R D Nachtigall1, G Becker, M Wozny. 1. Department of Obstetrics, Gynecology, and Reproductive Science, University of California, San Francisco 04143-0612.
Abstract
OBJECTIVE: To determine if differences could be distinguished between men's and women's emotional response to infertility based on the assignment of a gender-specific diagnosis. DESIGN: Gender-specific diagnoses were examined in relation to stigma, perception of loss, role failure, and self-esteem, using structured interviews. SETTING: Tertiary clinical care in private practice settings. PARTICIPANTS: Thirty-six self-selected volunteer couples undergoing infertility treatment. MAIN OUTCOME MEASURES: Stigma, perception of loss, role failure, and lowered self-esteem emerged from content analysis of structured interview data. RESULTS: No differences were found among women in their emotional response to infertility regardless of whether a female or male infertility factor was present, whereas men with a male factor experienced more negative emotional response to infertility than men without a male factor. CONCLUSIONS: Although both women and men are affected by infertility, their emotional response is significantly influenced by a gender-specific diagnosis. Men's response to infertility closely approximates that of women if the infertility has been attributed to a male factor but differs considerably if a male factor is not found.
OBJECTIVE: To determine if differences could be distinguished between men's and women's emotional response to infertility based on the assignment of a gender-specific diagnosis. DESIGN: Gender-specific diagnoses were examined in relation to stigma, perception of loss, role failure, and self-esteem, using structured interviews. SETTING: Tertiary clinical care in private practice settings. PARTICIPANTS: Thirty-six self-selected volunteer couples undergoing infertility treatment. MAIN OUTCOME MEASURES: Stigma, perception of loss, role failure, and lowered self-esteem emerged from content analysis of structured interview data. RESULTS: No differences were found among women in their emotional response to infertility regardless of whether a female or male infertility factor was present, whereas men with a male factor experienced more negative emotional response to infertility than men without a male factor. CONCLUSIONS: Although both women and men are affected by infertility, their emotional response is significantly influenced by a gender-specific diagnosis. Men's response to infertility closely approximates that of women if the infertility has been attributed to a male factor but differs considerably if a male factor is not found.
Authors: R Matthew Coward; Christy Stetter; Allen Kunselman; J C Trussell; Mark C Lindgren; Ruben R Alvero; Peter Casson; Gregory M Christman; Christos Coutifaris; Michael P Diamond; Karl R Hansen; Stephen A Krawetz; Richard S Legro; Randal D Robinson; James F Smith; Anne Z Steiner; Robert A Wild; Heping Zhang; Nanette Santoro Journal: J Urol Date: 2019-07-08 Impact factor: 7.450
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