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Assisted Reproductive Technologies (ART) separate sexuality from procreation. This work presents the experience of a Psychiatrist-Sexologist, integrated in a pluridisciplinary ART team together with gynecologists, biologists, urologists and midwife sophrologists, faced with sterile couples with a sexual dysfunction (SD).
In a case study of 33 couples, treated by In Vitro Fertilization (IVF), recommended by the gynecologist of the ART Unit, 13 SD, 3 conjugal conflicts and 1 psychosocial problem have been detected. Among those couples, 12 patients presented a psychiatric symptom.
In a sample of 120 couples treated by Artificial Insemination of Donoršs Sperme (AI) and having a systematic psychiatric interview, 15 SD, 4 psychiatric symptoms and 1 conjugal conflict have been detected.
After having presented the main SD and their treatment, sexual dysfunction preventive attitudes in ART are described : allowance of a reflection period for the couple before proposing ART, allowance for the couple to express their inner feelings, limited length of time for treatment, treatment of S D from the start which are then more easily reversible.