Sexual function and quality of life in the male partner of infertile couples: prevalence and correlates of dysfunction.
OBJECTIVE
We prospectively collected data on mental and physical health related quality of life as well as sexual and relationship function in couples presenting for the treatment of infertility.


METHODS
Infertile couples were invited to complete a demographic survey, the Short Form 36 and the Center for Epidemiological Studies Depression Inventory. Male partners completed the International Index of Erectile Function and the Self-Esteem and Relationship Quality scale. Female partners completed the Female Sexual Function Index and a version of the Self-Esteem and Relationship Quality Scale modified for women. Multiple regression analysis was conducted to assess for associations between partner responses.


RESULTS
A total of 121 couples were enrolled at 2 sites. Male partners reported significantly lower standardized scores on the Mental Health subscale of the Short Form 36 (mean 47.6, p <0.05) compared to normative values. Of the men surveyed 11% and 12% reported moderate or severe depression, respectively. There were 18% who had mild erectile dysfunction and 4% had moderate erectile dysfunction. The mean transformed score for the Self-Esteem and Relationship Quality Scale in our subjects was 29.44 (range 0 to 100). In multivariate analysis white race and partner Female Sexual Function Index score were significant predictors of International Index of Erectile Function Erectile Function Domain scores (p <0.01). Relationship duration and partner Self-Esteem and Relationship Quality Scale scores were significantly associated with male Self-Esteem and Relationship Quality Scale score on multivariate analysis.


CONCLUSIONS
Depression, erectile dysfunction and sexual relationship problems are prevalent among male partners of infertile couples. Partner sexual function is a significant predictor of male partner sexual function. Relationship duration and female partner assessment of relationship health are predictive of men's assessment of their relationship status.
Shindel
Alan W
AW
Department of Surgery, Division of Urology, Washington University in Saint Louis, Saint Louis, Missouri, USA.
Nelson
Christian J
CJ
Naughton
Cathy K
CK
Ohebshalom
Michael
M
Mulhall
John P
JP
D000328:Adult; D007172:Erectile Dysfunction / Q000150:complications*; D005191:Family Characteristics; D005260:Female; D006306:Health Surveys; D006801:Humans; D007246:Infertility / Q000150:complications / Q000503:physiopathology* / Q000523:psychology*; D007398:Interpersonal Relations; D008297:Male; D015995:Prevalence; D011446:Prospective Studies; D011788:Quality of Life; D012737:Sex Factors; D019529:Sexuality