Perceptions of Infertility and Semen Analysis Testing Among American Men Without Children.

Autor: Hudnall MT; Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL. Electronic address: matthew.hudnall@northwestern.edu., Greene LI; Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL., Pham MN; Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL., Lai JD; Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL., Fantus RJ; Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL., Keeter MK; Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL., Wren J; Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL., Bennett NE; Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL., Brannigan RE; Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL., Halpern JA; Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL.
Jazyk: angličtina
Zdroj: Urology [Urology] 2021 Dec; Vol. 158, pp. 95-101. Date of Electronic Publication: 2021 Sep 16.
DOI: 10.1016/j.urology.2021.07.045
Abstrakt: Objective: To determine whether health-conscious men are more likely to be concerned about infertility and self-initiate semen analysis at a laboratory/clinic or through a direct-to-consumer at-home product without a health care provider recommendation.
Methods: Cross-sectional survey conducted online via ResearchMatch.org between November 2019 and January 2020. Men age 18 and older without children (n = 634) were included for analysis. Outcomes were likelihood of self-initiating a semen analysis, prevalence of infertility concern.
Results: Of the 634 participants, 186 expressed concern about infertility but only 29% were likely to discuss these concerns with a health care provider. More men would self-initiate a semen analysis using an at-home product than through a traditional laboratory/clinic (14.2% vs 10.4%, P = .04). Odds of self-initiating a traditional semen analysis were higher for men concerned about low testosterone (odds ratio [OR] 2.30, 95% confidence interval [CI] 1.12-4.74, P = .023) and infertility (OR 3.91, 95% CI 2.14-7.15, P <.001). Self-initiating an at-home semen analysis was associated with concern for low testosterone and infertility as well as middle age (age 40-59: OR 3.02, 95% CI 1.16-7.88, P = .024) and fitness tracker use (OR: 1.95, 95% CI 1.12-3.39, P = .018).
Conclusion: Many men were unlikely to discuss infertility concerns with a health care provider. Middle aged men and those who used fitness trackers were more likely to self-initiate fertility evaluation through at-home semen analysis. Concern about low serum testosterone was pervasive and strongly associated with concern for being infertile and self-initiating a semen analysis of any kind.
(Copyright © 2021 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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