Evidence map›Paper›PMID 36412462›Full record

SynthesisAsian journal of andrology2023

Psychological, social, and sexual challenges affecting men receiving male infertility treatment: a systematic review and implications for clinical care.

Winston Wu, Justin La, Kathryn M Schubach, Daniel Lantsberg, Darren J Katz

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Asian journal of andrology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 5 institutions in 2 countries.

Winston WuDepartment of Urology, Western Health, St Albans, VIC 3021, Australia.
Justin LaDepartment of Urology, Kaiser Permanente San Rafael Medical Center, San Rafael, CA 94903, USA.
Kathryn M SchubachMen's Health Melbourne, Melbourne, VIC 3000, Australia.
Daniel LantsbergMen's Health Melbourne, Melbourne, VIC 3000; Reproductive Services Unit, The Royal Women's Hospital, Parkville, VIC 3052; Melbourne IVF, East Melbourne, VIC 3002, Australia.
Darren J KatzDepartment of Urology, Western Health, St Albans, VIC 3021; Men's Health Melbourne, Melbourne, VIC 3000; Department of Surgery, Western Precinct, University of Melbourne, Parkville, VIC 3010, Australia.
Kaiser Permanente San Rafael Medical Center · USMelbourne Health · AUMyer Foundation · AUUniversity of Melbourne · AUWestern Health · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In recent years, social research surrounding the consequences of infertility has increasingly focused on the male perspective; however, a gap exists in the understanding of men's experiences of male infertility treatment. This review aims to synthesize the existing evidence concerning the psychological, social, and sexual burden of male infertility treatment on men, as well as patient needs during clinical care. A systematic search identified 12 studies that are diverse in design, setting, and methods. Psychological evaluations have found that urological surgery may have a lasting impact on infertility-specific stress, and treatment failure can lead to feelings of depression, grief, and inadequacy. Men tended to have an avoidant coping mechanism throughout fertility treatment, and their self-esteem, relationship quality, and sexual functions can be tied to outcomes of treatment. Partner bonds can be strengthened by mutual support and enhanced communication; couple separation, however, has been noted as a predominant reason for discontinuing male infertility treatment and may be associated with difficult circumstances surrounding severe male infertility. Surgical treatments can affect the sexual functioning of infertile men; however, the impact of testicular sperm extraction outcomes appears to be psychologically driven whereas the improvements after microsurgical varicocelectomy are only evident in hypogonadal men. Clinically, there is a need for better inclusion, communication, education, and resource provision, to address reported issues of marginalization and uncertainty in men. Routine psychosocial screening in cases of severe male infertility and follow-up in cases of surgical treatment failure are likely beneficial.

Indexed as

InfertilityInfertility, MaleFertilityHumansMaleSemenStress, Psychologicalmale infertilitymale infertility treatmentpatient-centered carepatient experiencepsychosocialsexual

Identifiers

PMID36412462
PMCPMC10411259
OpenAlexW4309660720

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.