İNFERTİL ERKEKLERİN İNFERTİLİTE VE TEDAVİ SÜRECİNE YÖNELİK DENEYİMLERİ: BİR SİSTEMATİK DERLEME

Yıl 2019, Cilt: 6 Sayı: 4, 328 - 336, 31.12.2019

Zehra Kaya Nevin Şahin

https://doi.org/10.34087/cbusbed.563762

Cited By: 3

Öz

İnfertilite fizyolojik, psikolojik ve
sosyo-kültürel boyutları ile çiftleri etkileyen bir yaşam krizidir. İnfertilite
nedeniyle yaşanan psikososyal sorunlar genellikle kadının gebelik ve annelik
rolüyle ilişkilendirilerek kadına atfedilmekte, infertil erkeklerin yaşadığı
sorunlar gözardı edilmektedir. Bu çalışma infertil erkeklerin infertilite ve
tedavi sürecindeki deneyimlerini içeren çalışma sonuçlarının değerlendirildiği
bir sistematik derlemedir.  Dahil etme
kriterleri doğrultusunda araştırma kapsamına on altı çalışma alınmıştır. Çalışmalar
incelendiğinde, çocuk sahibi olamama nedeniyle infertil erkeklerin kendilerini
“daha az erkek”, “yarım erkek” olarak hissetikleri ve damgalanmaya maruz
kaldıkları saptanmıştır. İnfertil erkeklerin tedavi sürecine dahil
edilmedikleri, yalnız bırakıldıkları belirlenmiştir. Tedavi sürecinde
mastürbasyonla sperm örneği vermeye ilişkin yeterli bilgi sahibi olmadıkları ve
utandıkları bulunmuştur. Erkeklerin tedavi sürecinde anksiyete ve depresyon
yaşadıkları, eşlerin tedavi almaları nedeniyle kendilerini mahcup ve çaresiz
hissetikleri belirlenmiştir. Sağlık profesyonelleri ile bu süreçte iletişimin
zayıf olduğu belirtilmiştir. Sperm donasyonu ve evlat edinme kararının zor
olduğu ve kaygı oluşturduğu saptanmıştır. Tüm bu süreçte infertilite sorununu
çevreyleriyle paylaşmak istemedikleri, paylaşırken zorlandıkları dile
getirilmiştir.

İnfertil erkeklerin infertilite ve tedavi
sürecine ilişkin deneyimlerini inceleyen çalışmalar oldukça sınırlıdır. Bir
yaşam krizi olan infertilitenin yalnızca infertil kadınları değil infertil
erkekleri de etkilediği ve bu nedenle erkeklerin deneyimlerini konu alan
çalışmaların yapılması gerektiği saptanmıştır. İnfertil çiftlerle daha sık
iletişimde olan infertilite hemşirelerinin tedavi sürecinde infertil çifti
psikososyal açıdan beraber değerlendirmesi ve buna ilişkin  psikososyal bakımın sağlanması açısından
oldukça önemlidir.

Anahtar Kelimeler

İnfertil erkek, tedavi, deneyim, maskulenite

Kaynakça

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