Erectile dysfunction cause in men with urination disorders

2020 ◽  
Vol 1 (1) ◽  
pp. 50-59
Author(s):  
Pavel Rasner ◽  
Dmitrii Pushkar ◽  
Keyword(s):  
Erectile Dysfunction ◽  
Sexual Dysfunction ◽  
Sexual Health ◽  
Age Of Onset ◽  
Moscow Region ◽  
Sexual Life ◽  
Age Group ◽  
Urination Disorders ◽  
Peak Period ◽  
Age Related

Introduction. Erectile dysfunction is an urgent problem of modern urology. There is a consistent correlation between the sexual dysfunction incidence and the aging changes in the man’s body. In this study, an attempt was made to analyze the causes of the discussed correlation. An analysis comparing the data obtained with the worldwide figures and the results previously reported in Russia was performed. Materials and methods. The prospective multicenter epidemiological study was carried out using the data acquired from April 1 to May 31, 2017 during the anonymous questioning of 525 men (average age 64.2±9.93) living in Moscow, who had contacted the urologist due to urination disorders. The respondents answered the questions of the specially developed 140-point questionnaire. All demographic and medical data was taken into account, including information on comorbidities and age of onset. The IIEF, IPSS, QoL and AMS (Aging Male Screening) questionnaires were completed. Statistical processing of the results was carried out. Results. Complaints of sexual dysfunction are a relatively rare reason for the urologist’s consultation in men with LUTS living in the Moscow region. However, the survey has revealed that 39.9% of men did not consider themselves sexually active. The particularly low sexual health rate was detected in the age group over 70. The average IIEF questionnaire score for the respondents was 39.40±21.14. Less than a third of respondents reported their sexual life quality as acceptable. The correlation coefficient between the total IIEF score and the birth year was +0.422, and for the IPSS score it was -0.205. Correlations were considered significant when p<0.001. The erectile dysfunction risk increases with age, however, according to numerous publications it is not due to natural aging process, but due to severe comorbidities, particularly hypertension, infections, vascular diseases and diabetes mellitus. The patients' compliance with healthy lifestyle, abstention from smoking and regular drinking, is of great importance. In this study, the 152 of 525 (29%) respondents were smokers at the time of the survey. Strong liquor was routinely consumed by 250 respondents (47.6%), and low-alcohol beverages were consumed by 167 people (31.8%). The onset of the listed above comorbidities occurs at the age of 50–60, which makes it possible to explain the rapid ED incidence increase in the corresponding age group. The pattern identified constitutes evidence of the organic causes of erectile dysfunction. Conclusion. Analysis of the erectile dysfunction type and incidence in patients with LUTS living in the Moscow region demonstrated certain differences between the results obtained and the results of similar American and European studies. A steady trend of sexual health deterioration was observed in patients aged over 55–65. We have proved correlation between these changes and various cardiovascular diseases manifestations (CAD, hypertension), the peak period of which falls on the described age group. Comparison of the data obtained to those of 2012 has demonstrated increased severity of the “age-related” symptoms.

scholarly journals Sex After Menopause: Why Not?

2016 ◽  
Vol 9 (1) ◽  
pp. 106-106
Author(s):  
R. Hamilton ◽  
Keyword(s):  
Sexual Dysfunction ◽  
Sexual Health ◽  
Sexual Pleasure ◽  
Sexual Life ◽  
Clinical Psychologist ◽  
Menopausal Woman ◽  
Health History ◽  
Age Related ◽  
Menopausal Women ◽  
Post Menopausal

Objective: Why do we care whether the menopausal woman engages in – let alone enjoys – sexual pleasure or not? It is surely a very individual area and should be addressed on an individual basis. Today, the majority of menopausal women are busy with work, looking after children and grandchildren and lead fulfilling, busy lives. Why not a great sexual life too? Design and Method: Retrospective analysis of peri and post-menopausal women, experiencing problems related to sexual dysfunction. Detailed sexual health history was obtained, detailing specifics around gynaecological and sexual health screenings and interventions. This gave rise to key factors that displayed sexual dysfunction elements, but once addressed, diminished or resolved the dysfunction. Results: It was found that the majority of women were guarded in discussing sexual problems from a psychosexual framework, however, it remained less challenging to subscribe to the perceived problem being a medical/gynaecological problem. Awareness of age-related health issues and discussion around this influenced appropriate management. Conclusions: Adequate baseline screening is a key concept to address practical impediments and discuss these from a normal aging process. A direct approach, practical information, engagement with the partner and awareness of options around sexual positions and exploration drive these consultations positively. Support and education via linking with a Clinical Psychologist during this process was found to be a key aspect to outcome.

Impact of Infertility Duration on Female Sexual Health

2021 ◽  
Author(s):  
Meng Dong ◽  
Xiaoyan Xu ◽  
Yining Li ◽  
Yixian Wang ◽  
Zhuo Jin ◽  
...  
Keyword(s):  
Risk Factor ◽  
Sexual Dysfunction ◽  
Sexual Health ◽  
Sexual Function ◽  
Equation Model ◽  
Sexual Life ◽  
Female Sexual Function ◽  
Psychological Pain ◽  
Multivariable Logistic Regression Model ◽  
Group I

Abstract BackgroundAs an important source of stress, infertility may affect the quality of sexual life, with extensive studies believing that the incidence of sexual dysfunction in infertile women is highly prevalent. As the years of infertility increase, the greater this stress is likely to increase, which may aggravate psychological pain and cause sexual dysfunction. However, the effect of infertility duration on sexual health is unclear.Methods We performed a case-control study, and a total of 715 patients participated in this research between September 1, 2020, and December 25, 2020. Patients diagnosed with infertility (aged between 20 to 45 years) were included. Patients with infertility were divided into four groups according to infertility duration: ≤ 2 years (Group I, n=262), 2< infertility duration ≤5 years (Group II, n=282), 5 < infertility duration ≤8 years (Group III, n=97), and infertility duration > 8 years (Group IV, n=74). A questionnaire survey of female sexual function and psychological depression of patients with infertility was performed. The female sexual function was measured by the Female Sexual Function Index (FSFI), depression status was measured by the Patient Health Questionnaire (PHQ-9).ResultsAnalysis of the relevant factors that affect sexual function using a multivariable logistic regression model revealed that infertility duration of less than 8 years was not a risk factor for sexual dysfunction. However, when infertility duration was greater than 8 years, the incidence of sexual dysfunction (AOR=5.158,95%CI: 1.935-13.746, P=0.001) and 3 domains [arousal disorder (AOR=2.955 ,95%CI: 1.194-7.314, P=0.019, coital pain (AOR=3.811 ,95%CI: 1.045-13.897, P=0.043), and lubrication disorder (AOR=5.077 ,95%CI: 1.340-19.244, P=0.017)] increases. ConclusionsThe multivariate regression equation model reveals that the infertility duration is more than 8 years, which is a risk factor for the occurrence of sexual dysfunction. As the infertility duration increases, the incidence of female sexual dysfunction and psychological distress may increase.

scholarly journals Insufficient Assessment of Sexual Dysfunction: A Problem in Gynecological Practice

Medicina ◽  
2013 ◽  
Vol 49 (7) ◽  
pp. 49 ◽  
Author(s):  
Ieva Briedite ◽  
Gunta Ancane ◽  
Andrejs Ancans ◽  
Renars Erts
Keyword(s):  
Sexual Dysfunction ◽  
Sexual Health ◽  
Well Being ◽  
Sexual History ◽  
Sexual Life ◽  
Sexual Disorders ◽  
Oncologic Patients ◽  
Sexual History Taking ◽  
Gynecological Care ◽  
Main Barrier

Background and Objective. Sexual health is an important part of a woman’s life and well-being. Female sexual dysfunction is a complicated problem, it is often underestimated in the healthcare process, and its management is complex. Giving women the opportunity to talk about sexual problems is a fundamental part of healthcare and may improve their quality of life. The aim of this study was to find out patients’ experience and attitudes toward the involvement of gynecologists addressing sexual issues, to disclose the main barriers to initiate a conversation, and to assess the prevalence of sexual disorders among patients in a gynecological clinic. Material and Methods. A questionnaire-based approach was used to survey 18- to 50-year-old voluntary patients in the gynecological clinic. The study population comprised 300 different gynecological (except oncologic) patients independently of reasons for being in the clinic. The duration of the study was 6 months. Results. Only one-third of the patients had ever been asked about their sexual life by a gynecologist, whilst the majority (80%) of the respondents reported they would like to be asked and discuss sexual issues. The patients mostly did not complain because of psychoemotional barriers, and shame was the main barrier for patients to talk about their problems. Sexual dysfunction was a frequent disorder among gynecological patients, reaching especially high levels in the arousal (46.41%) and lubrication (40.67%) domains. Conclusions. The assessment of sexual health is insufficient in gynecological care, and sexual history-taking and evaluation of sexual functions should be included in routine gynecological health assessments.

scholarly journals Ejaculatory and Orgasmic Dysfunction Following Prostate Cancer Therapy: Clinical Management

2019 ◽  
Vol 7 (12) ◽  
pp. 109
Author(s):  
Travis P. Green ◽  
Jose Saavedra-Belaunde ◽  
Run Wang
Keyword(s):  
Prostate Cancer ◽  
Erectile Dysfunction ◽  
Sexual Health ◽  
Cancer Treatment ◽  
Sexual Life ◽  
Management Options ◽  
Prostate Cancer Treatment ◽  
Prostate Cancer Therapy ◽  
Pubmed Search ◽  
Orgasmic Dysfunction

The majority of sexual health research has focused on erectile dysfunction following prostate cancer treatment. Ejaculatory and orgasmic dysfunction are significant side effects following the treatment of prostate cancer. Orgasmic dysfunction covers a range of issues including premature ejaculation, anorgasmia, dysorgasmia, and climacturia. This review provides an overview of prevalence and management options to deal with orgasmic dysfunction. A Medline Pubmed search was used to identify articles relating to these problems. We found that orgasmic dysfunction has a very large impact on patients’ lives following prostate cancer treatment and there are ways for physicians to treat it. Management of patients’ sexual health should be focused not only on erectile dysfunction, but on orgasmic dysfunction as well in order to ensure a healthy sexual life for patients and their partners.

scholarly journals Management of sexual dysfunction in Parkinson’s disease

2011 ◽  
Vol 4 (6) ◽  
pp. 375-383 ◽  
Author(s):  
Gila Bronner ◽  
David B. Vodušek
Keyword(s):  
Erectile Dysfunction ◽  
Sexual Dysfunction ◽  
Sexual Life ◽  
Fine Motor ◽  
Muscle Rigidity ◽  
Nonmotor Symptoms ◽  
Dopaminergic Therapy ◽  
Sexual Counselling ◽  
Male Patients

Nonmotor symptoms, among them sexual dysfunction, are common and underrecognized in patients with Parkinson disease; they play a major role in the deterioration of quality of life of patients and their partners. Loss of desire and dissatisfaction with their sexual life is encountered in both genders. Hypersexuality (HS), erectile dysfunction and problems with ejaculation are found in male patients, and loss of lubrication and involuntary urination during sex are found in female patients. Tremor, hypomimia, muscle rigidity, bradykinesia, ‘clumsiness’ in fine motor control, dyskinesias, hypersalivation and sweating may interfere with sexual function. Optimal dopaminergic treatment should facilitate sexual encounters of the couple. Appropriate counselling diminishes some of the problems (reluctance to engage in sex, problems with ejaculation, lubrication and urinary incontinence). Treatment of erectile dysfunction with sildenafil and apomorphine is evidence based. HS or compulsive sexual behaviour are side effects of dopaminergic therapy, particularly by dopaminergic agonists, and should be treated primarily by diminishing their dose. Neurologists should actively investigate sexual dysfunction in their Parkinsonian patients and offer treatment, optimally within a multidisciplinary team, where a dedicated professional would deal with sexual counselling.

scholarly journals Does Alcoholism Influence Sexual Functioning?

2017 ◽  
Vol 4 (4) ◽  
Author(s):  
Dr. Sharanabasavaraj Devaramani ◽  
Dr. Sunil Kumar ◽  
Dr. Pavan Kumar K
Keyword(s):  
Erectile Dysfunction ◽  
Sexual Dysfunction ◽  
Alcohol Dependence ◽  
Nicotine Dependence ◽  
Age Of Onset ◽  
Tertiary Care ◽  
P Value ◽  
Care Hospital ◽  
Alcohol Dependence Syndrome ◽  
The Mean

Background: Alcohol and alcohol use disorder are known to cause sexual dysfunctions. In turn it may aggravate frequency and amount of alcohol consumed. We assessed the prevalence and the correlates of sexual dysfunction in men with Alcohol Dependence Syndrome (ADS) in a tertiary care hospital. Methods: A total fifty Consecutive male subjects were selected on the 3rd day of inpatient care from general hospital psychiatry with a diagnosis of Alcohol Dependence Syndrome with Simple withdrawal Symptoms as per ICD-10 criteria. Co-morbid psychiatric diagnosis was ruled out using SCID – 1. They were assessed for sexual dysfunction using International Index of Erectile Function (IIEF), a 15 item questionnaire. Data analyzed using descriptive and chi square test. Results: The mean age of the study sample was 39.26 (±8) years; The mean age of onset of drinking was 19.1(±6.2) years, and that of dependence was 24(± 6.7) years, duration of alcohol dependence was 15 (±7.7) years, with an average daily consumption of 462 (± 330) ml. Out of 50 patients, 38 (76%) reported to have one or more sexual dysfunction. Sexual desire (78.94%), low intercourse satisfaction (76.31%), followed by low overall satisfaction (57.89%), erectile dysfunction (55.26%) and orgasmic function (31.57%) were reported in that order. Co morbid nicotine dependence was found in 31(62%) of those having sexual dysfunction, and was statistically significant in those with erectile dysfunction and overall satisfaction domain with a p value less than 0.05. however other domains did not correlate. Conclusion: Sexual dysfunction is more prevalent in male patients with ADS. The prevalence of co-morbid nicotine dependence was high among patients with alcohol dependence syndrome. The findings of the current study indicate that it is necessary to routinely evaluate sexual dysfunction in patients with ADS and research should focus on the pathophysiology of sexual dysfunction among ADS.

scholarly journals AB0718 ASSESSMENT OF SEXUAL DYSFUNCTION IN WOMEN AND MEN WITH FIBROMYALGIA SYNDROME

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1390.2-1390
Author(s):  
G. Mouna ◽  
J. Mahbouba ◽  
S. Zrour ◽  
I. Bejia ◽  
M. Touzi ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Sexual Dysfunction ◽  
Sexual Health ◽  
Fibromyalgia Syndrome ◽  
Meta Analysis ◽  
Sexual Life ◽  
Cross Sectional ◽  
Female Patients ◽  
Significant Difference ◽  
Male Patients

Background:Fibromyalgia syndrome is a chronic musculoskeletal disease, which compromises physical, mental, and sexual health. Although concerns related to sexuality are commonly reported, the literature on sexual functioning in patient with fibromyalgia is limited to female patients.Objectives:The aim of our study is to identify sexual dysfunction in women and men with fibromyalgia syndrome compared with patients with rheumatoid arthritis.Methods:This is a cross-sectional comparative study: ‘34 patients with fibromyalgia syndrome compared to 100 patients with rheumatoid arthritis’ conducted in the rheumatology department of CHU Fattouma Bourguiba de Monastir over a period from February to November 2017. We used the Female Sexual Function Index (FSFI) and the Sexual Health Inventory for Men (SHIM).Results:Our sample comprised 34 patients with fibromyalgia (31 females and 3 males) and 100 patients with rheumatoid arthritis (58 females and 15 males).Sexual dysfunction was present in 100% of female patients with fibromyalgia syndrome compared to 60% of female patients with rheumatoid arthritis. Female patients with fibromyalgia syndrome had a decreased FSFI score: 10,3±8,74 versus 16,86±8,87 in the rheumatoid arthitis group with p=0.001. While among the male patients, we found no significant difference between the two groups.Conclusion:Fibromyalgia syndrome had negative side effect on the sexual life of female patients. Recognition of this dysfunction and its inclusion in the multidisciplinary management of fibromyalgia must be part of the treatment.References:[1]P. Romero-Alcalá et al., « Sexuality in male partners of womenwithfibromyalgiasyndrome: A qualitative study », PLoS One, vol. 14, no 11, nov. 2019, doi: 10.1371/journal.pone.0224990.[2]M. D. H. Besiroglu et M. D. M. Dursun, « The association betweenfibromyalgia and femalesexualdysfunction:asystematicreview and meta-analysis of observationalstudies », Int J ImpotRes, vol. 31, no 4, p. 288-297, juill. 2019, doi: 10.1038/s41443-018-0098-3.[3]T. M. Matarín Jiménez, C. Fernández-Sola, J. M. Hernández-Padilla, M. Correa Casado, L. H. Antequera Raynal, et J. Granero-Molina, « Perceptions about the sexuality of womenwithfibromyalgiasyndrome:aphenomenologicalstudy », J Adv Nurs, vol. 73, no 7, p. 1646-1656, juill. 2017, doi: 10.1111/jan.13262.[4]L. Bazzichiet al., « Fibromyalgia and sexualproblems », Reumatismo, vol. 64, no 4, p. 261-267, sept. 2012, doi: 10.4081/reumatismo.2012.261.Disclosure of Interests:None declared

scholarly journals The Prevalence of Male Sexual Dysfunction in Kosovo

2016 ◽  
Vol 9 (1) ◽  
pp. 160-160
Author(s):  
H. Fejza ◽  
◽  
I. Tolaj ◽  
D. Tahirsylaj ◽  
A. Idrizi ◽  
...  
Keyword(s):  
Erectile Dysfunction ◽  
Sexual Dysfunction ◽  
Premature Ejaculation ◽  
Cross Sectional Study ◽  
Penile Curvature ◽  
Cross Sectional ◽  
Age Related ◽  
Male Sexual Dysfunction ◽  
Survey Monkey ◽  
Spss Software

Objective: To research the prevalence of male sexual dysfunction among men population in Kosovo. Design and Method: The cross-sectional study was done during the year 2015, including 530 male respondents of all ages living in Kosovo. The respondents completed the Brief Sexual Symptom Checklist for Men to assess sexual desire, erectile dysfunction, ejaculatory and orgasmic dysfunctions, penile curvature and pain during sex. The data were collected using Survey Monkey while statistical analyses were performed using SPSS software package (Version 20.0, Chicago, IL, USA). Results: The prevalence of man not satisfied with their sexual function was 32.2%. The problem was present for more than a year in 54% of respondents. Premature ejaculation was the leading problem (34%) followed by erectile dysfunction (24.4%) and problems with little or no interest in sex (17.9%). The problem was age related: the respondents younger than 25 years reported as a main problem premature ejaculation (31%) while respondents with age above 50 reported the erection as a main problem (60.5%). The 76.4% of men are ready to talk about those problems with their doctor. Conclusions: The prevalence of male sexual dysfunction in Kosovo is similar to other studies and is age related. Younger population reported premature ejaculation while the oldest population recognized erectile dysfunction as a main problem.

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