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Erschienen in: Gynäkologische Endokrinologie 3/2017

28.07.2017 | Erektile Dysfunktion | Leitthema

Unerfüllter Kinderwunsch und Sexualität

verfasst von: Prof. Dr. med. B. Leeners, T. Wischmann, S. Tschudin

Erschienen in: Gynäkologische Endokrinologie | Ausgabe 3/2017

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Zusammenfassung

Hintergrund

Der unerfüllte Kinderwunsch geht häufig mit (passageren) sexuellen Funktionsstörungen einher.

Zielsetzung

In dieser Übersicht wird dargestellt, welche wechselseitigen Beziehungen zwischen Infertilität und sexuellen Störungen bestehen. Die relevanten Störungen der Sexualität und weitere Einflussfaktoren bei unerfülltem Kinderwunsch werden detailliert betrachtet. Es folgen Vorschläge für konkrete Lösungsstrategien und prognostische Überlegungen. Der Beitrag beinhaltet auch praxisnahe Hinweise für Frauenärzte, Reproduktionsmediziner und Sexualtherapeuten.
Literatur
1.
Zurück zum Zitat Butzer B, Campbell L (2008) Adult attachment, sexual satisfaction, and relationship satisfaction: A study of married couples. Pers Relatsh 15(1):141–154CrossRef Butzer B, Campbell L (2008) Adult attachment, sexual satisfaction, and relationship satisfaction: A study of married couples. Pers Relatsh 15(1):141–154CrossRef
2.
Zurück zum Zitat Byers ESE (2005) Relationship satisfaction and sexual satisfaction: a longitudinal study of individuals in long-term relationships. J Sex Res 42(2):113–118CrossRefPubMed Byers ESE (2005) Relationship satisfaction and sexual satisfaction: a longitudinal study of individuals in long-term relationships. J Sex Res 42(2):113–118CrossRefPubMed
3.
4.
Zurück zum Zitat Gallicchio L, Schilling C, Tomic D, Miller SR, Zacur H, Flaws JA (2007) Correlates of sexual functioning among mid-life women. Climacteric 10(2):132–142CrossRefPubMed Gallicchio L, Schilling C, Tomic D, Miller SR, Zacur H, Flaws JA (2007) Correlates of sexual functioning among mid-life women. Climacteric 10(2):132–142CrossRefPubMed
5.
Zurück zum Zitat Davison SL, Bell RJ, LaChina M, Holden SL, Davis SR (2009) Original research-psychology: the relationship between self‐reported sexual satisfaction and general well‐being in women. J Sex Med 6(10):2690–2697CrossRefPubMed Davison SL, Bell RJ, LaChina M, Holden SL, Davis SR (2009) Original research-psychology: the relationship between self‐reported sexual satisfaction and general well‐being in women. J Sex Med 6(10):2690–2697CrossRefPubMed
6.
Zurück zum Zitat Wischmann T, Schilling K, Toth B, Rösner S, Strowitzki T, Wohlfarth K et al (2014) Sexuality, self-esteem and partnership quality in infertile women and men. Geburtshilfe Frauenheilkd 74(8):759–763CrossRefPubMedPubMedCentral Wischmann T, Schilling K, Toth B, Rösner S, Strowitzki T, Wohlfarth K et al (2014) Sexuality, self-esteem and partnership quality in infertile women and men. Geburtshilfe Frauenheilkd 74(8):759–763CrossRefPubMedPubMedCentral
8.
Zurück zum Zitat Laumann EO, Paik A, Rosen RC (1999) Sexual dysfunction in the United States: prevalence and predictors. JAMA 281(6):537–544CrossRefPubMed Laumann EO, Paik A, Rosen RC (1999) Sexual dysfunction in the United States: prevalence and predictors. JAMA 281(6):537–544CrossRefPubMed
9.
Zurück zum Zitat Millheiser LS, Helmer AE, Quintero RB, Westphal LM, Milki AA, Lathi RB (2010) Is infertility a risk factor for female sexual dysfunction? A case-control study. Fertil Steril 94(6):2022–2025CrossRefPubMed Millheiser LS, Helmer AE, Quintero RB, Westphal LM, Milki AA, Lathi RB (2010) Is infertility a risk factor for female sexual dysfunction? A case-control study. Fertil Steril 94(6):2022–2025CrossRefPubMed
10.
Zurück zum Zitat Oddens BJ, den Tonkelaar I, Nieuwenhuyse H (1999) Psychosocial experiences in women facing fertility problems – a comparative survey. Hum Reprod 14(1):255–261CrossRefPubMed Oddens BJ, den Tonkelaar I, Nieuwenhuyse H (1999) Psychosocial experiences in women facing fertility problems – a comparative survey. Hum Reprod 14(1):255–261CrossRefPubMed
11.
Zurück zum Zitat Pawelec M, Pietras J, Watroba D (2011) The emotional disorders of infertile couples. Adv Clini Exp Med 20(5):641–645 Pawelec M, Pietras J, Watroba D (2011) The emotional disorders of infertile couples. Adv Clini Exp Med 20(5):641–645
12.
Zurück zum Zitat Keskin U, Coksuer H, Gungor S, Ercan CM, Karasahin KE, Baser I (2011) Differences in prevalence of sexual dysfunction between primary and secondary infertile women. Fertil Steril 96(5):1213–1217CrossRefPubMed Keskin U, Coksuer H, Gungor S, Ercan CM, Karasahin KE, Baser I (2011) Differences in prevalence of sexual dysfunction between primary and secondary infertile women. Fertil Steril 96(5):1213–1217CrossRefPubMed
13.
Zurück zum Zitat Furukawa AP, Patton PE, Amato P, Li H, Leclair CM (2012) Dyspareunia and sexual dysfunction in women seeking fertility treatment. Fertil Steril 98(6):1544–1548.e2CrossRefPubMed Furukawa AP, Patton PE, Amato P, Li H, Leclair CM (2012) Dyspareunia and sexual dysfunction in women seeking fertility treatment. Fertil Steril 98(6):1544–1548.e2CrossRefPubMed
14.
Zurück zum Zitat Jumayev I, Harun-Or-Rashid M, Rustamov O, Zakirova N, Kasuya H, Sakamoto J (2012) Social correlates of female infertility in Uzbekistan. Nagoya J Med Sci 74(3–4):273–283PubMedPubMedCentral Jumayev I, Harun-Or-Rashid M, Rustamov O, Zakirova N, Kasuya H, Sakamoto J (2012) Social correlates of female infertility in Uzbekistan. Nagoya J Med Sci 74(3–4):273–283PubMedPubMedCentral
15.
Zurück zum Zitat Månsson M, Norström K, Holte J, Landin-Wilhelmsen K, Dahlgren E, Landén M (2011) Sexuality and psychological wellbeing in women with polycystic ovary syndrome compared with healthy controls. Eur J Obstet Gynecol Reprod Biol 155(2):161–165CrossRefPubMed Månsson M, Norström K, Holte J, Landin-Wilhelmsen K, Dahlgren E, Landén M (2011) Sexuality and psychological wellbeing in women with polycystic ovary syndrome compared with healthy controls. Eur J Obstet Gynecol Reprod Biol 155(2):161–165CrossRefPubMed
16.
Zurück zum Zitat Angst J, Hengartner MP, Rössler W, Ajdacic-Gross V, Leeners B (2015) A Swiss longitudinal study of the prevalence of, and overlap between, sexual problems in men and women aged 20 to 50 years old. J Sex Res 52(8):949–959CrossRefPubMed Angst J, Hengartner MP, Rössler W, Ajdacic-Gross V, Leeners B (2015) A Swiss longitudinal study of the prevalence of, and overlap between, sexual problems in men and women aged 20 to 50 years old. J Sex Res 52(8):949–959CrossRefPubMed
17.
18.
Zurück zum Zitat Carter J, Applegarth L, Josephs L, Grill E, Baser RE, Rosenwaks Z (2011) A cross-sectional cohort study of infertile women awaiting oocyte donation: the emotional, sexual, and quality-of-life impact. Fertil Steril 95(2):711–711CrossRefPubMed Carter J, Applegarth L, Josephs L, Grill E, Baser RE, Rosenwaks Z (2011) A cross-sectional cohort study of infertile women awaiting oocyte donation: the emotional, sexual, and quality-of-life impact. Fertil Steril 95(2):711–711CrossRefPubMed
19.
Zurück zum Zitat Khademi A, Alleyassin A, Amini M, Ghaemi M (2008) Evaluation of sexual dysfunction prevalence in infertile couples. J Sex Med 5(6):1402–1410CrossRefPubMed Khademi A, Alleyassin A, Amini M, Ghaemi M (2008) Evaluation of sexual dysfunction prevalence in infertile couples. J Sex Med 5(6):1402–1410CrossRefPubMed
20.
Zurück zum Zitat Danielsson I, Sjöberg I, Stenlund H, Wikman M (2003) Prevalence and incidence of prolonged and severe dyspareunia in women: results from a population study. Scand J Public Health 31(2):113–118PubMed Danielsson I, Sjöberg I, Stenlund H, Wikman M (2003) Prevalence and incidence of prolonged and severe dyspareunia in women: results from a population study. Scand J Public Health 31(2):113–118PubMed
21.
Zurück zum Zitat Falsetta ML, Foster DC, Bonham AD, Phipps RP (2017) A review of the available clinical therapies for vulvodynia management and new data implicating proinflammatory mediators in pain elicitation. BJOG 124(2):210–218CrossRefPubMed Falsetta ML, Foster DC, Bonham AD, Phipps RP (2017) A review of the available clinical therapies for vulvodynia management and new data implicating proinflammatory mediators in pain elicitation. BJOG 124(2):210–218CrossRefPubMed
22.
Zurück zum Zitat Wildt L, Kissler S, Licht P, Becker W (1998) Sperm transport in the human female genital tract and its modulation by oxytocin as assessed by hysterosalpingoscintigraphy, hysterotonography, electrohysterography and Doppler sonography. Hum Reprod Update 4(5):655–666CrossRefPubMed Wildt L, Kissler S, Licht P, Becker W (1998) Sperm transport in the human female genital tract and its modulation by oxytocin as assessed by hysterosalpingoscintigraphy, hysterotonography, electrohysterography and Doppler sonography. Hum Reprod Update 4(5):655–666CrossRefPubMed
23.
Zurück zum Zitat Eardley I (2013) The incidence, prevalence, and natural history of erectile dysfunction. Sex Med Rev 1(1):3–16CrossRefPubMed Eardley I (2013) The incidence, prevalence, and natural history of erectile dysfunction. Sex Med Rev 1(1):3–16CrossRefPubMed
24.
Zurück zum Zitat Shindel AW, Eisenberg ML, Breyer BN, Sharlip ID, Smith JF (2011) Sexual function and depressive symptoms among female North American medical students. J Sex Med 8(2):391–399CrossRefPubMed Shindel AW, Eisenberg ML, Breyer BN, Sharlip ID, Smith JF (2011) Sexual function and depressive symptoms among female North American medical students. J Sex Med 8(2):391–399CrossRefPubMed
25.
Zurück zum Zitat Wischmann T (2013) Sexual disorders in infertile couples: an update. Curr Opin Obstet Gynecol 25(3):220–222CrossRefPubMed Wischmann T (2013) Sexual disorders in infertile couples: an update. Curr Opin Obstet Gynecol 25(3):220–222CrossRefPubMed
26.
Zurück zum Zitat Saleh RA, Ranga GM, Raina R, Nelson DR, Agarwal A (2003) Sexual dysfunction in men undergoing infertility evaluation: a cohort observational study. Fertil Steril 79(4):909–912CrossRefPubMed Saleh RA, Ranga GM, Raina R, Nelson DR, Agarwal A (2003) Sexual dysfunction in men undergoing infertility evaluation: a cohort observational study. Fertil Steril 79(4):909–912CrossRefPubMed
27.
Zurück zum Zitat Akbal C, Mangir N, Tavukçu HH, Ozgür O, Simşek F (2010) Effect of testicular sperm extraction outcome on sexual function in patients with male factor infertility. Urology 75(3):598–601CrossRefPubMed Akbal C, Mangir N, Tavukçu HH, Ozgür O, Simşek F (2010) Effect of testicular sperm extraction outcome on sexual function in patients with male factor infertility. Urology 75(3):598–601CrossRefPubMed
28.
Zurück zum Zitat Doyle JO, Richter KS, Lim J, Stillman RJ, Graham JR, Tucker MJ (2016) Successful elective and medically indicated oocyte vitrification and warming for autologous in vitro fertilization, with predicted birth probabilities for fertility preservation according to number of cryopreserved oocytes and age at retrieval. Fertil Steril 105(2):459–466.e2CrossRefPubMed Doyle JO, Richter KS, Lim J, Stillman RJ, Graham JR, Tucker MJ (2016) Successful elective and medically indicated oocyte vitrification and warming for autologous in vitro fertilization, with predicted birth probabilities for fertility preservation according to number of cryopreserved oocytes and age at retrieval. Fertil Steril 105(2):459–466.e2CrossRefPubMed
29.
Zurück zum Zitat Pottinger AM, Carroll K, Mason G (2016) Male attitude towards masturbating: an impediment to infertility evaluation and sperm parameters. Andrologia 48(7):774–778CrossRefPubMed Pottinger AM, Carroll K, Mason G (2016) Male attitude towards masturbating: an impediment to infertility evaluation and sperm parameters. Andrologia 48(7):774–778CrossRefPubMed
30.
Zurück zum Zitat Shindel AW, Nelson CJ, Naughton CK, Ohebshalom M, Mulhall JP (2008) Sexual function and quality of life in the male partner of infertile couples: prevalence and correlates of dysfunction. J Urol 179(3):1056–1059CrossRefPubMed Shindel AW, Nelson CJ, Naughton CK, Ohebshalom M, Mulhall JP (2008) Sexual function and quality of life in the male partner of infertile couples: prevalence and correlates of dysfunction. J Urol 179(3):1056–1059CrossRefPubMed
31.
Zurück zum Zitat Winkelman WD, Katz PP, Smith JF, Rowen TS, Infertility Outcomes Program Project Group (2016) The sexual impact of infertility among women seeking fertility care. Sex Med 4(3):e190–7CrossRefPubMedPubMedCentral Winkelman WD, Katz PP, Smith JF, Rowen TS, Infertility Outcomes Program Project Group (2016) The sexual impact of infertility among women seeking fertility care. Sex Med 4(3):e190–7CrossRefPubMedPubMedCentral
32.
Zurück zum Zitat Dhaliwal LK, Gupta KR, Gopalan S, Kulhara P (2004) Psychological aspects of infertility due to various causes–prospective study. Int J Fertil Womens Med 49(1):44–48PubMed Dhaliwal LK, Gupta KR, Gopalan S, Kulhara P (2004) Psychological aspects of infertility due to various causes–prospective study. Int J Fertil Womens Med 49(1):44–48PubMed
33.
Zurück zum Zitat Iris A, Aydogan Kirmizi D, Taner CE (2013) Effects of infertility and infertility duration on female sexual functions. Arch Gynecol Obstet 287(4):809–812CrossRefPubMed Iris A, Aydogan Kirmizi D, Taner CE (2013) Effects of infertility and infertility duration on female sexual functions. Arch Gynecol Obstet 287(4):809–812CrossRefPubMed
34.
Zurück zum Zitat Benyamini Y, Gozlan M, Kokia E (2005) Variability in the difficulties experienced by women undergoing infertility treatments. Fertil Steril 83(2):275–283CrossRefPubMed Benyamini Y, Gozlan M, Kokia E (2005) Variability in the difficulties experienced by women undergoing infertility treatments. Fertil Steril 83(2):275–283CrossRefPubMed
35.
Zurück zum Zitat Elia J, Delfino M, Imbrogno N, Mazzilli F (2010) The impact of a diagnosis of couple subfertility on male sexual function. J Endocrinol Invest 33(2):74–76CrossRefPubMed Elia J, Delfino M, Imbrogno N, Mazzilli F (2010) The impact of a diagnosis of couple subfertility on male sexual function. J Endocrinol Invest 33(2):74–76CrossRefPubMed
36.
Zurück zum Zitat Wischmann T, Thorn P (2013) (Male) infertility: what does it mean to men? New evidence from quantitative and qualitative studies. Reprod Biomed Online 27(3):236–243CrossRefPubMed Wischmann T, Thorn P (2013) (Male) infertility: what does it mean to men? New evidence from quantitative and qualitative studies. Reprod Biomed Online 27(3):236–243CrossRefPubMed
37.
Zurück zum Zitat Davies-Osterkamp S (1991) Psychologische Untersuchungen im Rahmen künstlicher Befruchtungstechniken; eine kritische Bestandsaufnahme. In: Psychologische Probleme in der Reproduktionsmedizin. Springer, Berlin Heidelberg, S 15–36CrossRef Davies-Osterkamp S (1991) Psychologische Untersuchungen im Rahmen künstlicher Befruchtungstechniken; eine kritische Bestandsaufnahme. In: Psychologische Probleme in der Reproduktionsmedizin. Springer, Berlin Heidelberg, S 15–36CrossRef
38.
Zurück zum Zitat Wischmann T, Stammer H, Scherg H, Gerhard I, Verres R (2001) Psychosocial characteristics of infertile couples: a study by the ‘Heidelberg Fertility Consultation Service’. Hum Reprod 16(8):1753–1761CrossRefPubMed Wischmann T, Stammer H, Scherg H, Gerhard I, Verres R (2001) Psychosocial characteristics of infertile couples: a study by the ‘Heidelberg Fertility Consultation Service’. Hum Reprod 16(8):1753–1761CrossRefPubMed
39.
Zurück zum Zitat Brkovich AM, Fisher WA (1998) Psychological distress and infertility: forty years of research. J Psychosom Obstet Gynaecol 19(4):218–228CrossRefPubMed Brkovich AM, Fisher WA (1998) Psychological distress and infertility: forty years of research. J Psychosom Obstet Gynaecol 19(4):218–228CrossRefPubMed
40.
Zurück zum Zitat Newton CR, Sherrard W, Glavac I (1999) The Fertility Problem Inventory: measuring perceived infertility-related stress. Fertil Steril 72(1):54–62CrossRefPubMed Newton CR, Sherrard W, Glavac I (1999) The Fertility Problem Inventory: measuring perceived infertility-related stress. Fertil Steril 72(1):54–62CrossRefPubMed
41.
Zurück zum Zitat Monga M, Alexandrescu B, Katz SE, Stein M, Ganiats T (2004) Impact of infertility on quality of life, marital adjustment, and sexual function. Urology 63(1):126–130CrossRefPubMed Monga M, Alexandrescu B, Katz SE, Stein M, Ganiats T (2004) Impact of infertility on quality of life, marital adjustment, and sexual function. Urology 63(1):126–130CrossRefPubMed
42.
Zurück zum Zitat Schanz S, Reimer T, Eichner M, Hautzinger M, Häfner H‑M, Fierlbeck G (2011) Long-term life and partnership satisfaction in infertile patients: a 5-year longitudinal study. Fertil Steril 96(2):416–421CrossRefPubMed Schanz S, Reimer T, Eichner M, Hautzinger M, Häfner H‑M, Fierlbeck G (2011) Long-term life and partnership satisfaction in infertile patients: a 5-year longitudinal study. Fertil Steril 96(2):416–421CrossRefPubMed
43.
Zurück zum Zitat Wischmann T, Korge K, Scherg H, Strowitzki T, Verres R (2012) A 10-year follow-up study of psychosocial factors affecting couples after infertility treatment. Hum Reprod 27(11):3226–3232CrossRefPubMed Wischmann T, Korge K, Scherg H, Strowitzki T, Verres R (2012) A 10-year follow-up study of psychosocial factors affecting couples after infertility treatment. Hum Reprod 27(11):3226–3232CrossRefPubMed
44.
Zurück zum Zitat Schmidt L, Holstein B, Christensen U, Boivin J (2005) Does infertility cause marital benefit? An epidemiological study of 2250 women and men in fertility treatment. Patient Educ Couns 59(3):244–251CrossRefPubMed Schmidt L, Holstein B, Christensen U, Boivin J (2005) Does infertility cause marital benefit? An epidemiological study of 2250 women and men in fertility treatment. Patient Educ Couns 59(3):244–251CrossRefPubMed
45.
Zurück zum Zitat Stammer H, Verres R, Wischmann T (2004) Paarberatung und -therapie bei unerfülltem Kinderwunsch. Praxis der Paar- und Familientherapie. Hogreve, Göttingen Stammer H, Verres R, Wischmann T (2004) Paarberatung und -therapie bei unerfülltem Kinderwunsch. Praxis der Paar- und Familientherapie. Hogreve, Göttingen
46.
Zurück zum Zitat Shilaih M, de Clerck V, Falco L, Kübler F, Leeners B (2017) Pulse rate measurement during sleep using wearable sensors, and its correlation with the menstrual cycle phases. A prospective observational study. Sci Rep 7(1):1294CrossRefPubMedPubMedCentral Shilaih M, de Clerck V, Falco L, Kübler F, Leeners B (2017) Pulse rate measurement during sleep using wearable sensors, and its correlation with the menstrual cycle phases. A prospective observational study. Sci Rep 7(1):1294CrossRefPubMedPubMedCentral
47.
Zurück zum Zitat Burns LH (2006) Infertility Counseling. A comprehensive handbook for clinicans, 2. Aufl. Parthenon Publishing, New York, S 25 Burns LH (2006) Infertility Counseling. A comprehensive handbook for clinicans, 2. Aufl. Parthenon Publishing, New York, S 25
48.
49.
Zurück zum Zitat Bar-Chama N, Schiff J, Yavorsky R, Diefenbach M (2007) Erectile dysfunction and infertility. Curr Sex Health Rep 4(1):20–23CrossRef Bar-Chama N, Schiff J, Yavorsky R, Diefenbach M (2007) Erectile dysfunction and infertility. Curr Sex Health Rep 4(1):20–23CrossRef
Metadaten
Titel
Unerfüllter Kinderwunsch und Sexualität
verfasst von
Prof. Dr. med. B. Leeners
T. Wischmann
S. Tschudin
Publikationsdatum
28.07.2017
Verlag
Springer Medizin
Erschienen in
Gynäkologische Endokrinologie / Ausgabe 3/2017
Print ISSN: 1610-2894
Elektronische ISSN: 1610-2908
DOI
https://doi.org/10.1007/s10304-017-0142-2

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