دورية أكاديمية
Perceptions of Infertility and Semen Analysis Testing Among American Men Without Children.
| العنوان: | Perceptions of Infertility and Semen Analysis Testing Among American Men Without Children. |
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| المؤلفون: | 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. |
| المصدر: | Urology [Urology] 2021 Dec; Vol. 158, pp. 95-101. Date of Electronic Publication: 2021 Sep 16. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Science Country of Publication: United States NLM ID: 0366151 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1527-9995 (Electronic) Linking ISSN: 00904295 NLM ISO Abbreviation: Urology Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: New York : Elsevier Science Original Publication: Ridgewood, N.J., Professional Medical Services Co. |
| مواضيع طبية MeSH: | Infertility, Male/*diagnosis , Infertility, Male/*psychology , Semen Analysis/*statistics & numerical data, Adolescent ; Adult ; Age Factors ; Cross-Sectional Studies ; Fitness Trackers/statistics & numerical data ; Health Behavior ; Humans ; Male ; Middle Aged ; Professional-Patient Relations ; Self-Testing ; Testosterone/blood ; United States ; Young Adult |
| مستخلص: | 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.) |
| التعليقات: | Comment in: Urology. 2021 Dec;158:101. (PMID: 34895623) Comment in: J Urol. 2022 Sep;208(3):718-720. (PMID: 35696129) |
| المشرفين على المادة: | 3XMK78S47O (Testosterone) |
| تواريخ الأحداث: | Date Created: 20210919 Date Completed: 20220128 Latest Revision: 20220811 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1016/j.urology.2021.07.045 |
| PMID: | 34537196 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1527-9995 |
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| DOI: | 10.1016/j.urology.2021.07.045 |