Exploring men's struggles with infertility: A qualitative content analysis

Aim: To investigate the experiences of men struggling with infertility.Design: This is a qualitative study, and the report follows the COREQ checklist.Methods: A team of nurse researchers conducted this research in Iran to examine the experiences of 11 men with primary infertility. The participants were selected through targeted sampling and underwent in-depth semi-structured interviews. The data collected was analysed using the conventional content analysis method outlined by Krippendorff. To ensure the study's accuracy, it followed the criteria proposed by Lincoln and Guba.Results: The central theme, "the threat to masculinity," was identified upon analysis. It comprises six categories: psychological pressure of confronting reality, frustration, discomfort with others, holding out against ridicule, tolerating unwanted opinions and advice and concealment of infertility and therapy.Conclusion: This study brings attention to the challenge to masculinity that men with primary infertility face as their central struggle. It highlights the importance of culturally sensitive care from healthcare professionals, emotional support, counselling services and public awareness to reduce the stigma surrounding male infertility. It can be valuable to evaluate and enhance infertility care in various settings.Implications for the Profession and Patient Care: To provide the best possible care for infertile men, it would be beneficial for nurses to pay more attention to sociocultural factors. Fertility care should be respectful of patients' beliefs and backgrounds.ImpactWhat problem did the study address?center dot Infertility care has been the subject of recent research, focusing on the impact of sociocultural factors.center dot Male-factor infertility is often overlooked in clinical care literature.center dot There is a correlation between cultural background and men's acceptance of reproductive healthcare.What were the main findings?center dot Male infertility is often avoided in discussions due to its perceived threat to masculinity.center dot Multiple factors, including societal norms, cultural expectations and personal experiences, influence the nature of men's struggles with infertility.center dot Providing emotional support and counselling services is crucial so that men can openly discuss their fertility challenges and seek treatment without feeling ashamed or judged.Where and on whom will the research have an impact?center dot Raising public awareness and providing education about male infertility is crucial.center dot Nurses must exhibit cultural sensitivity while caring for men experiencing infertility.center dot Policymakers need to implement strategies to reduce the stigma surrounding male infertility.Reporting Method: The study is reported using the Consolidated Criteria for Reporting Qualitative Research (COREQ).Patient or Public Contribution: No public or patient involvement.