We aimed to analyse the relationship between sperm parameters and International Index of Erectile Function (IIEF) score, the Female Sexual Function Index (FSFI) score, the testosterone (T) level in infertile men and between FSFI score and partners' fertility. Patients were divided into three groups; (group 1: azoospermia [n = 57], group 2: sperm count <15 million [n = 41], group 3: sperm count >15 million [n = 81]). Patients and their partners filled the IIEF and FSFI forms. The normality of the tests was analysed with Kolmogorov-Smirnov and Shapiro-Wilk tests. Spearman's rho test, a nonparametric test, was used to correlate the data. A value of p < .05 was considered statistically significant. There was a positive correlation between the sperm count, other sperm parameters, morphology and motility and IIEF score, FSFI score and T (p = .037, .028 and .041 respectively). We found a positive correlation between IIEF score and FSFI score (p = .182). Infertile partners' FSFI score was lower than fertile partners' scores (p = .023). Male infertility causes severe sexual dysfunction in couples, and female sexual dysfunction increases in parallel to that of men. Male sexual function also tends to decrease with low sperm count. While the clinician evaluates infertile couples, psychological and sexual functions should also be evaluated and patients should not be deprived of appropriate treatment.

译文

我们旨在分析不育男性精子参数与国际勃起功能指数 (IIEF) 评分,女性性功能指数 (FSFI) 评分,睾丸激素 (T) 水平以及FSFI评分与伴侣生育能力之间的关系。患者分为三组; (组1: 无精子症 [n = 57],组2: 精子数 <1500万 [n = 41],组3: 精子数> 1500万 [n = 81])。患者及其伴侣填写了IIEF和FSFI表格。用Kolmogorov-Smirnov和Shapiro-Wilk检验分析了检验的正态性。Spearman的rho检验是一种非参数检验,用于关联数据。p <0.05被认为具有统计学意义。精子数量,其他精子参数,形态和运动能力与IIEF评分,FSFI评分和T之间呈正相关 (分别为p = .037,.028和.041)。我们发现IIEF评分与FSFI评分呈正相关 (p = .182)。不育伴侣的FSFI评分低于生育伴侣的FSFI评分 (p = .023)。男性不育会导致夫妻严重的性功能障碍,女性性功能障碍与男性平行增加。男性的性功能也会随着精子数量的减少而下降。在临床医生评估不育夫妇的同时,还应评估心理和性功能,并且不应剥夺患者适当的治疗方法。

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