Interaction between the impact of the Coronavirus disease 2019 pandemic and demographic characteristics on sexual/erectile dysfunction in Latin America: cross-sectional study

Pérez, Constanza Alvear; Michelutti, Luciana Barros Cavalcanti; Palharini, Maria Volpato; Teixeira, Luisa Pasqualotto; Silva, Valéria Regina; Teixeira, Lucas Emmanuel Pedro de Paiva; Silva, Sílvia Lanziotti Azevedo da; Botelho, Simone

doi:10.1590/s1677-5538.ibju.2021.0764

Cited by 5 publications

(7 citation statements)

References 22 publications

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“…A study of a Latin American population also confirmed a negative interaction between the effects of the COVID-19 pandemic and erectile/sexual function [11]. The results of a meta-analysis showed that restriction associated with COVID-19 was associated with higher rates of sexual dysfunction and reduced sexual activity, suggesting that the infection adversely affected both the quantity and quality of sexual activity [12]. In addition to the investigation of the direct effects on sexual function, there are also a number of studies that have investigated the effects of psychological factors on sexual function.…”

Section: Introductionmentioning

confidence: 83%

Evaluating male sexual function and reproductive health during Omicron outbreak in China: A cross-sectional study

Chen,

Xiao,

Liu

et al. 2023

Preprint

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Our aim was to estimate changes in sexual function and semen quality in men recovering from infection since the Omicron pandemic started in China in late 2022. We collected 1540 questionnaires and assessed male function before infection and acute phase after infection by using International Index of Erectile Function-5, Premature Ejaculation Diagnostic Tool, and Arizona Sexual Experience Scale. We also collected the before and after semen analysis results of 247 male patients. During the acute phase after infection, the proportion of erectile dysfunction was significantly higher than before infection, but ejaculatory function was not significantly altered； In addition, semen analysis showed significant difference in semen concentration, semen activity and PR a+b sperm forward movement after infection compared to pre-infection. Omicron can affect erectile function as well as sexual experience in male patients in the acute phase. The risk factors for decreased sexual function due to Omicron included body temperature and anxiety during infection.

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Section: Introductionmentioning

confidence: 83%

Evaluating male sexual function and reproductive health during Omicron outbreak in China: A cross-sectional study

Chen,

Xiao,

Liu

et al. 2023

Preprint

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“…It is well known that LUTS may have a significant impact on patients’ QoL causing physical discomfort, emotional distress, and disruptions in daily activities ( 27 , 31 ). Combined with the lingering effects of long COVID, LUTS may further exacerbate the challenges faced by individuals in their recovery process ( 29 , 32 ). Moreover, LUTS can impact mental well-being and exacerbate anxiety or depression symptoms ( 27 ).…”

Section: Discussionmentioning

confidence: 99%

Lower Urinary Tract Symptoms in a prospective cohort of COVID-19 survivors

Gomes,

Hisano,

Souza

et al. 2024

Int. braz j urol.

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Purpose:To analyze the prevalence of lower urinary tract symptoms (LUTS) in patients who survived moderate and severe forms of COVID-19 and the risk factors for LUTS six months after hospitalization. Materials and Methods:In this prospective cohort study, patients were evaluated six months after hospitalization due to COVID-19. LUTS were assessed using the International Prostate Symptom Score. General health was assessed through the Hospital Anxiety and Depression Scale and the EQ5D-L5 scale, which evaluates mobility, ability to perform daily activities, pain and discomfort and completed a self-perception health evaluation.Results: Of 255 participants, 54.1% were men and the median age was 57.3 [44.3 -66.6] years. Pre-existing comorbidities included diabetes (35.7%), hypertension (54.5%), obesity (30.2%) and physical inactivity (65.5%). One hundred and twenty-four patients (48.6%) had a hospital stay >15 days, 181 (71.0%) were admitted to an ICU and 124 (48.6%) needed mechanical ventilation.Median IPSS was 6 [3-11] and did not diff er between genders. Moderate to severe LUTS aff ected 108 (42.4%) patients (40.6% men and 44.4% women; p=0.610). Nocturia (58.4%) and frequency (45.9%) were the most prevalent symptoms and urgency was the only symptom that aff ected men (29.0%) and women (44.4%) diff erently (p=0.013). LUTS impacted the quality of life of 60 (23.5%) patients with women more severely aff ected (p=0.004). Diabetes, hypertension, and self-perception of worse general health were associated with LUTS.Conclusions: LUTS are highly prevalent and bothersome six months after hospitalization due to COVID-19. Assessment of LUTS may help ensure appropriate diagnosis and treatment in these patients.

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“…Since we do not have a pre-pandemic photography of prevalence among the sample analyzed in this study nor a control group, it is hard to see the real magnitude of this interaction proposed by authors (22).…”

mentioning

confidence: 89%

Editorial Comment: Interaction between the impact of the Coronavirus disease 2019 pandemic and demographic characteristics on sexual/erectile dysfunction in Latin America: crosssectional study

Javaroni¹

2022

Int. braz j urol.

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The global outbreak of coronavirus disease (COVID-19) caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) the consequent lockdown had dramatic repercussions at both macrosocial, such as the economy and policy, and microsocial level, such as on the psychological and relational well-being of persons represents an unprecedented challenge for healthcare (1).In June 2020, more than 7.5 million COVID-19 cases have been confirmed worldwide, with more than 420,000 lives lost due to the disease (2), and increased rates of post-traumatic stress disorder (PTSD), depression and anxiety were already expected in the general population, and even more in COVID-19 survivors, following the pandemic (3-6).It has already been shown that sexual dysfunction may be observed in PTSD patients (7), and that emotional numbness can prevent emotional intimacy and connectedness with a partner. So, PTSD symptoms can cause problems in sexual functions, and PTSD can be used as a predictive parameter for sexual dysfunction in these patients (8). The high level of anxiety, anger and irritability observed in PTSD patients not only creates sexual dysfunction independently but also affects sexual dysfunction indirectly due to negative effects on social or romantic relationships and intimacy with the opposite sex (9). It can worse preexisting dysfunctions. Moreover, anger and anxiety might have a bidirectional relationship with erectile function. That is, anger and anxiety can create erectile dysfunction, and sexual dysfunction can induce or increase these symptoms (10).The relationship between erection dysfunction and psychological state has also been examined in large-scale studies. In the National Health and Social Life Survey (NHSLS) study, data show that emotional problems and stress-related problems pose a risk of difficulty being experienced at all stages of sexuality. The researchers concluded that psychological state was an independent factor affecting sexual function (11).In 'The multinational men's attitudes to life events and sexuality' (MALES) study conducted in Europe and North and South America, which included 2,912 men, depression or anxiety was found in 25% of the patients who reported to have ED, while was found in 26% of the patients who reported to have depression or anxiety (12).So, as sexual activity is closely associated with mental and psychological health, it is unsurprising that sexual desire and frequency have declined in both genders during this pandemic (13,14).An interesting paper from Spain suggested that the social impact of the lockdown is related to gender, age and socioeconomic conditions. Authors found that women and young people had worse mental

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Interaction between the impact of the Coronavirus disease 2019 pandemic and demographic characteristics on sexual/erectile dysfunction in Latin America: cross-sectional study

Cited by 5 publications

References 22 publications

Evaluating male sexual function and reproductive health during Omicron outbreak in China: A cross-sectional study

Evaluating male sexual function and reproductive health during Omicron outbreak in China: A cross-sectional study

Lower Urinary Tract Symptoms in a prospective cohort of COVID-19 survivors

Editorial Comment: Interaction between the impact of the Coronavirus disease 2019 pandemic and demographic characteristics on sexual/erectile dysfunction in Latin America: crosssectional study

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