{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T23:28:54Z","timestamp":1790378934240,"version":"4.1.0"},"reference-count":31,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,7,19]],"date-time":"2019-07-19T00:00:00Z","timestamp":1563494400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Andrology"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>This case control study aimed to investigate whether symptoms of sexual dysfunction are more common in males from infertile couples than in the general population and to explore whether symptoms of sexual dysfunction are associated to hypogonadism.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Participants were 165 subfertile men in infertile heterosexual relationships, 18\u201350\u00a0years of age, with sperm concentrations\u00a0&lt;\u00a015\u00a0\u00d7\u00a010<jats:sup>6<\/jats:sup>\/mL. The controls were 199 men from a population\u2010based group, matched for age.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>Logistic regression was applied in order to calculate odds ratios (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>s) for seven different symptoms of sexual dysfunction. In a multivariate model, we tested independent effects of infertility and primary as well as secondary hypogonadism.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Statistically significant association between subfertility and symptoms of sexual dysfunction was found for lack of ability to control ejaculation (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 2.2, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 1.2\u20134.2). For hypogonadism, statistical significance was seen both in relation to low sexual interest\/desire for sex (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 2.3, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 1.0\u20135.5) and for being worried about the size or shape of the penis (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 3.6, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 1.3\u20139.5). These associations remained statistically significant in males with primary but not those with secondary hypogonadism.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Our study showed that men from infertile couples have an increased risk of symptoms of sexual dysfunction and this risk is linked to androgen deficiency.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Assessment of reproductive hormone levels and sexual function should routinely be done in this group of males.<\/jats:p><\/jats:sec>","DOI":"10.1111\/andr.12678","type":"journal-article","created":{"date-parts":[[2019,7,20]],"date-time":"2019-07-20T06:19:10Z","timestamp":1563603550000},"page":"160-165","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Symptoms of sexual dysfunction among men from infertile couples: prevalence and association with testosterone deficiency"],"prefix":"10.1111","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8424-7128","authenticated-orcid":false,"given":"M.","family":"Kruljac","sequence":"first","affiliation":[{"name":"Reproductive Medicine Center Sk\u00e5ne University Hospital Malmoe Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Finnbogad\u00f3ttir","sequence":"additional","affiliation":[{"name":"Faculty of Health and Society Department of Care Science Malmoe University Malmoe Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Bobjer","sequence":"additional","affiliation":[{"name":"Reproductive Medicine Center Sk\u00e5ne University Hospital Malmoe Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Giraldi","sequence":"additional","affiliation":[{"name":"Psychiatric Center Copenhagen Sexologic Clinic &amp; Department of Clinical Medicine University of Copenhagen Copenhagen 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