title: The effect of an infertility diagnosis on the distress, marital and sexual satisfaction between husbands and wives in Taiwan.
abstract: BACKGROUND
  Few studies have explored the effect of a gender-specific infertility diagnosis on the responses of couples in Taiwan. The purpose of this research was to compare the differences in distress, marital and sexual satisfaction in husbands and wives based on an infertility diagnosis.
  
  
  METHODS
  Three structured questionnaires were used.
  
  
  RESULTS
  Female members of couples in which both partners were infertile expressed less marital and sexual satisfaction than their husbands. No differences in marital and sexual satisfaction were found between wives and husbands with unexplained infertility. Only wives with a diagnosed female infertility expressed higher distress to infertility than their husbands. Although no differences in psychosocial responses were found among husbands, regardless of the diagnosis, wives with a diagnosed female infertility experienced higher distress in self-esteem and less satisfaction in acceptance by in-laws than wives experiencing a diagnosed male infertility.
  
  
  CONCLUSIONS
  These findings suggest that the diagnosis of infertility is an important factor in assessing the differences in infertility distress and marital and sexual satisfaction between husbands and wives. Health professionals can explain the gender differences when counselling infertile couples and encourage them to share each other's feelings, which may help couples to cope with the communication problems they may experience.
authors.affiliation: Department of Nursing, Tri-Service General Hospital, National Defense Medical Center, P.O.Box 90055, Neihu, Taiwan, Republic of China. tylee@ndmctsgh.edu.tw
authors.forename: T Y
authors.initials: TY
authors.lastname: Lee
authors.forename: G H
authors.initials: GH
authors.lastname: Sun
authors.forename: S C
authors.initials: SC
authors.lastname: Chao
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007246:Infertility / Q000175:diagnosis* / Q000523:psychology*; D007247:Infertility, Female / Q000175:diagnosis / Q000523:psychology; D007248:Infertility, Male / Q000175:diagnosis / Q000523:psychology; D008297:Male; D008393:Marriage; D012649:Self Concept; D012727:Sex Characteristics; D019529:Sexuality; D013315:Stress, Psychological; D013624:Taiwan