The Psychological Impact of Infertility in the Male Able Bodied and Spinal Cord Injured Population

Karimzadeh, Mansoureh; Salsabili, Nasser; Akbariasbagh, Firouzeh; Mehrsai, A.

doi:10.1007/s11195-006-9021-9

Cited by 3 publications

(1 citation statement)

References 15 publications

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“…Also of importance is the negative impact that emotional issues can have on being able to conceive, with psychological stress being listed as a common reason for discontinuing fertility treatments. 128,134 A study 135 examined the psychological impact of an infertility diagnosis on war veterans, who had sustained SCI during the Iran-Iraq war, as compared to otherwise healthy infertile controls. Both groups showed negative psychological effects that may have been due to their fertility status, including anxiety and depression, as compared to rates in the normal population.…”

Section: Psychological Aspectsmentioning

confidence: 99%

Male sexual dysfunction and infertility associated with neurological disorders

Fode¹,

Krogh-Jespersen²,

Brackett³

et al. 2011

Asian J Androl

104

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Normal sexual and reproductive functions depend largely on neurological mechanisms. Neurological defects in men can cause infertility through erectile dysfunction, ejaculatory dysfunction and semen abnormalities. Among the major conditions contributing to these symptoms are pelvic and retroperitoneal surgery, diabetes, congenital spinal abnormalities, multiple sclerosis and spinal cord injury. Erectile dysfunction can be managed by an increasingly invasive range of treatments including medications, injection therapy and the surgical insertion of a penile implant. Retrograde ejaculation is managed by medications to reverse the condition in mild cases and in bladder harvest of semen after ejaculation in more severe cases. Anejaculation might also be managed by medication in mild cases while assisted ejaculatory techniques including penile vibratory stimulation and electroejaculation are used in more severe cases. If these measures fail, surgical sperm retrieval can be attempted. Ejaculation with penile vibratory stimulation can be done by some spinal cord injured men and their partners at home, followed by in-home insemination if circumstances and sperm quality are adequate. The other options always require assisted reproductive techniques including intrauterine insemination or in vitro fertilization with or without intracytoplasmic sperm injection. The method of choice depends largely on the number of motile sperm in the ejaculate.

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Section: Psychological Aspectsmentioning

confidence: 99%

Male sexual dysfunction and infertility associated with neurological disorders

Fode¹,

Krogh-Jespersen²,

Brackett³

et al. 2011

Asian J Androl

104

View full text Add to dashboard Cite

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Assessing DPT Students' Self-perceived Readiness to Discuss Sexual Health Before and After Instruction From a Patient-Educator

Felter¹

2020

JOPTE

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Introduction. Physical therapists (PTs) spend considerable time with their patients and may address certain aspects of sexual health; however, professional readiness to discuss sexual health among health care students is generally lacking. Methods. All students (n = 60) enrolled in a second-year neuromuscular class in a professional, entry-level, PT education program were invited to participate in this study. The Students' Attitudes Towards Addressing Sexual Health Questionnaire was administered as an electronic survey before and after a classroom training on sexuality and disability led by a patient-educator. Pretraining and posttraining total survey scores were analyzed, as were scores for individual survey items. Results. Participants' average total scores increased significantly after training, indicating an increased self-perceived readiness to discuss sexual health. Scores for survey items most closely related to the training also increased. Discussion and Conclusions. Classroom-based training with a patient-educator may improve some aspects of student readiness to discuss sexual health; however, other aspects may require maturity, mentorship, and clinical experience. Further investigation is needed to understand students' readiness to discuss sexual health with patients and to refine the PT role regarding sexual health.

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