Pay attention to the reproductive health of men with rheumatism

Reproductive health and family planning in the context of autoimmune rheumatism (ARDs) are a challenge for both men and women
.

In fact, family planning and sexual health are not only important considerations for ARD patients, but also important considerations for treating healthcare professionals

Reproductive health and family planning in the context of autoimmune rheumatism (ARDs) are a challenge for both men and women

Male patients with autoimmune rheumatism face challenges such as reduced fertility, impaired fertility, erectile dysfunction, and other sexual problems

The impact of the disease

The impact of the disease The impact of the disease

Male sexual dysfunction involves many aspects, including loss of libido and erectile dysfunction (the inability to maintain or maintain a sufficient erection for at least six months for sexual intercourse) and abnormal ejaculation
.

Consistent with rheumatoid arthritis , it is reported that the sexual dysfunction of patients with active ankylosing spondylitis is closely related to their disease activity state, fatigue degree, dysfunction, quality of life and mental state, especially depression

Rheumatoid arthritis

The patient's point of view

The patient's perspective The patient's perspective

Erectile dysfunction

Erectile dysfunction

Erectile dysfunction is the most common form of sexual dysfunction in men, causing them to feel frustrated, shocked, stressed, and overwhelmed by the feeling of castration
.

In standard outpatient rheumatology practice, erectile dysfunction is the main obstacle to having a healthy marriage relationship

Erectile dysfunction is the most common form of sexual dysfunction in men, which can cause them to feel depressed, shocked, stressed and overwhelmed by the feeling of castration .

Fertility

Whether it is male or female, the possibility of reduced fertility is not uncommon in patients with ARD
.

Immune infertility is characterized by the presence of antisperm antibodies (ASA), which has also been reported in men with ARDs

Immune infertility is characterized by the presence of antisperm antibodies (ASA), which has also been reported in men with ARDs

The impact of disease management The impact of disease management

Management method

Management methodManagement method

In summary, although the incidence of sexual problems is high, which has a huge impact on the lives of men with rheumatism, it rarely attracts people's attention
.

In addition, previous studies did not consider the multiple aspects and complexity of sexual issues in the context of ARDs

The treating rheumatologist/rheumatology nurse must consider that the family planning of men and women participating in the ARD clinic requires in-depth consultation and support, so as to agree on a treatment strategy suitable for the patient’s plan and expectations, and guide the patient to adopt the appropriate treatment method and the most Best contraceptive methods and answer their questions

Original: El Miedany Y, Palmer D.

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