Profile of Patients Availing Marital and Psychosexual Clinic Services During the Pre-COVID and COVID Era: A Study From a Tertiary Care Center

Aim: To assess the profile of patients availing the marital and psychosexual clinic (MPC) services through the telemode at a tertiary care center after the imposition of lockdown and compare the same with the profile of the patients attending the outpatient services, in-person MPC services during the prelockdown period. Materials and Methods: It was a retrospective study in which comparisons were made between patients availing the MPC services from March 24, 2020 to March 23, 2021 with the profile of patients during the period of March 24, 2019 to March 23, 2020 (ie, COVID period—lockdown). Results: A total of 112 patients availed the MPC services during the COVID study period compared to 307 patients in the pre-COVID period. However, when the proportion of MPC cases among the total walk-ins was compared, during the COVID period the proportion of MPC cases increased by almost 1.75 times. During the COVID time period, there was an increase in the patients who were significantly younger ( P = .002), females ( P = .003), more from urban locality ( P = .035), and being referred by self or caregiver ( P = .001). In terms of specific diagnosis, as compared to the pre-COVID timeframe, significantly higher numbers of patients were diagnosed with premature ejaculation (PME) and PME + erectile dysfunction while the services were being provided through the telemode. Conclusion: The present study suggests an increase in the proportion of patients seeking help for marital and sexual issues while the services are being provided by telemode.

Erectile dysfunction and testosterone levels prior to COVID-19 disease: What is the relationship?

Objective: We aimed to investigate the relationship between COVID-19 and Erectile Dysfunction (ED) and the effect of serum testosterone level on the disease prognosis. Methods: Between April-December 2020, 70 patients who were admitted with a complaint of ED after having COVID-19 and whose serum testosterone level was checked for varicocele, premature ejaculation, and infertility reasons before COVID-19. The patients filled the International Index of Erectile Function (IIEF-5) and their testosterone level was checked. The questionnaire was arranged to assess the first month before COVID-19 and after COVID-19. Testosterone levels of the patients before and after COVID-19 were compared. The relationship between testosterone levels and hospitalization in the intensive care was evaluated.Results: It was revealed that testosterone levels and IIEF-5 scores after COVID-19 in all patients were statisticaly and significantly different compared to the period before COVID-19 (p < 0.05). Testosterone levels of patients in need of intensive care were significantly higher than those without any need of intensive care (p < 0.05).Conclusions: Our study has presented that COVID-19 may cause ED and high testosterone levels increase the rate of hospitalization in the intensive care by intensifying the disease.

MODERN CONCEPT OF CONSERVATIVE TREATMENT OF PREMATURE EJACULATION

В данной статье представлен обзор методов консервативного лечения преждевременная эякуляция. Отмечено низкая обращаемость пациентов с данной интимной проблемой, и малая информированность об успешном лечении вышеуказанной нозологии. Эффективным методом выбора является применение селективных ингибиторов захвата серотонина, а именно дапоксетина, который обладает высоким уровнем доказательности и удобен как препарат по требованию. Учеными выявлено эффективное применение дапоксетина и ингибиторов 5 альфа-редуктазы в лечении преждевременной эякуляции. This article provides an overview of the methods of conservative treatment of premature ejaculation. Patients with this intimate problem were noted to have low circulation and low awareness of the successful treatment of the above nosology. An effective method of choice is the use of selective serotonin uptake inhibitors, namely dapoxetine, which has a high level of evidence and is convenient as a drug on demand. Scientists have identified the effective use of dapoxetine and 5 alpha-reductase inhibitors in the treatment of premature ejaculation