For patients with non-obstructive azoospermia, the outcome of testicular sperm extraction correlates with self-esteem, sexual health and the quality of the couple's relationship.

Background: A very small number of studies have indicated that azoospermia or negative testicular sperm extraction (TESE) outcomes are linked to depression or erectile dysfunction. However, the data are often weak, conflicting and gathered with non-validated questionnaires. Hence, we performed a cross-sectional study of 44 men with non-obstructive azoospermia.

[Becoming a father in the face of symbolic wounds in filiation: a case of male infertility].

With the intention of having a child and the subsequent question of filiation, "becoming a mother" as well as "becoming a father" always involve a risk. In both men and women, the plan to have a child or to become pregnant can lead to the revival of unresolved conflicts that can question the very organisation of their being. Sterility then comes as a defence against the risk of collapse.

Identity suffering in infertile men.

The suffering caused by infertility in a man can have multiple aspects. It can display a narcissistic dimension, an objectal dimension (object-libido) turned toward others or/and an identity dimension. Two clinical case reports were used here to (i) illustrate all these aspects of infertility suffering, (ii) to evidence the difficulty for infertile men to speak about their infertility and (iii) underlie the importance for professional of medical assisted reproduction to be attentive to this suffering that many men keep silent.