Medicalization of Sexuality in the Infertility Process and Sexual Health: A Nursing Perspective
Chapter from the book:
Üstgörül,
S.
(ed.)
2026.
Sustainable Sexual Health: Environmental Determinants and Clinical Approaches.
Synopsis
Infertility is a multifaceted health issue that affects women not only in its biological dimension but also in psychological, social, and sexual aspects. The increasing emphasis on biomedical approaches in infertility diagnosis and treatment, particularly the focus on achieving pregnancy, may lead to the gradual medicalization of sexuality within the context of reproductive goals. As a result, timed and protocol-driven sexual intercourse may transform sexual experiences for women and couples into a more mechanical process, distancing them from emotional and relational dimensions. This situation may negatively affect sexual functioning, sexual satisfaction, body image, and psychological well-being. Therefore, preserving sexual health and sexual well-being during the infertility process is essential not only for maintaining quality of life but also for ensuring a holistic approach to care.
This book chapter examines the medicalization of sexuality in infertility care and discusses its impact on women’s sexual health from psychosocial and sociocultural perspectives. Additionally, the role of nurses in supporting sexual well-being during the infertility process is analyzed from a nursing perspective. Nursing counseling plays a central role in addressing the sexual health needs of women and couples through empathy-based communication, individualized care, sexual health education, and psychosocial support. Ensuring privacy, maintaining cultural sensitivity, and promoting multidisciplinary collaboration are fundamental components of nursing care. In conclusion, this chapter emphasizes the need to move beyond approaches focused solely on reproductive outcomes and highlights the importance of holistic nursing strategies that prioritize women’s sexual health and well-being in clinical practice and future research.
