The elephant in the room: a study on the dialogue about sexuality during Assisted Reproductive Technology visits

Despite ongoing medical advancements in infertility treatment, the significant impact of sexuality on this journey often goes unaddressed. The present research aims to examine sexual conversations during ART visits, including who initiate the conversation and their content. This quali-quantitative s...

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Main Authors: Michele Montecalvo, Elena Vegni, Raffaella Balestrieri, Daniela Leone, Lidia Borghi
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Journal of Psychosomatic Obstetrics and Gynecology
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/0167482X.2024.2372565
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author Michele Montecalvo
Elena Vegni
Raffaella Balestrieri
Daniela Leone
Lidia Borghi
author_facet Michele Montecalvo
Elena Vegni
Raffaella Balestrieri
Daniela Leone
Lidia Borghi
author_sort Michele Montecalvo
collection DOAJ
description Despite ongoing medical advancements in infertility treatment, the significant impact of sexuality on this journey often goes unaddressed. The present research aims to examine sexual conversations during ART visits, including who initiate the conversation and their content. This quali-quantitative study delves into analyzed video-recorded ART visits to explore how “sex” conversations are broached during healthcare interactions. Our findings reveal a strikingly low proportion of utterances related to sexuality, accounting for only 1.3% of the total 14,372 utterances analyzed. Sex utterances were mainly introduced by physicians (72%), while regarding those introduced by the couple, 64% were reported by men. From the qualitative analysis on the utterances emerged three distinct levels of communication about sex: explicit, almost explicit, and implicit. While physicians and males exhibit an almost balanced distribution across the 3 levels, female patients primarily respond to explicit and almost explicit communication initiated by physicians. The low percentage of sexual utterances underscores the rarity of these conversations during ART interactions, despite the clinical field where sexual health should deserve a crucial attention. Opening the door to conversations about sexuality could help to create a safe and supportive space for patients to talk about sex, with a potential impact on well-being and quality of care during the ART process.
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spelling doaj-art-69d49d002a12416a99736e1e6133596e2025-08-20T02:01:25ZengTaylor & Francis GroupJournal of Psychosomatic Obstetrics and Gynecology0167-482X1743-89422024-12-0145110.1080/0167482X.2024.2372565The elephant in the room: a study on the dialogue about sexuality during Assisted Reproductive Technology visitsMichele Montecalvo0Elena Vegni1Raffaella Balestrieri2Daniela Leone3Lidia Borghi4Clinical Psychology, Department of Health Science, University of Milan, Milan, ItalyClinical Psychology, Department of Health Science, University of Milan, Milan, ItalyClinical Psychology, Department of Health Science, University of Milan, Milan, ItalyUnit of Clinical Psychology, Santi Paolo and Carlo Hospital, Milan, ItalyClinical Psychology, Department of Health Science, University of Milan, Milan, ItalyDespite ongoing medical advancements in infertility treatment, the significant impact of sexuality on this journey often goes unaddressed. The present research aims to examine sexual conversations during ART visits, including who initiate the conversation and their content. This quali-quantitative study delves into analyzed video-recorded ART visits to explore how “sex” conversations are broached during healthcare interactions. Our findings reveal a strikingly low proportion of utterances related to sexuality, accounting for only 1.3% of the total 14,372 utterances analyzed. Sex utterances were mainly introduced by physicians (72%), while regarding those introduced by the couple, 64% were reported by men. From the qualitative analysis on the utterances emerged three distinct levels of communication about sex: explicit, almost explicit, and implicit. While physicians and males exhibit an almost balanced distribution across the 3 levels, female patients primarily respond to explicit and almost explicit communication initiated by physicians. The low percentage of sexual utterances underscores the rarity of these conversations during ART interactions, despite the clinical field where sexual health should deserve a crucial attention. Opening the door to conversations about sexuality could help to create a safe and supportive space for patients to talk about sex, with a potential impact on well-being and quality of care during the ART process.https://www.tandfonline.com/doi/10.1080/0167482X.2024.2372565Doctor-patient communicationsexualityreproductive healthsexual healthhealth communication
spellingShingle Michele Montecalvo
Elena Vegni
Raffaella Balestrieri
Daniela Leone
Lidia Borghi
The elephant in the room: a study on the dialogue about sexuality during Assisted Reproductive Technology visits
Journal of Psychosomatic Obstetrics and Gynecology
Doctor-patient communication
sexuality
reproductive health
sexual health
health communication
title The elephant in the room: a study on the dialogue about sexuality during Assisted Reproductive Technology visits
title_full The elephant in the room: a study on the dialogue about sexuality during Assisted Reproductive Technology visits
title_fullStr The elephant in the room: a study on the dialogue about sexuality during Assisted Reproductive Technology visits
title_full_unstemmed The elephant in the room: a study on the dialogue about sexuality during Assisted Reproductive Technology visits
title_short The elephant in the room: a study on the dialogue about sexuality during Assisted Reproductive Technology visits
title_sort elephant in the room a study on the dialogue about sexuality during assisted reproductive technology visits
topic Doctor-patient communication
sexuality
reproductive health
sexual health
health communication
url https://www.tandfonline.com/doi/10.1080/0167482X.2024.2372565
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