Skip to main content
Top
Published in: Reproductive Biology and Endocrinology 1/2021

Open Access 01-12-2021 | Research

Influence of age, stigma and social support on male temporary ejaculation failure on IVF oocyte retrieval day

Authors: Jinluan Wang, Mingyue Xue

Published in: Reproductive Biology and Endocrinology | Issue 1/2021

Login to get access

Abstract

Objective

To explore the social and psychological factors associated with male Temporary Ejaculation Failure (TEF) during In Vitro Fertilization (IVF), with the goal of providing a theoretical basis for clinical intervention and treatment.

Methods

The study included 75 TEF patients and 223 non-TEF patients undergoing IVF treatment at the center of reproduction and genetics of Integrated Chinese and Western medicine in the Affiliated Hospital of Shandong University of Traditional Chinese Medicine from May 2019 to May 2020. A questionnaire survey was then administered to the study subjects. The questionnaires included general information, Perceived Stress Scale (PSS), Stigma Questionnaire, Perceived Social Support Scale (PSSS), and Positive Psychological Capital Questionnaire (PPQ). Logistic regression analysis was then used to analyze the social psychological factors associated with the research objectives.

Results

Comparison of social demographic factors and clinical data between TEF group and non-TEF group: there were significant differences in the age and educational level between the two groups (P< 0.05), and the average age of the TEF group (37.01±7.11) was significantly higher than that of the non-TEF group (34.89±6.24). In addition, patients with high school or technical secondary school education levels had the lowest probability of TEF(X2=7.662, P=0.022). 2. The difference of related social and psychological factors between the two groups: the scores of perceived stress (17.57±6.51) and stigma (4.52±3.87) in the TEF group were significantly higher than those in the non-TEF group, which were (15.50±5.00, P< 0.05) and (2.61±3.52, P< 0.05), respectively. On the other hand, the scores of social support (55.31±14.04) and psychological capital (121.73±25.93) in the TEF group were significantly lower than those in the non-TEF group, which were (60.74±10.93, P< 0.05) and (130.31±17.32, P< 0.05), respectively. Results Obtained after conducting univariate logistic regression analysis indicated that age (OR=1.051, P=0.016), perceived stress (OR=1.073, P=0.005), stigma (OR=1.139, P< 0.001), family support (OR=0.901, P< 0.001), friend support (OR=0.932, P=0.023), other support (OR=0.915, P=0.004), self-efficacy (OR=0.947, P=0.009), resilience (OR=0.947, P=0.013), hope (OR=0.930, P=0.002), and optimism (OR=0.953, P=0.032) can all significantly affect male TEF.4. Moreover, the multivariate logistic regression analysis results indicated that age (OR=1.071, P=0.002) and stigma (OR=1.132, P=0.003) can positively predict TEF, while family support (OR=0.877, P=0.012) can negatively predict TEF.

Conclusions

The results obtained in this study have indicated that age and stigma are independent risk factors for male TEF, while family support is a protective factor of TEF. Analyzing the treatment of TEF from a socio-psychological perspective provides a new intervention target for effectively reducing its incidence, thereby helping to improve the success rate of IVF.
Literature
1.
go back to reference Nerenz RD. Omics in reproductive medicine: application of novel technologies to improve the IVFwo success rate. Adv Clin Chem. 2016;76:55–95.CrossRef Nerenz RD. Omics in reproductive medicine: application of novel technologies to improve the IVFwo success rate. Adv Clin Chem. 2016;76:55–95.CrossRef
2.
go back to reference Li L, Zeng D, Li F, et al. Prevalence and risk factors of ejaculation failure on the day of operation among Chinese males undergoing assisted reproductive technique treatments. J Reprod Med. 2016;61(7–8):385–9.PubMed Li L, Zeng D, Li F, et al. Prevalence and risk factors of ejaculation failure on the day of operation among Chinese males undergoing assisted reproductive technique treatments. J Reprod Med. 2016;61(7–8):385–9.PubMed
3.
go back to reference Peng J, Yuan YM, Zhang ZC, et al. Microsurgical vasoepididymostomy is an effective treatment for azoospermic patients with epididymal obstruction and prior failure to achieve pregnancy by sperm retrieval with intracytoplasmic sperm injection. Hum Reprod. 2014;29(1):1–7.CrossRef Peng J, Yuan YM, Zhang ZC, et al. Microsurgical vasoepididymostomy is an effective treatment for azoospermic patients with epididymal obstruction and prior failure to achieve pregnancy by sperm retrieval with intracytoplasmic sperm injection. Hum Reprod. 2014;29(1):1–7.CrossRef
4.
go back to reference Xin YL, Xia GF, Wang CX, et al. Qualitative study on physical and mental experience of patients with masturbation failure. Chin J Reprod Contracept. 2019;7:566–9. Xin YL, Xia GF, Wang CX, et al. Qualitative study on physical and mental experience of patients with masturbation failure. Chin J Reprod Contracept. 2019;7:566–9.
5.
go back to reference Gana K, Jakubowska S. Relationship between infertility-related stress and emotional distress and marital satisfaction. J Health Psychol. 2016;21(6):1043–54.CrossRef Gana K, Jakubowska S. Relationship between infertility-related stress and emotional distress and marital satisfaction. J Health Psychol. 2016;21(6):1043–54.CrossRef
6.
go back to reference Sims R, Gordon S, Garcia W, et al. Perceived stress and eating behaviors in a community-based sample of African Americans. Eat Behav. 2008;9(2):137–42.CrossRef Sims R, Gordon S, Garcia W, et al. Perceived stress and eating behaviors in a community-based sample of African Americans. Eat Behav. 2008;9(2):137–42.CrossRef
7.
go back to reference Fu B, Qin N, Cheng L, et al. Development and validation of an infertility stigma scale for Chinese women. J Psychosom Res. 2015;79(1):69–75.CrossRef Fu B, Qin N, Cheng L, et al. Development and validation of an infertility stigma scale for Chinese women. J Psychosom Res. 2015;79(1):69–75.CrossRef
8.
go back to reference Zhong X, Jiang QJ, Wu ZX, et al. Influence of life events social support stress response on coping style of medical staff. Chin Behav Med Sci. 2004;5:84–6. Zhong X, Jiang QJ, Wu ZX, et al. Influence of life events social support stress response on coping style of medical staff. Chin Behav Med Sci. 2004;5:84–6.
9.
go back to reference Zhang K, Zhang S, Dong YH. Positive psychological capital: measurement and its relationship with mental health. Psychol Behav Res. 2010;8(01):58–64. Zhang K, Zhang S, Dong YH. Positive psychological capital: measurement and its relationship with mental health. Psychol Behav Res. 2010;8(01):58–64.
10.
go back to reference Shang XJ, Hua XL, Huang YF. Delayed hypogonadism and sexual dysfunction in men. Int J Reprod Health Fam Plann. 2011;30(01):14–7. Shang XJ, Hua XL, Huang YF. Delayed hypogonadism and sexual dysfunction in men. Int J Reprod Health Fam Plann. 2011;30(01):14–7.
11.
go back to reference Li L, Ma L, Li F, et al. Incidence and risk factors of ejaculation disorders in men undergoing semen examination. J Wuhan Univ (Medical Edition). 2020:41(06):959–962+981. Li L, Ma L, Li F, et al. Incidence and risk factors of ejaculation disorders in men undergoing semen examination. J Wuhan Univ (Medical Edition). 2020:41(06):959–962+981.
12.
go back to reference Sidney G, B S J, Nelson A, et al. Testicular histopathological diagnosis as a predictive factor for retrieving spermatozoa for ICSI in non-obstructive azoospermic patients. Int Braz J Urol. 2005;31(4):338–41. Sidney G, B S J, Nelson A, et al. Testicular histopathological diagnosis as a predictive factor for retrieving spermatozoa for ICSI in non-obstructive azoospermic patients. Int Braz J Urol. 2005;31(4):338–41.
13.
go back to reference Liu XH. Relationship between sleep quality and stress perception, resilience and social support in community residents: Shandong University; 2016. Liu XH. Relationship between sleep quality and stress perception, resilience and social support in community residents: Shandong University; 2016.
14.
go back to reference Ombuor R, Ombuor R. IVF faces stigma in Kenya . Voice of America News / FIND; 2016. Ombuor R, Ombuor R. IVF faces stigma in Kenya . Voice of America News / FIND; 2016.
15.
go back to reference Silatham S, H V B W. Stigma in leprosy: concepts, causes and determinants. Lepr Rev. 2014;85(1):36–47. Silatham S, H V B W. Stigma in leprosy: concepts, causes and determinants. Lepr Rev. 2014;85(1):36–47.
16.
go back to reference Francisco R-C, Adrián S-C, Cristina G-A, et al. The mediating role of psychological capital between motivational orientations and their organizational consequences. Int J Environ Res Public Health. 2020;17(13):4864. Francisco R-C, Adrián S-C, Cristina G-A, et al. The mediating role of psychological capital between motivational orientations and their organizational consequences. Int J Environ Res Public Health. 2020;17(13):4864.
17.
go back to reference Qadir, Khalid, Medhin. Social Support, Marital Adjustment, and Psychological Distress Among Women With Primary Infertility in Pakistan. Women & Health. 2015; 55(4):432–446. Qadir, Khalid, Medhin. Social Support, Marital Adjustment, and Psychological Distress Among Women With Primary Infertility in Pakistan. Women & Health. 2015; 55(4):432–446.
18.
go back to reference Dong YZ, Yang XX. Investigation on the mental health and social support of men in the first IVF embryo transfer treatment. Medical Forum Magazine. 2012;33(05):84–5. Dong YZ, Yang XX. Investigation on the mental health and social support of men in the first IVF embryo transfer treatment. Medical Forum Magazine. 2012;33(05):84–5.
19.
go back to reference Slade P, Raval H, Buck P, et al. A 3-year follow-up of emotional, marital and sexual functioning in couples who were infertile. J Reprod Infant Psychol. 1992;10(4):233–43.CrossRef Slade P, Raval H, Buck P, et al. A 3-year follow-up of emotional, marital and sexual functioning in couples who were infertile. J Reprod Infant Psychol. 1992;10(4):233–43.CrossRef
20.
go back to reference Jain K, Radhakrishnan G, Agrawal P. Infertility and psychosexual disorders: relationship in infertile couples. Indian J Med Sci. 2000;54(1):1–7.PubMed Jain K, Radhakrishnan G, Agrawal P. Infertility and psychosexual disorders: relationship in infertile couples. Indian J Med Sci. 2000;54(1):1–7.PubMed
21.
go back to reference Kirkman M. Thinking of something to say: public and private narratives of infertility. Health Care Women Int. 2001;22(6):523–35.CrossRef Kirkman M. Thinking of something to say: public and private narratives of infertility. Health Care Women Int. 2001;22(6):523–35.CrossRef
22.
go back to reference Fu M. A study on the relationship among family support, psychological capital and career orientation of college students: Sichuan Normal University; 2015. Fu M. A study on the relationship among family support, psychological capital and career orientation of college students: Sichuan Normal University; 2015.
23.
go back to reference Li M, Wang BY. Research progress of psychological support treatment for infertility. Foreign Med (Family Planning Division). 2005;2:54–6 +60. Li M, Wang BY. Research progress of psychological support treatment for infertility. Foreign Med (Family Planning Division). 2005;2:54–6 +60.
Metadata
Title
Influence of age, stigma and social support on male temporary ejaculation failure on IVF oocyte retrieval day
Authors
Jinluan Wang
Mingyue Xue
Publication date
01-12-2021
Publisher
BioMed Central
Published in
Reproductive Biology and Endocrinology / Issue 1/2021
Electronic ISSN: 1477-7827
DOI
https://doi.org/10.1186/s12958-020-00691-z

Other articles of this Issue 1/2021

Reproductive Biology and Endocrinology 1/2021 Go to the issue