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Systematic Review Article

Adverse Quality of Life Style and Risk of Infertility: A Systematic Review Study

Author(s): Sara Abdoli, Seyedeh Zahra Masoumi* and Farideh Kazemi

Volume 16, Issue 3, 2020

Page: [169 - 181] Pages: 13

DOI: 10.2174/1573404816666200310125636

Price: $65

Abstract

Background: Infertility and mental, social, and economic issues associated with it endanger some relationships. Adverse quality of lifestyle is a threat to reproductive health and can lead to infertility problems.

Objective: The present systematic review study was conducted to investigate the impact of the adverse quality of lifestyle on increased risks of infertility.

Methods: After selecting electronic databases, namely Scopus, Pub Med, SID, and Web of Science, we searched the total population of available and published observational studies [cohort, casecontrol and cross-sectional] in Persian and English, examining the impact of lifestyle on reproductive and infertility parameters. The employed keywords were infertility, sub-fertility, male infertility, female infertility, couple infertility, lifestyle, and quality of life and their equivalent Persian words from 2007 to January 2019 regardless of gender. Out of 1211 studies, 60 were finally included in the study after excluding unrelated and duplicate papers and animal samples.

Results: In the present study, older age, inadequate diet and nutrient intake, high body mass index and abdominal fat, smoking and alcohol drinking, inadequate physical activity, intense physical activity, stress, and sexual dysfunction were observed to affect reproductive indices; however, some researchers did not find any relationship between the foregoing factors and fertility.

Conclusion: Individuals with dysfunctions in reproductive indices had more adverse quality of lifestyle indices compared with others, possibly reducing their chances of fertility. However, more studies are required to determine the relationship between lifestyle and infertility.

Keywords: Infertility, couple infertility, female infertility, male infertility, lifestyle, quality of life.

Graphical Abstract

[1]
Sudha G, Reddy K. Causes of female infertility: a cross sectional study. IJLRST 2013; 2(6): 119-23.
[2]
Wiersema NJ, Drukker AJ, Mai BT, Giang HN, Nguyen TN, Lambalk CB. Consequences of infertility in developing countries: results of a questionnaire and interview survey in the South of Vietnam. J Transl Med 2006; 4: 54.
[http://dx.doi.org/10.1186/1479-5876-4-54] [PMID: 17192178]
[3]
Miller-Fellows SC, Howard L, Kramer R, et al. Cross-sectional interview study of fertility, pregnancy, and urogenital schistosomiasis in coastal Kenya: Documented treatment in childhood is associated with reduced odds of subfertility among adult women. PLoS Negl Trop Dis 2017; 11(11) e0006101.
[http://dx.doi.org/10.1371/journal.pntd.0006101] [PMID: 29176778]
[4]
Esmaeilzadeh S, Delavar MA, Zeinalzadeh M, Mir MR. Epidemiology of infertility: a population-based study in Babol, Iran. Women Health 2012; 52(8): 744-54.
[http://dx.doi.org/10.1080/03630242.2012.728191] [PMID: 23127216]
[5]
Thonneau P, Marchand S, Tallec A, et al. Incidence and main causes of infertility in a resident population (1,850,000) of three French regions (1988-1989). Hum Reprod 1991; 6(6): 811-6.
[http://dx.doi.org/10.1093/oxfordjournals.humrep.a137433] [PMID: 1757519]
[6]
Hassan MA, Killick SR. Negative lifestyle is associated with a significant reduction in fecundity. Fertil Steril 2004; 81(2): 384-92.
[http://dx.doi.org/10.1016/j.fertnstert.2003.06.027] [PMID: 14967378]
[7]
Varshini J, Srinag BS, Kalthur G, et al. Poor sperm quality and advancing age are associated with increased sperm DNA damage in infertile men. Andrologia 2012; 44(Suppl. 1): 642-9.
[http://dx.doi.org/10.1111/j.1439-0272.2011.01243.x] [PMID: 22040161]
[8]
van Zonneveld P, Scheffer GJ, Broekmans FJ, et al. Do cycle disturbances explain the age-related decline of female fertility? Cycle characteristics of women aged over 40 years compared with a reference population of young women. Hum Reprod 2003; 18(3): 495-501.
[http://dx.doi.org/10.1093/humrep/deg138] [PMID: 12615813]
[9]
Rolf C, Cooper TG, Yeung CH, Nieschlag E. Antioxidant treatment of patients with asthenozoospermia or moderate oligoasthenozoospermia with high-dose vitamin C and vitamin E: a randomized, placebo-controlled, double-blind study. Hum Reprod 1999; 14(4): 1028-33.
[http://dx.doi.org/10.1093/humrep/14.4.1028] [PMID: 10221237]
[10]
Chavarro JE, Rich-Edwards JW, Rosner B, Willett WC. A prospective study of dairy foods intake and anovulatory infertility. Hum Reprod 2007; 22(5): 1340-7.
[http://dx.doi.org/10.1093/humrep/dem019] [PMID: 17329264]
[11]
Hunt CD, Johnson PE, Herbel J, Mullen LK. Effects of dietary zinc depletion on seminal volume and zinc loss, serum testosterone concentrations, and sperm morphology in young men. Am J Clin Nutr 1992; 56(1): 148-57.
[http://dx.doi.org/10.1093/ajcn/56.1.148] [PMID: 1609752]
[12]
Kort HI, Massey JB, Elsner CW, et al. Impact of body mass index values on sperm quantity and quality. J Androl 2006; 27(3): 450-2.
[http://dx.doi.org/10.2164/jandrol.05124] [PMID: 16339454]
[13]
Jensen TK, Andersson A-M, Jørgensen N, et al. Body mass index in relation to semen quality and reproductive hormones among 1,558 Danish men. Fertil Steril 2004; 82(4): 863-70.
[http://dx.doi.org/10.1016/j.fertnstert.2004.03.056] [PMID: 15482761]
[14]
Rich-Edwards JW, Goldman MB, Willett WC, et al. Adolescent body mass index and infertility caused by ovulatory disorder. Am J Obstet Gynecol 1994; 171(1): 171-7.
[http://dx.doi.org/10.1016/0002-9378(94)90465-0] [PMID: 8030695]
[15]
Sansone A, Sansone M, Vaamonde D, et al. Sport, doping and male fertility. Reprod Biol Endocrinol 2018; 16(1): 114.
[http://dx.doi.org/10.1186/s12958-018-0435-x] [PMID: 30415644]
[16]
Ramlau-Hansen CH, Thulstrup AM, Aggerholm AS, Jensen MS, Toft G, Bonde JP. Is smoking a risk factor for decreased semen quality? A cross-sectional analysis. Hum Reprod 2007; 22(1): 188-96.
[http://dx.doi.org/10.1093/humrep/del364] [PMID: 16966350]
[17]
Sharara FI, Beatse SN, Leonardi MR, Navot D, Scott RT Jr. Cigarette smoking accelerates the development of diminished ovarian reserve as evidenced by the clomiphene citrate challenge test. Fertil Steril 1994; 62(2): 257-62.
[http://dx.doi.org/10.1016/S0015-0282(16)56875-7] [PMID: 8034069]
[18]
Künzle R, Mueller MD, Hänggi W, Birkhäuser MH, Drescher H, Bersinger NA. Semen quality of male smokers and nonsmokers in infertile couples. Fertil Steril 2003; 79(2): 287-91.
[http://dx.doi.org/10.1016/S0015-0282(02)04664-2] [PMID: 12568836]
[19]
Muthusami KR, Chinnaswamy P. Effect of chronic alcoholism on male fertility hormones and semen quality. Fertil Steril 2005; 84(4): 919-24.
[http://dx.doi.org/10.1016/j.fertnstert.2005.04.025] [PMID: 16213844]
[20]
Kull M. The relationships between physical activity, health status and psychological well-being of fertility-aged women. Scand J Med Sci Sports 2002; 12(4): 241-7.
[http://dx.doi.org/10.1034/j.1600-0838.2002.00341.x] [PMID: 12199874]
[21]
Janevic T, Kahn LG, Landsbergis P, et al. Effects of work and life stress on semen quality. Fertil Steril 2014; 102(2): 530-8.
[http://dx.doi.org/10.1016/j.fertnstert.2014.04.021] [PMID: 24856463]
[22]
Ragni G, Caccamo A. Negative effect of stress of in vitro fertilization program on quality of semen. Acta Eur Fertil 1992; 23(1): 21-3.
[PMID: 1293895]
[23]
Hartling L, Milne A, Hamm MP, et al. Testing the Newcastle Ottawa Scale showed low reliability between individual reviewers. J Clin Epidemiol 2013; 66(9): 982-93.
[http://dx.doi.org/10.1016/j.jclinepi.2013.03.003] [PMID: 23683848]
[24]
Liu CY, Chou YC, Chao JC, Hsu CY, Cha TL, Tsao CW. The association between dietary patterns and semen quality in a general Asian population of 7282 males. PLoS One 2015; 10(7) e0134224.
[http://dx.doi.org/10.1371/journal.pone.0134224] [PMID: 26218796]
[25]
Gaskins AJ, Colaci DS, Mendiola J, Swan SH, Chavarro JE. Dietary patterns and semen quality in young men. Hum Reprod 2012; 27(10): 2899-907.
[http://dx.doi.org/10.1093/humrep/des298] [PMID: 22888168]
[26]
Chavarro JE, Rich-Edwards JW, Rosner BA, Willett WC. A prospective study of dietary carbohydrate quantity and quality in relation to risk of ovulatory infertility. Eur J Clin Nutr 2009; 63(1): 78-86.
[http://dx.doi.org/10.1038/sj.ejcn.1602904] [PMID: 17882137]
[27]
Pagliardini L, Vigano’ P, Molgora M, et al. High prevalence of vitamin D deficiency in infertile women referring for assisted reproduction. Nutrients 2015; 7(12): 9972-84.
[http://dx.doi.org/10.3390/nu7125516] [PMID: 26633484]
[28]
Danielewicz A, Przybyłowicz KE, Przybyłowicz M. Dietary patterns and poor semen quality risk in men: A cross-sectional study. Nutrients 2018; 10(9) E1162.
[http://dx.doi.org/10.3390/nu10091162] [PMID: 30149588]
[29]
Toledo E, Lopez-del Burgo C, Ruiz-Zambrana A, et al. Dietary patterns and difficulty conceiving: a nested case-control study. Fertil Steril 2011; 96(5): 1149-53.
[http://dx.doi.org/10.1016/j.fertnstert.2011.08.034] [PMID: 21943725]
[30]
Chavarro JE, Rich-Edwards JW, Rosner BA, Willett WC. Use of multivitamins, intake of B vitamins, and risk of ovulatory infertility. Fertil Steril 2008; 89(3): 668-76.
[http://dx.doi.org/10.1016/j.fertnstert.2007.03.089] [PMID: 17624345]
[31]
Chavarro JE, Mínguez-Alarcón L, Mendiola J, Cutillas-Tolín A, López-Espín JJ, Torres-Cantero AM. Trans fatty acid intake is inversely related to total sperm count in young healthy men. Hum Reprod 2014; 29(3): 429-40.
[http://dx.doi.org/10.1093/humrep/det464] [PMID: 24419496]
[32]
Afeiche MC, Gaskins AJ, Williams PL, et al. Processed meat intake is unfavorably and fish intake favorably associated with semen quality indicators among men attending a fertility clinic. J Nutr 2014; 144(7): 1091-8.
[http://dx.doi.org/10.3945/jn.113.190173] [PMID: 24850626]
[33]
Jensen TK, Heitmann BL, Blomberg Jensen M, et al. High dietary intake of saturated fat is associated with reduced semen quality among 701 young Danish men from the general population. Am J Clin Nutr 2013; 97(2): 411-8.
[http://dx.doi.org/10.3945/ajcn.112.042432] [PMID: 23269819]
[34]
Eslamian G, Amirjannati N, Rashidkhani B, Sadeghi MR, Hekmatdoost A. Intake of food groups and idiopathic asthenozoospermia: a case-control study. Hum Reprod 2012; 27(11): 3328-36.
[http://dx.doi.org/10.1093/humrep/des311] [PMID: 22940769]
[35]
Grieger JA, Grzeskowiak LE, Bianco-Miotto T, et al. Pre-pregnancy fast food and fruit intake is associated with time to pregnancy. Hum Reprod 2018; 33(6): 1063-70.
[http://dx.doi.org/10.1093/humrep/dey079] [PMID: 29733398]
[36]
Gharghanipour S, Taebi M, Salehi P, Heidari-Beni M. Relationship between dietary antioxidant intake and semen analysis parameters. IJOGI 2018; 21(6): 47-54.
[37]
Schisterman EF, Mumford SL, Browne RW, Barr DB, Chen Z, Louis GMB. Lipid concentrations and couple fecundity: the LIFE study. J Clin Endocrinol Metab 2014; 99(8): 2786-94.
[http://dx.doi.org/10.1210/jc.2013-3936] [PMID: 24846535]
[38]
Nouri M, Ghasemzadeh A, Farzadi L, Shahnazi V, Ghaffari Novin M, Vitamins C. E and lipid peroxidation levels in sperm and seminal plasma of asthenoteratozoospermic and normozoospermic men. IJRM 2008; 6(2): 1-0.
[39]
Souter I, Chiu YH, Batsis M, et al. The association of protein intake (amount and type) with ovarian antral follicle counts among infertile women: results from the EARTH prospective study cohort. BJOG 2017; 124(10): 1547-55.
[http://dx.doi.org/10.1111/1471-0528.14630] [PMID: 28278351]
[40]
Afeiche MC, Bridges ND, Williams PL, et al. Dairy intake and semen quality among men attending a fertility clinic. Fertil Steril 2014; 101(5): 1280-7.
[http://dx.doi.org/10.1016/j.fertnstert.2014.02.003] [PMID: 24636397]
[41]
Chavarro JE, Rich-Edwards JW, Rosner BA, Willett WC. Protein intake and ovulatory infertility. Am J Obstet Gynecol 2008; 198(2): 210.e1-7.
[http://dx.doi.org/10.1016/j.ajog.2007.06.057] [PMID: 18226626]
[42]
Hosen MB, Islam MR, Begum F, Kabir Y, Howlader MZH. Oxidative stress induced sperm DNA damage, a possible reason for male infertility. Iran J Reprod Med 2015; 13(9): 525-32.
[PMID: 26568756]
[43]
Faure C, Dupont C, Baraibar MA, et al. In subfertile couple, abdominal fat loss in men is associated with improvement of sperm quality and pregnancy: a case-series. PLoS One 2014; 9(2) e86300.
[http://dx.doi.org/10.1371/journal.pone.0086300] [PMID: 24520319]
[44]
Benbella A, Aboulmakarim S, Hardizi H, Zaidouni A, Bezad R. Infertility in the Moroccan population: major risk factors encountered in the reproductive health centre in Rabat. Pan Afr Med J 2018; 30: 195.
[http://dx.doi.org/10.11604/pamj.2018.30.195.13849] [PMID: 30455824]
[45]
Cong J, Li P, Zheng L, Tan J. Prevalence and risk factors of infertility at a rural site of northern China. PLoS One 2016; 11(5) e0155563.
[http://dx.doi.org/10.1371/journal.pone.0155563] [PMID: 27177147]
[46]
Mahboubi M, Foroughi F, Ghahramani F, Shahandeh H, Moradi S, Shirzadian T. A case-control study of the factors affecting male infertility. Turk J Med Sci 2014; 44(5): 862-5.
[http://dx.doi.org/10.3906/sag-1304-35] [PMID: 25539558]
[47]
Wise LA, Palmer JR, Rosenberg L. Body size and time-to-pregnancy in black women. Hum Reprod 2013; 28(10): 2856-64.
[http://dx.doi.org/10.1093/humrep/det333] [PMID: 23958939]
[48]
Wellons MF, Lewis CE, Schwartz SM, et al. Racial differences in self-reported infertility and risk factors for infertility in a cohort of black and white women: the CARDIA Women’s Study. Fertil Steril 2008; 90(5): 1640-8.
[http://dx.doi.org/10.1016/j.fertnstert.2007.09.056] [PMID: 18321499]
[49]
Jamali S, Zarei H, Rasekh Jahromi A. The relationship between body mass index and sexual function in infertile women: A cross-sectional survey. Iran J Reprod Med 2014; 12(3): 189-98.
[PMID: 24799879]
[50]
Najafi M, Kavitha P, Gopalappa S, Thammaiah CP, Sathidevi VV, Malini SS. Overweight and obese men are more prone to infertility-Myth or Fact? JPS 2011; 2(1): 7-12.
[51]
Choobineh H, Sadighi Gilani M, Hassanzadeh G, et al. Assessment of Socio-Demographic Characteristics of Infertile Men Who Referred to Shariati Hospital, Tehran, Iran. IJOGI 2013;; 16 (47.48): 6- 12.
[52]
Hajishafiha M, Garehagaji R, Salemi S. SadeghAsadi N. A survey of association among BMI with semen factors and sex hormones in men. Med J Mashhad Univ Med Sci 2012; 55(2): 102-9.
[53]
Vakili M, Shirzad E, Nabinejad M. Assessing the obesity in fertile and infertile women Yazd-2006. IJOGI 2011; 14(2): 7-13.
[54]
Javadi M, Miri N, Barikani A, Sadeghi F. The status of smoking habit, caffeine intake and Body Mass Index in infertile and healthy women aged 25-40 years. IJOGI 2017; 20(1): 10-4.
[55]
Masomi M, Tafvizi F. Association of Body Mass Index with leptin and other hormonal parameters in women with unexplained infertility and fertile women. J Fasa Univ Med Sci 2016; 6(1): 44-51.
[56]
Jehan S, Syed S. Association of ovarian reserve with age, BMI and serum FSH level in subfertile women. J Pak Med Assoc 2016; 66(4): 409-13.
[PMID: 27122266]
[57]
Al Omrani B, Al Eisa N, Javed M, Al Ghedan M, Al Matrafi H, Al Sufyan H. Associations of sperm DNA fragmentation with lifestyle factors and semen parameters of Saudi men and its impact on ICSI outcome. Reprod Biol Endocrinol 2018; 16(1): 49.
[http://dx.doi.org/10.1186/s12958-018-0369-3] [PMID: 29778100]
[58]
Eisenberg ML, Kim S, Chen Z, Sundaram R, Schisterman EF, Buck Louis GM. The relationship between male BMI and waist circumference on semen quality: data from the LIFE study. Hum Reprod 2014; 29(2): 193-200.
[http://dx.doi.org/10.1093/humrep/det428] [PMID: 24306102]
[59]
Peck JD, Quaas AM, Craig LB, Soules MR, Klein NA, Hansen KR. Lifestyle factors associated with histologically derived human ovarian non-growing follicle count in reproductive age women. Hum Reprod 2016; 31(1): 150-7.
[http://dx.doi.org/10.1093/humrep/dev271] [PMID: 26497957]
[60]
Chavarro JE, Toth TL, Wright DL, Meeker JD, Hauser R. Body mass index in relation to semen quality, sperm DNA integrity, and serum reproductive hormone levels among men attending an infertility clinic. Fertil Steril 2010; 93(7): 2222-31.
[http://dx.doi.org/10.1016/j.fertnstert.2009.01.100] [PMID: 19261274]
[61]
Shafi H, Agajani Delavar M. Differences in body mass index and height factors between men with and without varicocele. Med Glas (Zenica) 2015; 12(2): 212-5.
[PMID: 26276662]
[62]
Kumar S, Murarka S, Mishra VV, Gautam AK. Environmental & lifestyle factors in deterioration of male reproductive health. Indian J Med Res 2014; 140(Suppl.): S29-35.
[PMID: 25673539]
[63]
Ye X, Skjaerven R, Basso O, et al. In utero exposure to tobacco smoke and subsequent reduced fertility in females. Hum Reprod 2010; 25(11): 2901-6.
[http://dx.doi.org/10.1093/humrep/deq235] [PMID: 20817739]
[64]
Jensen TK, Swan S, Jørgensen N, et al. Alcohol and male reproductive health: a cross-sectional study of 8344 healthy men from Europe and the USA. Hum Reprod 2014; 29(8): 1801-9.
[http://dx.doi.org/10.1093/humrep/deu118] [PMID: 24893607]
[65]
Hawkins Bressler L, Bernardi LA, De Chavez PJD, Baird DD, Carnethon MR, Marsh EE. Alcohol, cigarette smoking, and ovarian reserve in reproductive-age African-American women. Am J Obstet Gynecol 2016; 215(6): 758.e1-9.
[http://dx.doi.org/10.1016/j.ajog.2016.07.012] [PMID: 27418446]
[66]
Mikkelsen EM, Riis AH, Wise LA, et al. Alcohol consumption and fecundability: prospective Danish cohort study. BMJ 2016; 354: i4262.
[http://dx.doi.org/10.1136/bmj.i4262] [PMID: 27581754]
[67]
Yang F, Li L, Chen JP, et al. Couple’s infertility in relation to male smoking in a Chinese rural area. Asian J Androl 2017; 19(3): 311-5.
[http://dx.doi.org/10.4103/1008-682X.168685] [PMID: 26763542]
[68]
Aryanpur M, Tarahomi M, Sharifi H, et al. Comparison of spermatozoa quality in male smokers and nonsmokers of Iranian infertile couples. Int J Fertil Steril 2011; 5(3): 152-7.
[PMID: 25101159]
[69]
Aryanpur M, Heydari G, Tarahomi M, Akhondi MM, Zeraati H, Masjedi MR. Prevalence of tobacco smoking among infertile couples in Tehran. JRI 2009; 9(4): 342-9.
[70]
Keshavarzi F, Omidvar BMH, Bakhtiari F. The survey of infertility risk factors in admitted men to infertility center of Mo’tazedi hospital in Kermanshah, 2012-2013. J Clin Res Paramed Sci 2016; 5(1): 78-85.
[71]
Gaur DS, Talekar M, Pathak VP. Effect of cigarette smoking on semen quality of infertile men. Singapore Med J 2007; 48(2): 119-23.
[PMID: 17304390]
[72]
Gaur DS, Talekar MS, Pathak VP. Alcohol intake and cigarette smoking: impact of two major lifestyle factors on male fertility. Indian J Pathol Microbiol 2010; 53(1): 35-40.
[http://dx.doi.org/10.4103/0377-4929.59180] [PMID: 20090219]
[73]
Wise LA, Cramer DW, Hornstein MD, Ashby RK, Missmer SA. Physical activity and semen quality among men attending an infertility clinic. Fertil Steril 2011; 95(3): 1025-30.
[http://dx.doi.org/10.1016/j.fertnstert.2010.11.006] [PMID: 21122845]
[74]
Hamadneh JM, Amarin Z, Hamadneh S, Obeidat NA, Kassab M, Hani MB. Lifestyle related fertility disorders in North Jordan: Potential for improvement. IJWHR 2017; 5(4): 264-9.
[http://dx.doi.org/10.15296/ijwhr.2017.45]
[75]
Safarinejad MR. Infertility among couples in a population-based study in Iran: prevalence and associated risk factors. Int J Androl 2008; 31(3): 303-14.
[http://dx.doi.org/10.1111/j.1365-2605.2007.00764.x] [PMID: 17488339]
[76]
Alshahrani S, Agarwal A, Assidi M, et al. Infertile men older than 40 years are at higher risk of sperm DNA damage. Reprod Biol Endocrinol 2014; 12(1): 103.
[http://dx.doi.org/10.1186/1477-7827-12-103] [PMID: 25410314]
[77]
Dong YZ, Zhou FJ, Sun YP. Psychological stress is related to a decrease of serum anti-müllerian hormone level in infertile women. Reprod Biol Endocrinol 2017; 15(1): 51.
[http://dx.doi.org/10.1186/s12958-017-0271-4] [PMID: 28693593]
[78]
Zhang YX, Zhang XQ, Wang QR, et al. Psychological burden, sexual satisfaction and erectile function in men whose partners experience recurrent pregnancy loss in China: a cross-sectional study. Reprod Health 2016; 13(1): 73.
[http://dx.doi.org/10.1186/s12978-016-0188-y] [PMID: 27296130]
[79]
Lynch CD, Sundaram R, Maisog JM, Sweeney AM, Buck Louis GM. Preconception stress increases the risk of infertility: results from a couple-based prospective cohort study--the LIFE study. Hum Reprod 2014; 29(5): 1067-75.
[http://dx.doi.org/10.1093/humrep/deu032] [PMID: 24664130]
[80]
Zorn B, Auger J, Velikonja V, Kolbezen M, Meden-Vrtovec H. Psychological factors in male partners of infertile couples: relationship with semen quality and early miscarriage. Int J Androl 2008; 31(6): 557-64.
[http://dx.doi.org/10.1111/j.1365-2605.2007.00806.x] [PMID: 17651396]
[81]
Louis GMB, Lum KJ, Sundaram R, et al. Stress reduces conception probabilities across the fertile window: evidence in support of relaxation. Fertil Steril 2011; 95(7): 2184-9.
[http://dx.doi.org/10.1016/j.fertnstert.2010.06.078] [PMID: 20688324]
[82]
Bayar U, Basaran M, Atasoy N, et al. Sexual dysfunction in infertile couples: evaluation and treatment of infertility. J Pak Med Assoc 2014; 64(2): 138-45.
[PMID: 24640800]
[83]
Song SH, Kim DS, Yoon TK, Hong JY, Shim SH. Sexual function and stress level of male partners of infertile couples during the fertile period. BJU Int 2016; 117(1): 173-6.
[http://dx.doi.org/10.1111/bju.13201] [PMID: 26074135]
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