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首页> 外文期刊>Thorax: The Journal of the British Thoracic Society >A survey of sexual and reproductive health in men with cystic fibrosis: new challenges for adolescent and adult services.
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A survey of sexual and reproductive health in men with cystic fibrosis: new challenges for adolescent and adult services.

机译：囊性纤维化男性性健康和生殖健康的调查：青少年和成人服务的新挑战。

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BACKGROUND: Improved survival dramatically alters the consequences of adult co-morbidities in men with cystic fibrosis (CF) such as male infertility. Few studies have systematically addressed the impact of sexual and reproductive health issues in these men or considered the implications for healthcare delivery.Method: A descriptive cohort study was undertaken using a sexual and reproductive health survey of men from a large adult CF centre, including men with lung transplantation. RESULTS: The mean (SD) age of the 94 men (response rate 75%) was 30.5 (7.6) years. 94% knew that men with CF had reduced fertility. Men first heard about infertility later than desired (p<0.001) and only 53% heard from their preferred source. Men who were told about infertility when older were more likely to be upset than those told earlier (p<0.01). 53% of men had undergone semen analysis: 68% of men who had not been tested wanted semen analysis. 73% believed semen analysis should occur before 18, but the youngest age of testing was 24 years. In adolescence, one in three men had assumed they did not need to use condoms and one in 10 had confused infertility with impotence. 66% of men wanted more information on reproductive options and 84% wanted children. Seventeen men were parents by natural conception (n = 1), micro-epididymal sperm aspiration (n = 6), donor sperm (n = 9), and through step children (n = 1). CONCLUSIONS: Men with CF desire more sexual and reproductive health information. Earlier discussion of sexual and reproductive health is indicated in paediatric settings, and semen analysis should be routinely offered. In adult services greater discussion of reproductive health options is indicated.
机译：背景：改善的生存能力极大地改变了患有男性不育症等囊性纤维化（CF）的成年人合并症的后果。很少有研究系统地研究过性健康和生殖健康问题对这些男性的影响或没有考虑其对医疗保健服务的影响。方法：使用来自大型成人CF中心（包括男性）的男性进行性健康和生殖健康调查，进行描述性队列研究肺移植。结果：94名男性的平均（SD）年龄（应答率75％）为30.5（7.6）岁。 94％的人知道患有CF的男性生育能力降低。男性首先听说过不育症的时间比预期的要晚（p <0.001），只有53％的男性从他们的偏爱来源听说过。被告知不育症的男性比起较早告知的男性更容易沮丧（p <0.01）。 53％的男性接受过精液分析：68％的未经测试的男性需要精液分析。 73％的人认为精液分析应在18岁之前进行，但最年轻的年龄为24岁。在青春期，三分之一的人认为自己不需要使用避孕套，十分之一的人将不育与阳ot相混淆。 66％的男性想要更多有关生殖选择的信息，而84％的男性想要儿童。 17名男子是自然受孕的父母（n = 1），微小附睾的精子抽吸（n = 6），供体精子（n = 9）和直子子女（n = 1）。结论：CF患者需要更多的性健康和生殖健康信息。儿科环境中较早讨论了性健康和生殖健康，应该常规进行精液分析。在成人服务中，对生殖健康选择进行了更多讨论。

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