenson et al, 2021 ). Acknowledging the marginalization of men in fertility research, Culley and colleagues (2013) called for “multi-method, interdisciplinary research” (p. 225) on men’s infertility information and support needs.…”

Section: Introductionmentioning

confidence: 99%

“No One Asked Me If I’m Alright”: A Mixed-Methods Study Exploring Information/Support Needs and Challenges Engaging Men Diagnosed With Male-Factor Infertility

Obst,

Oxlad,

Turnbull

et al. 2023

Am J Mens Health

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There is limited research exploring men’s experiences of infertility, and fewer previous studies have examined what information and support men desire after being diagnosed specifically with male-factor infertility. We conducted a mixed-methods study utilizing a combined sequential, concurrent design (online survey/semi-structured interviews). Survey outcomes ( N =12) were analyzed using quantitative data analysis, while qualitative survey data ( N = 5) was analyzed by reflexive thematic analysis. Heterosexual men (>18 years), fluent in English, diagnosed solely with male-factor infertility/sub-fertility, who required assisted reproductive treatment within Australia in the past 5 years were recruited online and through fertility clinics Australia-wide. Most men reported that their information and support needs were only somewhat, slightly or not at all met. Preferred information sources on male infertility were a dedicated online resource, app, or fertility doctor/specialist, while support was preferred from fertility specialists and partners. Three themes were identified from the qualitative analysis about men’s experiences and support needs when diagnosed with male infertility (a) Ultimate threat to masculinity; (b) Holistic care, and (c) the power of words. The information-rich data collected provided valuable insights into men’s experiences of male-factor infertility and important considerations to improve recruitment for future research. A diagnosis of male-factor infertility has the potential to be deeply impactful and difficult to navigate for men. Adequate and holistic information, recognition of emotional impacts, proactive offers of support and sensitive language are needed to improve men’s experiences when undergoing assisted reproductive technology.

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“…Moreover, some other factors such as alcohol abuse and smoking are considered as factors that can affect infertility (Coppeta et al, 2020). Finally, factors such as changing the role of women in social activities, delayed marriage, delayed age of having children, increased use of contraceptive methods, freedom of abortion, and unfavorable economic situation have reduced fertility in industrialized countries (Stevenson et al, 2021). One of the important concepts and factors that can predict infertility is the lifestyle of individuals (Pereira et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

A review of the effects of lifestyle and nutrition on infertility in couples

Nayeri

Alahverdi

Nayeri

et al. 2022

ijhs

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Infertility is one of the most important life crises that leads to numerous psychological problems and stressful experiences. Investigating the factors affecting infertility is of high significance to help these people in the midwifery profession. One of these important factors is lifestyle. The purpose of present study is to review the studies conducted on the effects of lifestyle on infertility in couples. This systematic review was conducted by searching the keywords including infertility, lifestyle, nutrition and couples in valid databases such as Google Scholar, Web of Sciences, PubMed and Scopus from 2010 to 2021; a total of 198 articles were found. As many as 22 articles were extracted from these articles. Inclusion criteria included originality, the article’s being either in English or Persian, and consistency with the purpose of the study. Exclusion criteria included the lack of access to the full text of the article. Among the reviewed articles, 6 articles (27.27%) had been published in Persian and 16 articles (72.73%) had been published in English. In 16 studies, the effect of lifestyle and its dimensions (exercise and physical activity, diet, tobacco and alcohol use) on infertility of couples had been confirmed.

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Men's perception and understanding of male-factor infertility in the UK

Cited by 6 publications

References 37 publications

The effect of an educational animation on knowledge of testicular health and fertility of adolescents

The effect of an educational animation on knowledge of testicular health and fertility of adolescents

“No One Asked Me If I’m Alright”: A Mixed-Methods Study Exploring Information/Support Needs and Challenges Engaging Men Diagnosed With Male-Factor Infertility

A review of the effects of lifestyle and nutrition on infertility in couples

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