Skip to main content
Top
Published in: Health and Quality of Life Outcomes 1/2012

Open Access 01-12-2012 | Research

Procreative sex in infertile couples: the decay of pleasure?

Authors: Roberto Marci, Angela Graziano, Isabella Piva, Giuseppe Lo Monte, Ilaria Soave, Emilio Giugliano, Silvia Mazzoni, Roberta Capucci, Maria Carbonara, Stefano Caracciolo, Alfredo Patella

Published in: Health and Quality of Life Outcomes | Issue 1/2012

Login to get access

Abstract

Background

Infertility represents a major challenge to the emotional balance and sexual life of couples, with long-lasting and gender-specific effects. The objective of this study is to explore personality features of infertile patients and detect possible sexual disorders in couples undergoing infertility treatment.

Materials and methods

In this prospective study 60 infertile couples and 52 fertile control couples were asked to complete standardized and validated questionnaires: the Adjective Check List (ACL) to enquire about personality features and the Female Sexual Function Index (FSFI) or the International Index of Erectile Function (IIEF) to assess sexual functioning of female and male partners. The study population was divided into 3 groups: Group A (N = 30, recently diagnosed infertile couples) Group B (N = 30, infertile couples already undergoing Intrauterine Insemination) and Group C (N = 52, fertile control group).

Results

Infertile patients did not display any distinguishing personality features. Regarding sexual function, men of all the three groups scored higher in both questionnaires (sexual satisfaction, desire and orgasm) than their female partners. Comparing results between groups, Group A male partners obtained lower scores in all the subscales. Women belonging to Group A and Group B showed an impairment of sexual arousal, satisfaction, lubrification and orgasm when compared to fertile controls.

Conclusions

Even if at the very first stages of infertility treatment no personality disturbances can be detected, the couples’ sexual life is already impaired with different sexual disorders according to gender.
Literature
1.
go back to reference Zegers-Hochschild F, Adamson GD, de Mouzon J, Ishihara O, Mansour R, Nygren K, Sullivan E, Vanderpoel S: International Committee for Monitoring Assisted Reproductive Technology; World Health Organization. International Committee for Monitoring Assisted Reproductive Technology (ICMART) and the World Health Organization (WHO) revised glossary of ART terminology. Fertil Steril 2009, 92: 1520–1524. 10.1016/j.fertnstert.2009.09.009CrossRefPubMed Zegers-Hochschild F, Adamson GD, de Mouzon J, Ishihara O, Mansour R, Nygren K, Sullivan E, Vanderpoel S: International Committee for Monitoring Assisted Reproductive Technology; World Health Organization. International Committee for Monitoring Assisted Reproductive Technology (ICMART) and the World Health Organization (WHO) revised glossary of ART terminology. Fertil Steril 2009, 92: 1520–1524. 10.1016/j.fertnstert.2009.09.009CrossRefPubMed
3.
go back to reference Nene UA, Coyaji K, Apte H: Infertility: a label of choice in the case of sexually dysfunctional couples. Patient Educ Couns 2005, 59: 234–238. 10.1016/j.pec.2005.08.005CrossRefPubMed Nene UA, Coyaji K, Apte H: Infertility: a label of choice in the case of sexually dysfunctional couples. Patient Educ Couns 2005, 59: 234–238. 10.1016/j.pec.2005.08.005CrossRefPubMed
4.
go back to reference Wischmann TH: Sexual disorders in infertile couples. J Sex Med 2010, 7: 1868–1876. 10.1111/j.1743-6109.2010.01717.xCrossRefPubMed Wischmann TH: Sexual disorders in infertile couples. J Sex Med 2010, 7: 1868–1876. 10.1111/j.1743-6109.2010.01717.xCrossRefPubMed
5.
go back to reference Cousineau TM, Domar AD: Psychological impact of infertility. Best Pract Res Clin Obstet Gynaecol 2007, 21: 293–308. 10.1016/j.bpobgyn.2006.12.003CrossRefPubMed Cousineau TM, Domar AD: Psychological impact of infertility. Best Pract Res Clin Obstet Gynaecol 2007, 21: 293–308. 10.1016/j.bpobgyn.2006.12.003CrossRefPubMed
6.
go back to reference Wirtberg I, Möller A, Hogström L, Tronstad SE, Lalos A: Life 20 years after unsuccessful infertility treatment. Hum Reprod 2007, 22: 598–604.CrossRefPubMed Wirtberg I, Möller A, Hogström L, Tronstad SE, Lalos A: Life 20 years after unsuccessful infertility treatment. Hum Reprod 2007, 22: 598–604.CrossRefPubMed
7.
go back to reference Ohl J, Reder F, Fernandez A, Bettahar-Lebugle K, Rongières C, Nisand I: Impact of infertility and assisted reproductive techniques on sexuality. Gynecol Obstet Fertil 2009, 37: 25–32. 10.1016/j.gyobfe.2008.08.012CrossRefPubMed Ohl J, Reder F, Fernandez A, Bettahar-Lebugle K, Rongières C, Nisand I: Impact of infertility and assisted reproductive techniques on sexuality. Gynecol Obstet Fertil 2009, 37: 25–32. 10.1016/j.gyobfe.2008.08.012CrossRefPubMed
8.
go back to reference Coëffin-Driol C, Giami A: L’impact de l’infertilité et de ses traitments sur la vie sexuelle et la relation de couple: revue de la literature. Gynecol Obstet Fertil 2004, 32: 624–637. 10.1016/j.gyobfe.2004.06.004CrossRefPubMed Coëffin-Driol C, Giami A: L’impact de l’infertilité et de ses traitments sur la vie sexuelle et la relation de couple: revue de la literature. Gynecol Obstet Fertil 2004, 32: 624–637. 10.1016/j.gyobfe.2004.06.004CrossRefPubMed
9.
go back to reference Greil AL: Infertility and psychological distress: a critical review of the literature. Soc Sci Med 1997, 45: 1679–1704. 10.1016/S0277-9536(97)00102-0CrossRefPubMed Greil AL: Infertility and psychological distress: a critical review of the literature. Soc Sci Med 1997, 45: 1679–1704. 10.1016/S0277-9536(97)00102-0CrossRefPubMed
10.
go back to reference Nelson CJ, Shindel AW, Naughton CK, Ohebshalom M, Mulhall JP: Prevalence and predictors of sexual problems, relationship stress, and depression in female partners of infertile couples. J Sex Med 2008, 5: 1907–1914. 10.1111/j.1743-6109.2008.00880.xCrossRefPubMed Nelson CJ, Shindel AW, Naughton CK, Ohebshalom M, Mulhall JP: Prevalence and predictors of sexual problems, relationship stress, and depression in female partners of infertile couples. J Sex Med 2008, 5: 1907–1914. 10.1111/j.1743-6109.2008.00880.xCrossRefPubMed
11.
go back to reference Seibel M, Taymore M: Emotional aspects of infertility. Fertil Steril 1982, 37: 137–145.PubMed Seibel M, Taymore M: Emotional aspects of infertility. Fertil Steril 1982, 37: 137–145.PubMed
12.
go back to reference Cloninger CR, Svrakic DM, Przybeck TR: A psychobiological model of temperament and character. Arch Gen Psychiatry 1993, 50: 975–990. 10.1001/archpsyc.1993.01820240059008CrossRefPubMed Cloninger CR, Svrakic DM, Przybeck TR: A psychobiological model of temperament and character. Arch Gen Psychiatry 1993, 50: 975–990. 10.1001/archpsyc.1993.01820240059008CrossRefPubMed
13.
go back to reference Fassino S, Garzaro L, Peris C, Amianto F, Pierò A, Abbate Daga G: Temperament and character in couplet with fertility disorders: a double-blind, controlled study. Fertil Steril 2002, 77: 1233–1240. 10.1016/S0015-0282(02)03115-1CrossRefPubMed Fassino S, Garzaro L, Peris C, Amianto F, Pierò A, Abbate Daga G: Temperament and character in couplet with fertility disorders: a double-blind, controlled study. Fertil Steril 2002, 77: 1233–1240. 10.1016/S0015-0282(02)03115-1CrossRefPubMed
14.
go back to reference Rothman D, Kaplan DH, Nettles E: Psychosomatic infertility. Am J Obstet Gynecol 1962, 83: 373–378.PubMed Rothman D, Kaplan DH, Nettles E: Psychosomatic infertility. Am J Obstet Gynecol 1962, 83: 373–378.PubMed
15.
go back to reference Csemiczky G, Landgren BM, Collins A: The influence of stress and state anxiety on the outcome of IVF-treatment: psychological and endocrinological assessment of Swedish women entering IVF-treatment. Acta Obstet Gynecol Scand 2000, 79: 113–118. 10.1034/j.1600-0412.2000.079002113.xCrossRefPubMed Csemiczky G, Landgren BM, Collins A: The influence of stress and state anxiety on the outcome of IVF-treatment: psychological and endocrinological assessment of Swedish women entering IVF-treatment. Acta Obstet Gynecol Scand 2000, 79: 113–118. 10.1034/j.1600-0412.2000.079002113.xCrossRefPubMed
16.
go back to reference American Psychiatric Association: Diagnostic and statistical manual of mental health disorders (4th ed). Washington DC: American Psychiatric Association; 1994. American Psychiatric Association: Diagnostic and statistical manual of mental health disorders (4th ed). Washington DC: American Psychiatric Association; 1994.
17.
go back to reference Epstein YM, Rosenberg HS: Depression in primary versus secondary infertility egg recipients. Fertil Steril 2005, 83: 1882–1884. 10.1016/j.fertnstert.2005.01.098CrossRefPubMed Epstein YM, Rosenberg HS: Depression in primary versus secondary infertility egg recipients. Fertil Steril 2005, 83: 1882–1884. 10.1016/j.fertnstert.2005.01.098CrossRefPubMed
18.
go back to reference Lerman H: Questions of validity raised by an adjective check list technique. J Clin Psychol 1963, 19: 198–199. 10.1002/1097-4679(196304)19:2<198::AID-JCLP2270190215>3.0.CO;2-GCrossRefPubMed Lerman H: Questions of validity raised by an adjective check list technique. J Clin Psychol 1963, 19: 198–199. 10.1002/1097-4679(196304)19:2<198::AID-JCLP2270190215>3.0.CO;2-GCrossRefPubMed
19.
go back to reference Zuckerman M, Lubin B: Normative data for the multiple affect adjective check list. Psychol Rep 1965, 16: 438. 10.2466/pr0.1965.16.2.438CrossRefPubMed Zuckerman M, Lubin B: Normative data for the multiple affect adjective check list. Psychol Rep 1965, 16: 438. 10.2466/pr0.1965.16.2.438CrossRefPubMed
20.
go back to reference Bloom PM, Brady JP: An ipsative validation of the multiple affect adjective check list. J Clin Psychol 1968, 24: 45–46. 10.1002/1097-4679(196801)24:1<45::AID-JCLP2270240112>3.0.CO;2-0CrossRefPubMed Bloom PM, Brady JP: An ipsative validation of the multiple affect adjective check list. J Clin Psychol 1968, 24: 45–46. 10.1002/1097-4679(196801)24:1<45::AID-JCLP2270240112>3.0.CO;2-0CrossRefPubMed
21.
go back to reference Gough HG, Heilbrun AB, Fioravanti M: L’Adjective Check list. Firenze: Organizzazioni Speciali; 1980. Gough HG, Heilbrun AB, Fioravanti M: L’Adjective Check list. Firenze: Organizzazioni Speciali; 1980.
22.
go back to reference Herron EW: The multiple affect adjective check list: a critical analysis. J Clin Psychol 1969, 25: 46–53. 10.1002/1097-4679(196901)25:1<46::AID-JCLP2270250113>3.0.CO;2-OCrossRefPubMed Herron EW: The multiple affect adjective check list: a critical analysis. J Clin Psychol 1969, 25: 46–53. 10.1002/1097-4679(196901)25:1<46::AID-JCLP2270250113>3.0.CO;2-OCrossRefPubMed
23.
go back to reference Itzhar-Nabarro Z, Silberschatz G, Curtis JT: The adjective check list as an outcome measure: assessment of personality change in psychotherapy. Psychother Res 2009, 19(6):707–717. 10.1080/10503300902988760CrossRefPubMed Itzhar-Nabarro Z, Silberschatz G, Curtis JT: The adjective check list as an outcome measure: assessment of personality change in psychotherapy. Psychother Res 2009, 19(6):707–717. 10.1080/10503300902988760CrossRefPubMed
24.
go back to reference Rosen RC, Riley A, Wagner G, Osterloh IH, Kirkpatrick J, Mishra A: The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology 1997, 49: 822–830. 10.1016/S0090-4295(97)00238-0CrossRefPubMed Rosen RC, Riley A, Wagner G, Osterloh IH, Kirkpatrick J, Mishra A: The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology 1997, 49: 822–830. 10.1016/S0090-4295(97)00238-0CrossRefPubMed
25.
go back to reference Rosen RC, Cappelleri JC, Gendrano N: The international index of erectile function (IIEF): a state-of-the-science review. Int J Impot Res 2002, 14: 226–244. 10.1038/sj.ijir.3900857CrossRefPubMed Rosen RC, Cappelleri JC, Gendrano N: The international index of erectile function (IIEF): a state-of-the-science review. Int J Impot Res 2002, 14: 226–244. 10.1038/sj.ijir.3900857CrossRefPubMed
26.
go back to reference Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, Ferguson D, D'Agostino R: The female sexual function index (FSFI): a multidimensional self-reported instrument for the assessment of female sexual function. J Sex Marital Ther 2000, 26: 191–208. 10.1080/009262300278597CrossRefPubMed Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, Ferguson D, D'Agostino R: The female sexual function index (FSFI): a multidimensional self-reported instrument for the assessment of female sexual function. J Sex Marital Ther 2000, 26: 191–208. 10.1080/009262300278597CrossRefPubMed
27.
go back to reference Nappi RE, Albani F, Vaccaro P, Gardella B, Salonia A, Chiovato L, Spinillo A, Polatti F: Use of the Italian translation of the Female Sexual Function Index (FSFI) in routine gynecological practice. Gynecol Endocrinol 2008, 24: 214–219. 10.1080/09513590801925596CrossRefPubMed Nappi RE, Albani F, Vaccaro P, Gardella B, Salonia A, Chiovato L, Spinillo A, Polatti F: Use of the Italian translation of the Female Sexual Function Index (FSFI) in routine gynecological practice. Gynecol Endocrinol 2008, 24: 214–219. 10.1080/09513590801925596CrossRefPubMed
28.
go back to reference Monga M, Alexandrescu B, Katz SE, Stein M, Ganiats T: Impact of infertility on quality of life, marital adjustment, and sexual function. Urology 2004, 63: 126–130. 10.1016/j.urology.2003.09.015CrossRefPubMed Monga M, Alexandrescu B, Katz SE, Stein M, Ganiats T: Impact of infertility on quality of life, marital adjustment, and sexual function. Urology 2004, 63: 126–130. 10.1016/j.urology.2003.09.015CrossRefPubMed
29.
go back to reference Anderson KM, Sharpe M, Rattray A, Irvine DS: Distress and concerns in couples referred to a specialist infertility clinic. J Psychosom Res 2003, 54: 353–355. 10.1016/S0022-3999(02)00398-7CrossRefPubMed Anderson KM, Sharpe M, Rattray A, Irvine DS: Distress and concerns in couples referred to a specialist infertility clinic. J Psychosom Res 2003, 54: 353–355. 10.1016/S0022-3999(02)00398-7CrossRefPubMed
30.
go back to reference Hamberger L, Janson PO: Global importance of infertility and its treatment: role of fertility technologies. Int J Gynaecol Obstet 1997, 58: 149–158. 10.1016/S0020-7292(97)00286-5CrossRefPubMed Hamberger L, Janson PO: Global importance of infertility and its treatment: role of fertility technologies. Int J Gynaecol Obstet 1997, 58: 149–158. 10.1016/S0020-7292(97)00286-5CrossRefPubMed
31.
go back to reference Wright J, Duchesne C, Sabourin S, Bissonnette F, Benoit J, Girard Y: Psychosocial distress and infertility: men and women respond differently. Fertil Steril 1991, 55: 100–108.PubMed Wright J, Duchesne C, Sabourin S, Bissonnette F, Benoit J, Girard Y: Psychosocial distress and infertility: men and women respond differently. Fertil Steril 1991, 55: 100–108.PubMed
32.
go back to reference Benazon N, Wright J, Sabourin S: Stress, sexual satisfaction, and marital adjustment in infertile couples. J Sex Marital Ther 1992, 18: 273–284. 10.1080/00926239208412852CrossRefPubMed Benazon N, Wright J, Sabourin S: Stress, sexual satisfaction, and marital adjustment in infertile couples. J Sex Marital Ther 1992, 18: 273–284. 10.1080/00926239208412852CrossRefPubMed
33.
go back to reference Laffont I, Edelmann RJ: Psychological aspects of in vitro fertilization: a gender comparison. J Psychosom Obstet Gynaecol 1994, 15: 85–92. 10.3109/01674829409025633CrossRefPubMed Laffont I, Edelmann RJ: Psychological aspects of in vitro fertilization: a gender comparison. J Psychosom Obstet Gynaecol 1994, 15: 85–92. 10.3109/01674829409025633CrossRefPubMed
34.
go back to reference Saleh RA, Ranga GM, Raina R, Nelson DR, Agarwal A: Sexual dysfunction in men undergoing infertility evaluation: a cohort observational study. Fertil Steril 2003, 79: 909–912. 10.1016/S0015-0282(02)04921-XCrossRefPubMed Saleh RA, Ranga GM, Raina R, Nelson DR, Agarwal A: Sexual dysfunction in men undergoing infertility evaluation: a cohort observational study. Fertil Steril 2003, 79: 909–912. 10.1016/S0015-0282(02)04921-XCrossRefPubMed
Metadata
Title
Procreative sex in infertile couples: the decay of pleasure?
Authors
Roberto Marci
Angela Graziano
Isabella Piva
Giuseppe Lo Monte
Ilaria Soave
Emilio Giugliano
Silvia Mazzoni
Roberta Capucci
Maria Carbonara
Stefano Caracciolo
Alfredo Patella
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2012
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/1477-7525-10-140

Other articles of this Issue 1/2012

Health and Quality of Life Outcomes 1/2012 Go to the issue