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- W2068609462 abstract "Males undergoing infertility testing face anxiety and stress. Indeed, given recent studies linking infertility with cancer, an association between semen parameters and health outcomes has been drawn. We sought to determine whether the findings of abnormal strict morphology (SM) contributed to a patient&s anxiety and generated health concerns. A cohort study on patients from a high volume, tertiary, academic infertility clinic (2010-2013). A total of 156 men with a SM of <4% normal forms (NF, Kruger strict criteria) were contacted (22 refused participation). <4% SM was stratified into subgroups of 0.5-<4% and 0% NF. Randomly selected men >4% NF were controls (n=18). Anxiety was measured using a 10-point Licker scale & concern for general health was quantitated via an IRB-approved questionnaire. Average age of men <4% (n=134) was similar to controls. Patients with <4% NF rated their levels of anxiety at 4.8±0.2 (1=no anxiety; 10=very anxious). 9.8% (n=13/133) of these men rated their anxiety at the highest level (10/10). This was significantly higher (p<0.05) than controls (anxiety=3.2±0.5) where no men rated their anxiety at >5. In addition, 25% of men <4% NF (n=34/134) expressed significant concerns about their general health compared to 0% of control men (n=0/18). Subgroup analysis compared men with 0.5-<4% NF to those with 0% NF. A total of 9.3% (n=10/107) of men with 0.5-<4% NF rated anxiety at 10/10 with 25.9% (n=28/108) having health concerns. Men with only 0% NF were not significantly different with 12.5% (n=3/24) rating their anxiety as 10/10 and 25% (n=6/24) having major concerns about their general health. Men are anxious and concerned about their overall health as a direct consequence of their abnormal SM. The presence of abnormal SM corresponded to increased rates of anxiety and health concerns. The severity of the abnormal SM did not affect patient perception. A discussion concerning the abnormal semen analysis in general, and SM in particular, is an important part of the counseling process." @default.
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- W2068609462 date "2014-09-01" @default.
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- W2068609462 title "Abnormal strict morphology evokes anxiety in infertile males" @default.
- W2068609462 doi "https://doi.org/10.1016/j.fertnstert.2014.07.057" @default.
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