Sexual Dysfunctions in Men with Infertility in Marriage, Which is Caused by Tubal Peritoneal Pathology in Women. The Effectiveness of the Combined Use of Dietary Supplements

Abstract

The problem of infertile marriage in recent decades has become one of the most acute in both medical and social aspects. In the conditions of the economic crisis, the decline in the birth rate and the high level of overall mortality, the problem of protecting the reproductive health of the population acquires special social significance. Infertility is important not only for specific families, but also affects society as a whole, reducing the social and professional activity of the reproductive group of the population. The objective: to analyze sexual dysfunctions in men with infertility in marriage, caused by tuboperitoneal pathology in women, and to determine the effectiveness of treatment using the combined use of dietary supplements. Materials and methods. Were examined 105 men with infertility in marriage, the cause of which was recognized as tuboperitoneal pathology in women. The age of patients in group 1 ranged from 23 to 56 years; group 2 – from 24 to 54 years old (average age – 34.1 ± 0.7 years and 33.6 ± 1.1 years, respectively; p>0.05). The sexual dysfunctions of the patients were studied by means of a survey. The questions and options for assessing the answers to them were based on the International Index of Erectile Function. To improve the psychoemotional state and restore sexual functions, all patients underwent rational psychotherapy. Dietary supplements produced by Harmony Ukraine Ltd. were prescribed for use in 63 patients, 42 men did not receive additional treatment. Results. In the course of the study, it was found that in men from couples, the cause of infertile marriage in whom tuboperitoneal pathology in women was previously recognized, manifestations of sexual dysfunctions are rare intimate relationships, decreased sex drive, impaired erectile function. The use of dietary supplements against the background of rational psychotherapy leads to an improvement and normalization of male sexuality, namely: an increase in the frequency of intimate relationships, an increase in sexual desire, the presence of a persistent, prolonged, controlled erection during intercourse, and the emergence of more vivid orgasmic sensations. The positive effect of therapy with the inclusion of dietary supplements was noted by 92.1% of men, 69.9% of patients were very satisfied with the treatment. Men who received only rational psychotherapy indicated its effectiveness in 23.8% of cases (p<0.001), very high efficiency – in 19.0% of cases (p<0.001). Conclusion. It is advisable to include dietary supplements in the complex of therapy for men with infertility in marriage due to tuboperitoneal pathology in women with sexual dysfunctions.