The conversation

This article provides a summary of the biopsychosocial model and the assessment and treatment of psychologically based male sexual dysfunction as manifested in cases of infertility.


Robert E. Brannigan, M.D., Jared L. Moss, M.D., James Wren, M.B.B.Ch.

Volume 104, Issue 5, Pages 1089-1095


One of the most challenging tasks a male reproductive medicine and surgery specialist faces arises after sperm extraction procedures for men with nonobstructive azoospermia. Although sperm retrieval success rates are high, for some patients these cases result in no sperm being found. Although we always do our best to establish appropriate expectations for the patient and his partner during preoperative counseling, the news of an unsuccessful sperm extraction can still be devastating. The long walk from the operating room to the family waiting area provides clinicians with the opportunity to consider the couple, how the news will affect them, and how they can best be supported as they move forward in their quest to become parents.

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