Gynäkologische Endokrinologie

, Volume 15, Issue 3, pp 193–199 | Cite as

Unerfüllter Kinderwunsch und Sexualität

Leitthema

Zusammenfassung

Hintergrund

Der unerfüllte Kinderwunsch geht häufig mit (passageren) sexuellen Funktionsstörungen einher.

Zielsetzung

In dieser Übersicht wird dargestellt, welche wechselseitigen Beziehungen zwischen Infertilität und sexuellen Störungen bestehen. Die relevanten Störungen der Sexualität und weitere Einflussfaktoren bei unerfülltem Kinderwunsch werden detailliert betrachtet. Es folgen Vorschläge für konkrete Lösungsstrategien und prognostische Überlegungen. Der Beitrag beinhaltet auch praxisnahe Hinweise für Frauenärzte, Reproduktionsmediziner und Sexualtherapeuten.

Schlüsselwörter

Infertilität Körperliche sexuelle Störungen Psychologische sexuelle Störungen Sexualberatung Verfahren der assistierten Reproduktion 

Infertility and sexuality

Abstract

Background

The unfulfilled desire to have a child is often associated with (temporary) sexual dysfunction.

Objective

In this review the interrelationship of infertility and sexual disorders is described. The relevant sexual disorders and additional influencing factors are discussed in detail. Furthermore, suggestions for solution strategies and prognostic considerations are given. The article ends with practical advice for gynecologists, fertility doctors and sex therapists.

Keywords

Infertility Sexual dysfunctions, physiological Sexual dysfunctions, psychological Sex counseling Reproductive techniques, assisted 

Literatur

  1. 1.
    Butzer B, Campbell L (2008) Adult attachment, sexual satisfaction, and relationship satisfaction: A study of married couples. Pers Relatsh 15(1):141–154CrossRefGoogle Scholar
  2. 2.
    Byers ESE (2005) Relationship satisfaction and sexual satisfaction: a longitudinal study of individuals in long-term relationships. J Sex Res 42(2):113–118CrossRefPubMedGoogle Scholar
  3. 3.
    Young LJ, Wang Z (2004) The neurobiology of pair bonding. Nat Neurosci 7(10):1048–1054CrossRefPubMedGoogle Scholar
  4. 4.
    Gallicchio L, Schilling C, Tomic D, Miller SR, Zacur H, Flaws JA (2007) Correlates of sexual functioning among mid-life women. Climacteric 10(2):132–142CrossRefPubMedGoogle Scholar
  5. 5.
    Davison SL, Bell RJ, LaChina M, Holden SL, Davis SR (2009) Original research-psychology: the relationship between self‐reported sexual satisfaction and general well‐being in women. J Sex Med 6(10):2690–2697CrossRefPubMedGoogle Scholar
  6. 6.
    Wischmann T, Schilling K, Toth B, Rösner S, Strowitzki T, Wohlfarth K et al (2014) Sexuality, self-esteem and partnership quality in infertile women and men. Geburtshilfe Frauenheilkd 74(8):759–763CrossRefPubMedPubMedCentralGoogle Scholar
  7. 7.
    Tao P, Coates R, Maycock B (2011) The impact of infertility on sexuality: a literature review. Australas Med J 4(11):620–627CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Laumann EO, Paik A, Rosen RC (1999) Sexual dysfunction in the United States: prevalence and predictors. JAMA 281(6):537–544CrossRefPubMedGoogle Scholar
  9. 9.
    Millheiser LS, Helmer AE, Quintero RB, Westphal LM, Milki AA, Lathi RB (2010) Is infertility a risk factor for female sexual dysfunction? A case-control study. Fertil Steril 94(6):2022–2025CrossRefPubMedGoogle Scholar
  10. 10.
    Oddens BJ, den Tonkelaar I, Nieuwenhuyse H (1999) Psychosocial experiences in women facing fertility problems – a comparative survey. Hum Reprod 14(1):255–261CrossRefPubMedGoogle Scholar
  11. 11.
    Pawelec M, Pietras J, Watroba D (2011) The emotional disorders of infertile couples. Adv Clini Exp Med 20(5):641–645Google Scholar
  12. 12.
    Keskin U, Coksuer H, Gungor S, Ercan CM, Karasahin KE, Baser I (2011) Differences in prevalence of sexual dysfunction between primary and secondary infertile women. Fertil Steril 96(5):1213–1217CrossRefPubMedGoogle Scholar
  13. 13.
    Furukawa AP, Patton PE, Amato P, Li H, Leclair CM (2012) Dyspareunia and sexual dysfunction in women seeking fertility treatment. Fertil Steril 98(6):1544–1548.e2CrossRefPubMedGoogle Scholar
  14. 14.
    Jumayev I, Harun-Or-Rashid M, Rustamov O, Zakirova N, Kasuya H, Sakamoto J (2012) Social correlates of female infertility in Uzbekistan. Nagoya J Med Sci 74(3–4):273–283PubMedPubMedCentralGoogle Scholar
  15. 15.
    Månsson M, Norström K, Holte J, Landin-Wilhelmsen K, Dahlgren E, Landén M (2011) Sexuality and psychological wellbeing in women with polycystic ovary syndrome compared with healthy controls. Eur J Obstet Gynecol Reprod Biol 155(2):161–165CrossRefPubMedGoogle Scholar
  16. 16.
    Angst J, Hengartner MP, Rössler W, Ajdacic-Gross V, Leeners B (2015) A Swiss longitudinal study of the prevalence of, and overlap between, sexual problems in men and women aged 20 to 50 years old. J Sex Res 52(8):949–959CrossRefPubMedGoogle Scholar
  17. 17.
    Wischmann TH (2010) Sexual disorders in infertile couples. J Sex Med 7(5):1868–1876CrossRefPubMedGoogle Scholar
  18. 18.
    Carter J, Applegarth L, Josephs L, Grill E, Baser RE, Rosenwaks Z (2011) A cross-sectional cohort study of infertile women awaiting oocyte donation: the emotional, sexual, and quality-of-life impact. Fertil Steril 95(2):711–711CrossRefPubMedGoogle Scholar
  19. 19.
    Khademi A, Alleyassin A, Amini M, Ghaemi M (2008) Evaluation of sexual dysfunction prevalence in infertile couples. J Sex Med 5(6):1402–1410CrossRefPubMedGoogle Scholar
  20. 20.
    Danielsson I, Sjöberg I, Stenlund H, Wikman M (2003) Prevalence and incidence of prolonged and severe dyspareunia in women: results from a population study. Scand J Public Health 31(2):113–118PubMedGoogle Scholar
  21. 21.
    Falsetta ML, Foster DC, Bonham AD, Phipps RP (2017) A review of the available clinical therapies for vulvodynia management and new data implicating proinflammatory mediators in pain elicitation. BJOG 124(2):210–218CrossRefPubMedGoogle Scholar
  22. 22.
    Wildt L, Kissler S, Licht P, Becker W (1998) Sperm transport in the human female genital tract and its modulation by oxytocin as assessed by hysterosalpingoscintigraphy, hysterotonography, electrohysterography and Doppler sonography. Hum Reprod Update 4(5):655–666CrossRefPubMedGoogle Scholar
  23. 23.
    Eardley I (2013) The incidence, prevalence, and natural history of erectile dysfunction. Sex Med Rev 1(1):3–16CrossRefPubMedGoogle Scholar
  24. 24.
    Shindel AW, Eisenberg ML, Breyer BN, Sharlip ID, Smith JF (2011) Sexual function and depressive symptoms among female North American medical students. J Sex Med 8(2):391–399CrossRefPubMedGoogle Scholar
  25. 25.
    Wischmann T (2013) Sexual disorders in infertile couples: an update. Curr Opin Obstet Gynecol 25(3):220–222CrossRefPubMedGoogle Scholar
  26. 26.
    Saleh RA, Ranga GM, Raina R, Nelson DR, Agarwal A (2003) Sexual dysfunction in men undergoing infertility evaluation: a cohort observational study. Fertil Steril 79(4):909–912CrossRefPubMedGoogle Scholar
  27. 27.
    Akbal C, Mangir N, Tavukçu HH, Ozgür O, Simşek F (2010) Effect of testicular sperm extraction outcome on sexual function in patients with male factor infertility. Urology 75(3):598–601CrossRefPubMedGoogle Scholar
  28. 28.
    Doyle JO, Richter KS, Lim J, Stillman RJ, Graham JR, Tucker MJ (2016) Successful elective and medically indicated oocyte vitrification and warming for autologous in vitro fertilization, with predicted birth probabilities for fertility preservation according to number of cryopreserved oocytes and age at retrieval. Fertil Steril 105(2):459–466.e2CrossRefPubMedGoogle Scholar
  29. 29.
    Pottinger AM, Carroll K, Mason G (2016) Male attitude towards masturbating: an impediment to infertility evaluation and sperm parameters. Andrologia 48(7):774–778CrossRefPubMedGoogle Scholar
  30. 30.
    Shindel AW, Nelson CJ, Naughton CK, Ohebshalom M, Mulhall JP (2008) Sexual function and quality of life in the male partner of infertile couples: prevalence and correlates of dysfunction. J Urol 179(3):1056–1059CrossRefPubMedGoogle Scholar
  31. 31.
    Winkelman WD, Katz PP, Smith JF, Rowen TS, Infertility Outcomes Program Project Group (2016) The sexual impact of infertility among women seeking fertility care. Sex Med 4(3):e190–7CrossRefPubMedPubMedCentralGoogle Scholar
  32. 32.
    Dhaliwal LK, Gupta KR, Gopalan S, Kulhara P (2004) Psychological aspects of infertility due to various causes–prospective study. Int J Fertil Womens Med 49(1):44–48PubMedGoogle Scholar
  33. 33.
    Iris A, Aydogan Kirmizi D, Taner CE (2013) Effects of infertility and infertility duration on female sexual functions. Arch Gynecol Obstet 287(4):809–812CrossRefPubMedGoogle Scholar
  34. 34.
    Benyamini Y, Gozlan M, Kokia E (2005) Variability in the difficulties experienced by women undergoing infertility treatments. Fertil Steril 83(2):275–283CrossRefPubMedGoogle Scholar
  35. 35.
    Elia J, Delfino M, Imbrogno N, Mazzilli F (2010) The impact of a diagnosis of couple subfertility on male sexual function. J Endocrinol Invest 33(2):74–76CrossRefPubMedGoogle Scholar
  36. 36.
    Wischmann T, Thorn P (2013) (Male) infertility: what does it mean to men? New evidence from quantitative and qualitative studies. Reprod Biomed Online 27(3):236–243CrossRefPubMedGoogle Scholar
  37. 37.
    Davies-Osterkamp S (1991) Psychologische Untersuchungen im Rahmen künstlicher Befruchtungstechniken; eine kritische Bestandsaufnahme. In: Psychologische Probleme in der Reproduktionsmedizin. Springer, Berlin Heidelberg, S 15–36CrossRefGoogle Scholar
  38. 38.
    Wischmann T, Stammer H, Scherg H, Gerhard I, Verres R (2001) Psychosocial characteristics of infertile couples: a study by the ‘Heidelberg Fertility Consultation Service’. Hum Reprod 16(8):1753–1761CrossRefPubMedGoogle Scholar
  39. 39.
    Brkovich AM, Fisher WA (1998) Psychological distress and infertility: forty years of research. J Psychosom Obstet Gynaecol 19(4):218–228CrossRefPubMedGoogle Scholar
  40. 40.
    Newton CR, Sherrard W, Glavac I (1999) The Fertility Problem Inventory: measuring perceived infertility-related stress. Fertil Steril 72(1):54–62CrossRefPubMedGoogle Scholar
  41. 41.
    Monga M, Alexandrescu B, Katz SE, Stein M, Ganiats T (2004) Impact of infertility on quality of life, marital adjustment, and sexual function. Urology 63(1):126–130CrossRefPubMedGoogle Scholar
  42. 42.
    Schanz S, Reimer T, Eichner M, Hautzinger M, Häfner H‑M, Fierlbeck G (2011) Long-term life and partnership satisfaction in infertile patients: a 5-year longitudinal study. Fertil Steril 96(2):416–421CrossRefPubMedGoogle Scholar
  43. 43.
    Wischmann T, Korge K, Scherg H, Strowitzki T, Verres R (2012) A 10-year follow-up study of psychosocial factors affecting couples after infertility treatment. Hum Reprod 27(11):3226–3232CrossRefPubMedGoogle Scholar
  44. 44.
    Schmidt L, Holstein B, Christensen U, Boivin J (2005) Does infertility cause marital benefit? An epidemiological study of 2250 women and men in fertility treatment. Patient Educ Couns 59(3):244–251CrossRefPubMedGoogle Scholar
  45. 45.
    Stammer H, Verres R, Wischmann T (2004) Paarberatung und -therapie bei unerfülltem Kinderwunsch. Praxis der Paar- und Familientherapie. Hogreve, GöttingenGoogle Scholar
  46. 46.
    Shilaih M, de Clerck V, Falco L, Kübler F, Leeners B (2017) Pulse rate measurement during sleep using wearable sensors, and its correlation with the menstrual cycle phases. A prospective observational study. Sci Rep 7(1):1294CrossRefPubMedPubMedCentralGoogle Scholar
  47. 47.
    Burns LH (2006) Infertility Counseling. A comprehensive handbook for clinicans, 2. Aufl. Parthenon Publishing, New York, S 25Google Scholar
  48. 48.
    Hoyndorf S (1999) Sexualberatung. Psychotherapeut 44(5):327–336CrossRefGoogle Scholar
  49. 49.
    Bar-Chama N, Schiff J, Yavorsky R, Diefenbach M (2007) Erectile dysfunction and infertility. Curr Sex Health Rep 4(1):20–23CrossRefGoogle Scholar

Copyright information

© Springer Medizin Verlag GmbH 2017

Authors and Affiliations

  1. 1.Klinik für Reproduktions-EndokrinologieUniversitätsspital ZürichZürichSchweiz
  2. 2.Institut für Medizinische PsychologieUniversitätsklinikum HeidelbergHeidelbergDeutschland
  3. 3.Abteilung für Gynäkologische Sozialmedizin und Psychosomatik, FrauenklinikUniversitätsspital BaselBaselSchweiz

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