Infertility has dramatic effects on the emotional well-being of many individuals and couples. Several studies have demonstrated a correlation with decreased sexual satisfaction and increased incidence of sexual dysfunction such as premature ejaculation (PE) and erectile dysfunction (ED)

Additionally, men with male factor infertility have routinely scored lower on quality-of-life questionnaires.

A new study published in the Journal of Sexual Medicine (2013;10:1935-1942) is the first to systematically evaluate the association between male factor infertility and the incidence of sexual dysfunction and psychological burden in China. Anxiety and depression were more prevalent in the infertile (38% vs. 26% and 16% vs. 10%, respectively). 

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As expected, the incidence of both PE and ED was significantly higher in the infertility group compared with the fertility group (19% vs. 10%). Additionally, both PE and ED were associated with both anxiety and depression.