Male infertility may occur as a consequence of psychological or physical problems or a combination thereof. On learning of their infertility, patients usually go through an initial emotional crisis. The male response thereafter varies depending on the etiology of the infertility. Male factor infertility threatens the traditional male/father role and results in a feeling of personal and sexual inadequacy. This may resolve itself in extramarital affairs or by the sufferer throwing himself into his work.
Materials and methods
Feelings about fertility and sexual adequacy are interconnected for many men especially through male factor infertility. Couples with long term infertility, who have faced much treatment failure, report higher levels of depression, low satisfaction with their sex lives, and low levels of well being. The stigma of male factor infertility described earlier, has huge effects on the man. The problems infertile men have with sexual inadequacy stem from social ridicule and resulting low self-esteem. It is estimated that 40% of infertile individuals experience significant emotional distress with possible long-term implications. The diagnosis of infertility causes many males to question their masculinity. Male factor infertility is frequently associated with high levels of stigma .Many people assume that infertile men cannot perform sexually. This stigma adds to the heightened insecurities in infertile men.
The results of this research showed that infertility treatments can be stressful, intrusive, and emotionally demanding. As part of your infertility treatments, men and their partner may need to have sex at certain times, even if they do not feel like it. Some of the medications that they need to take as part of your treatment may make it harder to have sex.
All of these things can be bad for a couple's sexual relationship and may lead to sexual dysfunction. Because of the stress caused by the need for a male to "ejaculate on demand," some men may have erectile dysfunction. Both partners may have less sexual desire.