Male subfertility: is pregnancy the only issue?

Abstract
The management of male subfertility is changing radically. The advent of intracytoplasmic sperm injection in particular has given some men the chance to father children even when they have no sperm in their ejaculate. However, the focus on pregnancy as the most important outcome of subfertility treatment appears to have taken place to the exclusion of other outcomes, such as the psychological well being of the couple and, in particular, of the man. Traditionally the little research there has been into psychological responses has focused on women. Recently a start has been made in redressing this imbalance, and it appears that men's experiences of, and responses to, subfertility are fundamentally different from that of their partners. Recognition of the need to take into account psychological outcomes of subfertility and its management is not new but it seems to have slipped …

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