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İnfertilitenin Cinsel Yaşam Üzerine Etkisinin İncelenmesi

Yıl 2013, Cilt: 1 Sayı: 2, 46 - 53, 12.07.2016

Öz

Bu araştırma, infertilite nedeni ile başvuran çiftlerde infertilitenin cinsel yaşam üzerine etkilerini incelemek amacıyla tanımlayıcı olarak gerçekleştirildi. Araştırma Ocak-Nisan 2009 tarihleri arasında bir üniversite hastanesinin tüp bebek ünitesinde gerçekleştirildi. Araştırmanın örneklemini; infertilite tanısı almış, en az 6 aylık infertilite tedavi öyküleri olan, evli, en az ilkokul mezunu, anamnezlerinde hayatı tehdit edecek kronik bir hastalık öyküsü olmayan, infertilite tedavisinden önce psikiyatrik bir tanı almamış, çalışmaya katılma konusunda gönüllü, toplam 150 çift oluşturmuştur. Veriler, farklı literatürlerden yararlanılarak hazırlanan görüşme formu, Arizona Cinsel Yaşantılar Ölçeği (ACYÖ), Beck Depresyon Ölçeği (BDÖ) ile toplanmıştır. Çalışmaya alınan kadınların yaş ortalaması 30.85±5.02 (min:20-max:43), erkeklerin yaş ortalaması ise 33.82±5.49 (min:23-max:55) olarak saptanmış, ortalama evlilik süreleri 6.64±4.33 (min:1-max:21) yıl olarak bulunmuştur. Kadınların ortalama ACYÖ puanı 13.20±3.96 (min:5-max:24), erkeklerin puanı 9.28±2.97 (min:5-max:17), kadınların ortalama BDÖ puanı 9.93±6.45(min:0-max:33), erkeklerin puanı 6.97±6.54 (min:0-max:40) olarak saptanmıştır. Kadınların %77’sinin, erkeklerin %23’ünün cinsel işlev bozukluğu sorunu yaşadıkları saptanmış ve infertil çiftler arasında cinsel işlev bozukluğu varlığı açısından istatistiksel olarak anlamlı fark bulunmuştur (p=0.000). Depresyon durumu bakımından da kadınların erkeklere göre daha fazla depresyona girdikleri saptanmış ve aralarında istatistiksel olarak anlamlı fark bulunmuştur (p=0.042). Bu çalışmada infertil kadınların erkeklere oranla daha fazla cinsel işlev bozukluğu sorunu yaşadıkları ve daha fazla depresif belirti gösterdikleri saptanmıştır.

Kaynakça

  • 1. Bankowski JB., Vlahos N.[ Infertility and the reproductive technologies] Johns Hopkins jinekoloji ve obstetrik el kitabı, Editör: BJ Bankowski, AE Hearne, NC Lambrou, HE Fox, EE. Wallach. Ankara: Atlas Kitapçı- lık,2005;376-383.
  • 2. Taşçı E, Bolsoy N, Kavlak O, Yücesoy F. [Marital adjustment in infertile women]. J Turk Soc Obstet Gynecol 2008;5(2):105-110.
  • 3. Green JA, Robins JC, Scheiber M, Awadalla S, Thomas MA. Racial and economic demographics of couples seeking infertility treatment. Am J Obstet Gynecol 2001;184(6):1080-1082.
  • 4. Saharma S, Mittal S, Aggarwal P. Management of infertility in low resource countries. An International Journal of Obstetrics & Gynaecology 2009;116(1):77- 83.
  • 5. Tashbulatova D. İnfertil kadınlarda cinsel fonksiyonlara etki eden faktörler (Uzmanlık Tezi) Adana: Çukurova Üniversitesi Sağlık Bilimleri Enstitüsü;2007.
  • 6. Monga M, Alexandrescu B, Katz SE, Stein M, Ganiats T. Impact of infertility on quality of life, marital adjustment, and sexual function. Urology 2004;63(1):126- 130.
  • 7. Özçelik B, Karamustafalıoğlu O, Özçelik A. [The psychological and psychiatric aspects of infertility]. Anatolian Journal of Psychiatry 2007;8(2):140-148.
  • 8. Repokari L, Punamäki RL, Unkila-Kallio L, Vilska S, Poikkeus P, Sinkkonen J et al. Infertility treatment and marital relationships:a 1 year prospective study among successfully treated ART couples and their controls. Hum reprod 2007;22(5):1481-1491.
  • 9. Demirci H. [Psychosocial and Psychosexual Effects of infertility]. Beji NK, editor. İnfertilite Sorunu, Yardımcı Üreme Teknikleri ve Hemşirelik Yaklaşımları. 1.Baskı. İstanbul: İ.Ü. Florence Nightingale Hemşirelik Yüksek Okulu Yayınları; 2001;103-117.
  • 10. Tamay AG, Koyuncu FM. [Sexual Dysfunction and Quality of Life in Infertile Couples]. Turkiye Klinikleri J Gynecol Obst-Special Topics 2012;5(2):97-102.
  • 11. Daar AS, Merali Z. Infertility and social suffering: the case of ART in developing countries. In: Vayena E, Rowe P, David Griffin P, editors. Current Practices and Controversies in Assisted Reproduction “Medical, Ethical and Social Aspects of Assisted Reproduction”. Geneva: WHO, 2004;15–21.
  • 12. Schmidt L, Holstein B, Christensen U, Boivin J. Does infertility cause marital benefit? An epidemiological study of 2250 women and men infertility treatment. Patient Educ Couns 2005; 59(3):244-251.
  • 13. Muler MJ, Schilling G, Haidl G. Sexual satisfaction in male infertility. Arch Androl 1999; 42(3):137-143.
  • 14. Ramezanzadeh F, Aghssa MM, Jafarabadi M, et al. Alterations of sexual desire and satisfaction in male partners of infertile couples. Fertil Steril 2006;85(1):139-143.
  • 15. Nelson CJ, Shindel AW, Naughton CK, Ohebshalom M, Mulhall JP. Prevalence and predictors of sexual problems, relationship stress, and depression in female partners of infertile couples. J Sex Med 2008;5(8):1907-1914.
  • 16. Oskay ÜY, Bayram GO, Dişsiz M. [Psychosocial and psychosexual impact of infertility]. Beji NK, editor. İnfertilite Hemşireliği. 1.Baskı. İstanbul: Üreme Sağlığı ve İnfertilite Hemşireliği Derneği yayını; 2009;177-195.
  • 17. Kırca N, Pasinlioğlu T. [Psychosocial Problems during Infertility Treatment] Psikiyatride Güncel YaklaşımlarCurrent Approaches in Psychiatry 2013;5(2):162-178.
  • 18. Dilek N, Beji NK . [Determining the Emotional Reactions of Couples Undergoing Assisted Reproductive Procedures] Hemşirelikte Eğitim ve Araştırma Dergisi 2012; 9 (1):24-29.
  • 19. Olshansky EF. A counseling approach with persons experiencing infertility: implications for advanced practice nursing. Adv. Pract. Nurs Q 1996;2(3):42-47.
  • 20. McGahuey CA, Gelenberg AJ, Laukes CA, Moreno FA, Delgado PL, McKnight KM et al. The Arizona Sexual Experience Scale (ASEX): reliability and validity. J Sex Marital Ther 2000;26(1):25-40 . 21. Soykan A. The reliability and validity of Arizona sexual experiences scale in Turkish ESRD patients undergoing hemodialysis. Int J Impot Res 2004;16(6):531-534.
  • 22. Beck AT. An inventory for measuring depression. Arch Gen Psychiatry 1961 Jun; 4:561-571. 23. Hisli N. [The reability and validity of Beck Depression Inventory among university students]. J Turk Psychol 1989;23:3-13.
  • 24. Lee TY, Sun GH, Chao SC. The effect of an infertility diagnosis on the distress, Marital and sexual satisfaction between husbands and wives in Taiwan. Hum Reprod 2001;16(8):1762-1767.
  • 25. Karlıdere T, Bozkurt A, Yetkin S, Doruk A, Sütçigil L, Özmenler KN et al. [Is There Gender Difference in Infertile Couples With no Axis One Psychiatric Disorder in Context of Emotional Symptoms, Social Support and Sexual Function?] Turkish Journal of Psychiatry 2007;18(4):311-322.
  • 26. Arslan H, Ergin AB, Potur DC, Bilgin NÇ. [Evaluation of the Relationship Between Sexual Dysfunction and Quality of Life in Infertile Couples] Turkiye Klinikleri J Gynecol Obst 2008;18(6):364-71.
  • 27. Güleç G, Hassa H, Yalçın EG, Yenilmez C. [The effects of infertility on sexual functions and dyadic adjustment in couples that present for infertility treatment] Turkish Journal of Psychiatry 2011;22(3):166-76.
  • 28. Guz H, Ozkan A, Sarisoy G, Yanik F, Yanik A. Psychiatric symptoms in Turkish infertile women. J Psychosom Obstet Gynaecol 2003;24(4):267-271.
  • 29. Brucker SB, McKenry CP. Support from health care providers and the psychological adjustment of individuals experiencing infertility. Journal of Obstetrics Neonatal Nursing 2004;33:597-603.
  • 30. Kainz K. The role of the psychologist in the evaluation and treatment of infertility. Womens Health Issues 2001;11(6):481-485

Studying the Effects of Infertility on Sexual Life

Yıl 2013, Cilt: 1 Sayı: 2, 46 - 53, 12.07.2016

Öz

This study was carried out illustratively in order to examine the effects of infertility on sexual life of couples presenting with infertility. The study was carried out IVF unit of a university hospital between January and April 2009. The sample constituted total 150 voluntary couples who were diagnosed with infertility as a result of specialists’ gynecologic evaluation, had an infertility history at least for 6 months, were married, were at least primary school graduates, did not have a life-threatening chronic disease history and did not have a psychiatric diagnose before infertility treatment. Data were obtained by questionnaire, Arizona Sexual Experiences Scale (ASEX) and Beck Depression Inventory (BDI). Mean ages of the women and men in the study were determined as 30.85±5.02 (min:20-max:43) and 33.82±5.49 (min:23-max:55), respectively and mean marriage duration was 6.64±4.33 (min 1-max 21) years. It was detected that mean ASEX points of the women and men were 13.20±3.96 (min:5-max:24) and 9.28±2.97(min:5-max:17), respectively; mean BDI points of the women and men were 9.93±6.45 (min:0-max:33) and 6.97±6.54 (min:0-max:40), respectively. It was found that 77% of the women and 23% of the men had sexual dysfunctions and there was a statistically significant difference (p=0.000) in terms of sexual dysfunction between infertile couples. In terms of depression state, it was detected that women get into depression more in comparison with men, and statistically significant difference (p=0.042) was found between them. In our study it was found that infertile women get into sexual dysfunctions and depressive symptoms more in comparison with men.

Kaynakça

  • 1. Bankowski JB., Vlahos N.[ Infertility and the reproductive technologies] Johns Hopkins jinekoloji ve obstetrik el kitabı, Editör: BJ Bankowski, AE Hearne, NC Lambrou, HE Fox, EE. Wallach. Ankara: Atlas Kitapçı- lık,2005;376-383.
  • 2. Taşçı E, Bolsoy N, Kavlak O, Yücesoy F. [Marital adjustment in infertile women]. J Turk Soc Obstet Gynecol 2008;5(2):105-110.
  • 3. Green JA, Robins JC, Scheiber M, Awadalla S, Thomas MA. Racial and economic demographics of couples seeking infertility treatment. Am J Obstet Gynecol 2001;184(6):1080-1082.
  • 4. Saharma S, Mittal S, Aggarwal P. Management of infertility in low resource countries. An International Journal of Obstetrics & Gynaecology 2009;116(1):77- 83.
  • 5. Tashbulatova D. İnfertil kadınlarda cinsel fonksiyonlara etki eden faktörler (Uzmanlık Tezi) Adana: Çukurova Üniversitesi Sağlık Bilimleri Enstitüsü;2007.
  • 6. Monga M, Alexandrescu B, Katz SE, Stein M, Ganiats T. Impact of infertility on quality of life, marital adjustment, and sexual function. Urology 2004;63(1):126- 130.
  • 7. Özçelik B, Karamustafalıoğlu O, Özçelik A. [The psychological and psychiatric aspects of infertility]. Anatolian Journal of Psychiatry 2007;8(2):140-148.
  • 8. Repokari L, Punamäki RL, Unkila-Kallio L, Vilska S, Poikkeus P, Sinkkonen J et al. Infertility treatment and marital relationships:a 1 year prospective study among successfully treated ART couples and their controls. Hum reprod 2007;22(5):1481-1491.
  • 9. Demirci H. [Psychosocial and Psychosexual Effects of infertility]. Beji NK, editor. İnfertilite Sorunu, Yardımcı Üreme Teknikleri ve Hemşirelik Yaklaşımları. 1.Baskı. İstanbul: İ.Ü. Florence Nightingale Hemşirelik Yüksek Okulu Yayınları; 2001;103-117.
  • 10. Tamay AG, Koyuncu FM. [Sexual Dysfunction and Quality of Life in Infertile Couples]. Turkiye Klinikleri J Gynecol Obst-Special Topics 2012;5(2):97-102.
  • 11. Daar AS, Merali Z. Infertility and social suffering: the case of ART in developing countries. In: Vayena E, Rowe P, David Griffin P, editors. Current Practices and Controversies in Assisted Reproduction “Medical, Ethical and Social Aspects of Assisted Reproduction”. Geneva: WHO, 2004;15–21.
  • 12. Schmidt L, Holstein B, Christensen U, Boivin J. Does infertility cause marital benefit? An epidemiological study of 2250 women and men infertility treatment. Patient Educ Couns 2005; 59(3):244-251.
  • 13. Muler MJ, Schilling G, Haidl G. Sexual satisfaction in male infertility. Arch Androl 1999; 42(3):137-143.
  • 14. Ramezanzadeh F, Aghssa MM, Jafarabadi M, et al. Alterations of sexual desire and satisfaction in male partners of infertile couples. Fertil Steril 2006;85(1):139-143.
  • 15. Nelson CJ, Shindel AW, Naughton CK, Ohebshalom M, Mulhall JP. Prevalence and predictors of sexual problems, relationship stress, and depression in female partners of infertile couples. J Sex Med 2008;5(8):1907-1914.
  • 16. Oskay ÜY, Bayram GO, Dişsiz M. [Psychosocial and psychosexual impact of infertility]. Beji NK, editor. İnfertilite Hemşireliği. 1.Baskı. İstanbul: Üreme Sağlığı ve İnfertilite Hemşireliği Derneği yayını; 2009;177-195.
  • 17. Kırca N, Pasinlioğlu T. [Psychosocial Problems during Infertility Treatment] Psikiyatride Güncel YaklaşımlarCurrent Approaches in Psychiatry 2013;5(2):162-178.
  • 18. Dilek N, Beji NK . [Determining the Emotional Reactions of Couples Undergoing Assisted Reproductive Procedures] Hemşirelikte Eğitim ve Araştırma Dergisi 2012; 9 (1):24-29.
  • 19. Olshansky EF. A counseling approach with persons experiencing infertility: implications for advanced practice nursing. Adv. Pract. Nurs Q 1996;2(3):42-47.
  • 20. McGahuey CA, Gelenberg AJ, Laukes CA, Moreno FA, Delgado PL, McKnight KM et al. The Arizona Sexual Experience Scale (ASEX): reliability and validity. J Sex Marital Ther 2000;26(1):25-40 . 21. Soykan A. The reliability and validity of Arizona sexual experiences scale in Turkish ESRD patients undergoing hemodialysis. Int J Impot Res 2004;16(6):531-534.
  • 22. Beck AT. An inventory for measuring depression. Arch Gen Psychiatry 1961 Jun; 4:561-571. 23. Hisli N. [The reability and validity of Beck Depression Inventory among university students]. J Turk Psychol 1989;23:3-13.
  • 24. Lee TY, Sun GH, Chao SC. The effect of an infertility diagnosis on the distress, Marital and sexual satisfaction between husbands and wives in Taiwan. Hum Reprod 2001;16(8):1762-1767.
  • 25. Karlıdere T, Bozkurt A, Yetkin S, Doruk A, Sütçigil L, Özmenler KN et al. [Is There Gender Difference in Infertile Couples With no Axis One Psychiatric Disorder in Context of Emotional Symptoms, Social Support and Sexual Function?] Turkish Journal of Psychiatry 2007;18(4):311-322.
  • 26. Arslan H, Ergin AB, Potur DC, Bilgin NÇ. [Evaluation of the Relationship Between Sexual Dysfunction and Quality of Life in Infertile Couples] Turkiye Klinikleri J Gynecol Obst 2008;18(6):364-71.
  • 27. Güleç G, Hassa H, Yalçın EG, Yenilmez C. [The effects of infertility on sexual functions and dyadic adjustment in couples that present for infertility treatment] Turkish Journal of Psychiatry 2011;22(3):166-76.
  • 28. Guz H, Ozkan A, Sarisoy G, Yanik F, Yanik A. Psychiatric symptoms in Turkish infertile women. J Psychosom Obstet Gynaecol 2003;24(4):267-271.
  • 29. Brucker SB, McKenry CP. Support from health care providers and the psychological adjustment of individuals experiencing infertility. Journal of Obstetrics Neonatal Nursing 2004;33:597-603.
  • 30. Kainz K. The role of the psychologist in the evaluation and treatment of infertility. Womens Health Issues 2001;11(6):481-485
Toplam 28 adet kaynakça vardır.

Ayrıntılar

Diğer ID JA42HA54CP
Bölüm Makaleler
Yazarlar

Tuba Kırço Çoban Bu kişi benim

Ayten Dinç Bu kişi benim

Yayımlanma Tarihi 12 Temmuz 2016
Yayımlandığı Sayı Yıl 2013 Cilt: 1 Sayı: 2

Kaynak Göster

APA Çoban, T. K., & Dinç, A. (2016). İnfertilitenin Cinsel Yaşam Üzerine Etkisinin İncelenmesi. Uluslararası Klinik Araştırmalar Dergisi, 1(2), 46-53.
AMA Çoban TK, Dinç A. İnfertilitenin Cinsel Yaşam Üzerine Etkisinin İncelenmesi. IJCR. Temmuz 2016;1(2):46-53.
Chicago Çoban, Tuba Kırço, ve Ayten Dinç. “İnfertilitenin Cinsel Yaşam Üzerine Etkisinin İncelenmesi”. Uluslararası Klinik Araştırmalar Dergisi 1, sy. 2 (Temmuz 2016): 46-53.
EndNote Çoban TK, Dinç A (01 Temmuz 2016) İnfertilitenin Cinsel Yaşam Üzerine Etkisinin İncelenmesi. Uluslararası Klinik Araştırmalar Dergisi 1 2 46–53.
IEEE T. K. Çoban ve A. Dinç, “İnfertilitenin Cinsel Yaşam Üzerine Etkisinin İncelenmesi”, IJCR, c. 1, sy. 2, ss. 46–53, 2016.
ISNAD Çoban, Tuba Kırço - Dinç, Ayten. “İnfertilitenin Cinsel Yaşam Üzerine Etkisinin İncelenmesi”. Uluslararası Klinik Araştırmalar Dergisi 1/2 (Temmuz 2016), 46-53.
JAMA Çoban TK, Dinç A. İnfertilitenin Cinsel Yaşam Üzerine Etkisinin İncelenmesi. IJCR. 2016;1:46–53.
MLA Çoban, Tuba Kırço ve Ayten Dinç. “İnfertilitenin Cinsel Yaşam Üzerine Etkisinin İncelenmesi”. Uluslararası Klinik Araştırmalar Dergisi, c. 1, sy. 2, 2016, ss. 46-53.
Vancouver Çoban TK, Dinç A. İnfertilitenin Cinsel Yaşam Üzerine Etkisinin İncelenmesi. IJCR. 2016;1(2):46-53.