Abstract
Introduction The relation between infertility and sexual dysfunction can be reciprocal. Causes of sexual dysfunction that affect fertility include erectile dysfunction, Peyronie's disease (abnormal penile curvature), low libido, ejaculatory disorders in men, and genito-pelvic pain/penetration disorder (GPPPD) and low sexual desire in women. Aim To review the association between infertility and sexual dysfunction and discuss current management strategies to address sexual disorders in couples with infertility. Methods Peer-reviewed publications from PubMed published from 1980 through February 2016 were identified that related to sexual dysfunction and infertility in men and women. Main Outcome Measures Pathophysiology and management approach of erectile dysfunction, Peyronie's disease, low libido, ejaculatory disorders in men, and GPPPD and low sexual desire in women and how each etiology contributes to sexual dysfunction and infertility in the couple. Results Treating the infertile couple with sexual dysfunction involves addressing underlying conditions such as psychogenic erectile dysfunction, low testosterone, Peyronie's disease in men, and GPPPD and low sexual desire in women. Psychogenic erectile dysfunction can be successfully treated with phosphodiesterase inhibitors. Low testosterone is often identified in men with infertility, but testosterone therapy is contraindicated in men attempting conception. Men with Peyronie's disease have a new treatment option to address their penile curvature—collagenase Clostridium histolyticum injection directly into the penile plaque. GPPPD is a broad disorder that includes vulvodynia and vaginismus and can be treated with topical lubricants and moisturizers. We must address psychosocial factors in women with low sexual desire. Flibanserin and transdermal testosterone (off-label) are novel therapies for women with low sexual desire. Conclusion Sexual dysfunction in a couple with infertility is a complex issue. Management of infertility and sexual dysfunction should involve appropriate medical therapy and addressing the psychosocial concerns of the couple.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 353-365 |
| Number of pages | 13 |
| Journal | Sexual Medicine Reviews |
| Volume | 4 |
| Issue number | 4 |
| DOIs | |
| State | Published - Oct 1 2016 |
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Keywords
- Erectile Dysfunction
- Hypoactive Sexual Desire Disorder
- Hypogonadism
- Peyronie's Disease
- Vaginismus
- Vulvodynia
ASJC Scopus subject areas
- Reproductive Medicine
- Dermatology
- Obstetrics and Gynecology
- Urology
Cite this
Association Between Infertility and Sexual Dysfunction in Men and Women. / Berger, Michael H.; Messore, Marisa; Pastuszak, Alexander W.; Ramasamy, Ranjith.
In: Sexual Medicine Reviews, Vol. 4, No. 4, 01.10.2016, p. 353-365.Research output: Contribution to journal › Review article
}
TY - JOUR
T1 - Association Between Infertility and Sexual Dysfunction in Men and Women
AU - Berger, Michael H.
AU - Messore, Marisa
AU - Pastuszak, Alexander W.
AU - Ramasamy, Ranjith
PY - 2016/10/1
Y1 - 2016/10/1
N2 - Introduction The relation between infertility and sexual dysfunction can be reciprocal. Causes of sexual dysfunction that affect fertility include erectile dysfunction, Peyronie's disease (abnormal penile curvature), low libido, ejaculatory disorders in men, and genito-pelvic pain/penetration disorder (GPPPD) and low sexual desire in women. Aim To review the association between infertility and sexual dysfunction and discuss current management strategies to address sexual disorders in couples with infertility. Methods Peer-reviewed publications from PubMed published from 1980 through February 2016 were identified that related to sexual dysfunction and infertility in men and women. Main Outcome Measures Pathophysiology and management approach of erectile dysfunction, Peyronie's disease, low libido, ejaculatory disorders in men, and GPPPD and low sexual desire in women and how each etiology contributes to sexual dysfunction and infertility in the couple. Results Treating the infertile couple with sexual dysfunction involves addressing underlying conditions such as psychogenic erectile dysfunction, low testosterone, Peyronie's disease in men, and GPPPD and low sexual desire in women. Psychogenic erectile dysfunction can be successfully treated with phosphodiesterase inhibitors. Low testosterone is often identified in men with infertility, but testosterone therapy is contraindicated in men attempting conception. Men with Peyronie's disease have a new treatment option to address their penile curvature—collagenase Clostridium histolyticum injection directly into the penile plaque. GPPPD is a broad disorder that includes vulvodynia and vaginismus and can be treated with topical lubricants and moisturizers. We must address psychosocial factors in women with low sexual desire. Flibanserin and transdermal testosterone (off-label) are novel therapies for women with low sexual desire. Conclusion Sexual dysfunction in a couple with infertility is a complex issue. Management of infertility and sexual dysfunction should involve appropriate medical therapy and addressing the psychosocial concerns of the couple.
AB - Introduction The relation between infertility and sexual dysfunction can be reciprocal. Causes of sexual dysfunction that affect fertility include erectile dysfunction, Peyronie's disease (abnormal penile curvature), low libido, ejaculatory disorders in men, and genito-pelvic pain/penetration disorder (GPPPD) and low sexual desire in women. Aim To review the association between infertility and sexual dysfunction and discuss current management strategies to address sexual disorders in couples with infertility. Methods Peer-reviewed publications from PubMed published from 1980 through February 2016 were identified that related to sexual dysfunction and infertility in men and women. Main Outcome Measures Pathophysiology and management approach of erectile dysfunction, Peyronie's disease, low libido, ejaculatory disorders in men, and GPPPD and low sexual desire in women and how each etiology contributes to sexual dysfunction and infertility in the couple. Results Treating the infertile couple with sexual dysfunction involves addressing underlying conditions such as psychogenic erectile dysfunction, low testosterone, Peyronie's disease in men, and GPPPD and low sexual desire in women. Psychogenic erectile dysfunction can be successfully treated with phosphodiesterase inhibitors. Low testosterone is often identified in men with infertility, but testosterone therapy is contraindicated in men attempting conception. Men with Peyronie's disease have a new treatment option to address their penile curvature—collagenase Clostridium histolyticum injection directly into the penile plaque. GPPPD is a broad disorder that includes vulvodynia and vaginismus and can be treated with topical lubricants and moisturizers. We must address psychosocial factors in women with low sexual desire. Flibanserin and transdermal testosterone (off-label) are novel therapies for women with low sexual desire. Conclusion Sexual dysfunction in a couple with infertility is a complex issue. Management of infertility and sexual dysfunction should involve appropriate medical therapy and addressing the psychosocial concerns of the couple.
KW - Erectile Dysfunction
KW - Hypoactive Sexual Desire Disorder
KW - Hypogonadism
KW - Peyronie's Disease
KW - Vaginismus
KW - Vulvodynia
UR - http://www.scopus.com/inward/record.url?scp=84987851313&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84987851313&partnerID=8YFLogxK
U2 - 10.1016/j.sxmr.2016.05.002
DO - 10.1016/j.sxmr.2016.05.002
M3 - Review article
C2 - 27872029
AN - SCOPUS:84987851313
VL - 4
SP - 353
EP - 365
JO - Sexual Medicine Reviews
JF - Sexual Medicine Reviews
SN - 2050-0513
IS - 4
ER -