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Sexual Dysfunction and Infertility

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Male Infertility

Abstract

Human sexuality is influenced by one’s cultural, societal, religious and personal beliefs. Importantly, sexuality influences ones sexual behaviour. Sexual dysfunctions can affect either the male or the female partner in a couple. A sexual dysfunction is said to occur when there is a problem affecting any one of the phases of desire, arousal, orgasm and resolution, in the human sexual response cycle. This chapter briefly describes the various causes of sexual dysfunctions afflicting both male and female, commonly encountered in an infertility setting. While giving an in-depth review of the different sexual dysfunctions is beyond the scope of this chapter, the aim of this chapter is to briefly describe management strategies for the various dysfunctions which can be used at a primary care level.

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References

  • Abramson PR, Pinkerton SD. With pleasure: thoughts on the nature of human sexuality. New York: Oxford University Press; 2002.

    Google Scholar 

  • American Psychiatric Association. Task force on sexually dangerous offenders. Dangerous sex offenders: a task force report of the American Psychiatric Association. Washington, D.C: American Psychiatric Pub; 1999.

    Google Scholar 

  • American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5®). Washington, DC: American Psychiatric Publication; 2013.

    Book  Google Scholar 

  • Aydin S, Odabas Ö, Ercan M, Kara H, Agargün MY. Efficacy of testosterone, trazodone and hypnotic suggestion in the treatment of non-organic male sexual dysfunction. Br J Urol. 1996;77(2):256–60.

    Google Scholar 

  • Basson R, Rees P, Wang R, Montejo AL, Incrocci L. Sexual function in chronic illness. J Sex Med. 2010;7(1pt2):374–88.

    Article  PubMed  Google Scholar 

  • Buffum J. Pharmacosexology: the effects of drugs on sexual function–a review. J Psychoactive Drugs. 1982;14(1–2):5–44.

    Article  CAS  PubMed  Google Scholar 

  • Connolly KJ, Edelmann RJ, Cooke ID. Distress and marital problems associated with infertility. J Reprod Infant Psychol. 1987;5(1):49–57.

    Article  Google Scholar 

  • DeBusk R, Drory Y, Goldstein I, Jackson G, Kaul S, Kimmel SE, Kostis JB, Kloner RA, Lakin M, Meston CM, Mittleman M. Management of sexual dysfunction in patients with cardiovascular disease: recommendations of the Princeton Consensus Panel. Am J Cardiol. 2000;86(2):62–8.

    Article  Google Scholar 

  • Dunn ME, Trost JE. Male multiple orgasms: a descriptive study. Arch Sex Behav. 1989;18:377–87.

    Article  CAS  PubMed  Google Scholar 

  • Elia G, Bergman A. Pelvic muscle exercises: when do they work? Obstetrics Gynecol. 1993;81(2):283–6.

    CAS  Google Scholar 

  • Epstein N. Cognitive therapy with couples. Springer, Pennsylvania; 1983.

    Google Scholar 

  • Frank E, Anderson C, Rubinstein D. Frequency of sexual dysfunction in normal couples. N Engl J Med. 1978;299(3):111–5.

    Article  CAS  PubMed  Google Scholar 

  • Goldstein I, Young JM, Fischer J, Bangerter K, Segerson T, Taylor T. Vardenafil, a new phosphodiesterase type 5 inhibitor, in the treatment of erectile dysfunction in men with diabetes a multicenter double-blind placebo-controlled fixed-dose study. Diabetes Care. 2003;26(3):777–83.

    Article  CAS  PubMed  Google Scholar 

  • Gratzke C, et al. Anatomy, physiology, and patho-physiology of erectile dysfunction. J Sex Med. 2010;7(1 Pt 2):445–75.

    Article  CAS  PubMed  Google Scholar 

  • Grenier G, Byers ES. The relationships among ejaculatory control, ejaculatory latency, and attempts to prolong heterosexual intercourse. Arch Sex Behav. 1997;26(1):27–47.

    Article  CAS  PubMed  Google Scholar 

  • Habke AM, Hewitt PL, Flett GL. Perfectionism and sexual satisfaction in intimate relationships. J Psychopathol Beha Asses. 1999;21(4):307–22.

    Article  Google Scholar 

  • Halvorsen JG, Metz ME. Sexual dysfunction, part II: diagnosis, management, and prognosis. J Am Board Fam Pract. 1992;5(2):177–92.

    CAS  PubMed  Google Scholar 

  • Horowitz JD, Goble AJ. Drugs and impaired male sexual function. Drugs. 1979;18(3):206–17.

    Article  CAS  PubMed  Google Scholar 

  • Kaplan HS. The evaluation of sexual disorders: psychological and medical aspects. New York: Psychology Press; 1983.

    Google Scholar 

  • Kaplan HS. The new sex therapy. Springer, New York; 1980.

    Google Scholar 

  • Khan SD, Pandiyan N. Ejaculatory dysfunction—a mini review. Adv SexMed. 2015;5(02):39.

    CAS  Google Scholar 

  • Laan E, van Lunsen RH. Hormones and sexuality in postmenopausal women: a psychophysiological study. J Psychosom Obstet Gynecol. 1997;18:126–33.

    Article  CAS  Google Scholar 

  • Laumann EO, et al. The epidemiology of erectile dysfunction: results from the national health and social life survey. Int J Impot Res. 1999;11 Suppl 1:S60–4.

    Article  CAS  PubMed  Google Scholar 

  • Malavige LS, Levy JC. Erectile dysfunction in diabetes mellitus. J Sex Med. 2009;6(5):1232–47.

    Article  PubMed  Google Scholar 

  • Masters WH, Masters VJ. Human sexual response. New York: Bantam Books; 1986.

    Google Scholar 

  • McCarthy BW, Fucito LM. Integrating medication, realistic expectations, and therapeutic interventions in the treatment of male sexual dysfunction. J Sex Marital Ther. 2005;31(4):319–28.

    Article  PubMed  Google Scholar 

  • McMahon CG, Althof SE, Waldinger MD, Porst H, Dean J, Sharlip ID, Adaikan PG, Becher E, Broderick GA, Buvat J, Dabees K. REPORT: an evidence-based definition of lifelong premature ejaculation: report of the International Society for Sexual Medicine (ISSM) Ad Hoc committee for the definition of premature ejaculation. J Sex Med. 2008;5(7):1590–606.

    Google Scholar 

  • Meston CM, Buss DM. Why humans have sex. Arch Sex Beha. 2007;36(4):477–507.

    Article  Google Scholar 

  • Meston CM, Hull E, Levin RJ, Sipski M. Disorders of orgasm in women. J Sex Med. 2004;1(1):66–8.

    Article  PubMed  Google Scholar 

  • Metz ME, McCarthy BW. The “Good-Enough Sex” model for couple sexual satisfaction. Sex Relation Therapy. 2007;22(3):351–62.

    Article  Google Scholar 

  • Metz ME, Pryor JL, Nesvacil LJ, Abuzzahab Sr F, Koznar J. Premature ejaculation: a psychophysiological review. J Sex Marital Ther. 1997;23(1):3–23.

    Article  CAS  PubMed  Google Scholar 

  • Millheiser LS, Helmer AE, Quintero RB, Westphal LM, Milki AA, Lathi RB. Is infertility a risk factor for female sexual dysfunction? A case–control study. Fertil Steril. 2010;94(6):2022–5.

    Article  PubMed  Google Scholar 

  • Miner M, et al. Cardiometabolic risk and female sexual health: the Princeton III summary. J Sex Med. 2012;9(3):641–51.

    Article  PubMed  Google Scholar 

  • Morales A, Gingell C, Collins M, Wicker PA, Osterloh IH, Montorsi F, Wagner G. Clinical safety of oral sildenafil citrate (ViagraTM) in the treatment of erectile dysfunction. Int J Impot Res. 1998;10(2):69–74.

    Article  CAS  PubMed  Google Scholar 

  • Padma-Nathan H, Steers WD, Wicker PA. Efficacy and safety of oral sildenafil in the treatment of erectile dysfunction: a double-blind, placebo-controlled study of 329 patients. Sildenafil Study Group. Int J Clin Pract. 1998;52(6):375–9.

    CAS  PubMed  Google Scholar 

  • Phillips NA. The clinical evaluation of dyspareunia. Int J Impot Res. 1998;10 Suppl 2:S117–20.

    PubMed  Google Scholar 

  • Phillips NA. Female sexual dysfunction: evaluation and treatment. Am Fam Physician. 2000;62(1):127–48.

    CAS  PubMed  Google Scholar 

  • Ramezanzadeh F, Aghssa MM, Jafarabadi M, Zayeri F. Alterations of sexual desire and satisfaction in male partners of infertile couples. Fertil Steril. 2006;85(1):139–43.

    Article  PubMed  Google Scholar 

  • Read S, King M, Watson J. Sexual dysfunction in primary medical care: prevalence, characteristics and detection by the general practitioner. J Public Health. 1997;19(4):387–91.

    Article  CAS  Google Scholar 

  • Rosen R, Altwein J, Boyle P, Kirby RS, Lukacs B, Meuleman E, O’Leary MP, Puppo P, Robertson C, Giuliano F. Lower urinary tract symptoms and male sexual dysfunction: the multinational survey of the aging male (MSAM-7). Eur Urol. 2003;44(6):637–49.

    Article  PubMed  Google Scholar 

  • Segraves RT, Madsen R, Carter CS, Davis JM. Erectile dysfunction associated with pharmacological agents. In: Diagnosis and treatment of erectile disturbances. Springer, New york; 1985. p. 23–63.

    Google Scholar 

  • Simon JA, Kingsberg SA, Shumel B, Hanes V, Garcia Jr M, Sand M. Efficacy and safety of flibanserin in postmenopausal women with hypoactive sexual desire disorder: results of the SNOWDROP trial. Menopause. 2014;21:633–40.

    Article  PubMed  Google Scholar 

  • Smith JF, Walsh TJ, Shindel AW, Turek PJ, Wing H, Pasch L, Katz PP. Sexual, marital, and social impact of a man’s perceived infertility diagnosis. J Sex Med. 2009;6(9):2505–15.

    Article  PubMed  PubMed Central  Google Scholar 

  • Striar S, Bartlik B. Stimulation of the libido: the use of erotica in sex therapy. Psychiatric Anna. 1999;29(1):60–2.

    Article  Google Scholar 

  • Taylor B, Davis S. Using the extended PLISSIT model to address sexual healthcare needs. Nurs Stand. 2006;21(11):35–40.

    Article  PubMed  Google Scholar 

  • Thranov I, Klee M. Sexuality among gynaecologic cancer patients—a cross-sectional study. Gynecol Oncol. 1994;52:14–9.

    Article  CAS  PubMed  Google Scholar 

  • Weiner DN, Rosen RC. Medications and their impact. In: Sipski ML, Alexander CJ, editors. Sexual function in people with disability and chronic illness: a health professional’s guide. Gaithersburg: Aspen; 1997.

    Google Scholar 

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Author information

Authors and Affiliations

  1. (University of Madras), AASECT (American Association of Sexuality Educators Counsellors and Therapists), Dega Institute of Sexual Medicine, A2 Ravi Towers, 53/22 Hindi Prachar Sabha Street, T-Nagar, 600017, India

    Narayana Reddy MBBS, PhD

  2. Bloom Fertility Center, No.32, Taramani Link Road, Velachery, 600 042, India

    Varsha Swamy MSc

  3. Department of Reproductive Medicine, Chettinad Hospital and Research Institute, International Academic Affiliations, Chettinad University, Rajiv Gandhi Salai, Kelambakkam, Tamil Nadu, 603103, India

    N. Pandiyan

  4. Centre of Excellence for Men’s health, The Women’s Infertility Clinic, Women’s centre, 8A, Burkit Rd, CIT Nagar East, T Nagar, Tamil Nadu, 600017, India

    Shah Dupesh

  5. Fortis Healthcare, Fortis Malar Hospitals, Adyar, India

    Shah Dupesh

Authors
  1. Narayana Reddy MBBS, PhD
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  2. Varsha Swamy MSc
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  3. N. Pandiyan
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  4. Shah Dupesh
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Corresponding author

Correspondence to Narayana Reddy MBBS, PhD .

Editor information

Editors and Affiliations

  1. Metro Male Clinic, Gunasekaran Hospital Pvt Ltd, Chennai, India

    Karthik Gunasekaran

  2. Department of Andrology and Reproductive, Chettinad Hospital and Research Institut, Chennai, India

    N Pandiyan

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Reddy, N., Swamy, V., Pandiyan, N., Dupesh, S. (2017). Sexual Dysfunction and Infertility. In: Gunasekaran, K., Pandiyan, N. (eds) Male Infertility. Springer, New Delhi. https://doi.org/10.1007/978-81-322-3604-7_16

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  • DOI: https://doi.org/10.1007/978-81-322-3604-7_16

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  • Publisher Name: Springer, New Delhi

  • Print ISBN: 978-81-322-3602-3

  • Online ISBN: 978-81-322-3604-7

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