Evaluation of young men with organic erectile dysfunction

Papagiannopoulos, Dimitri; Khare, Narenda; Nehra, Ajay

doi:10.4103/1008-682x.139253

Cited by 75 publications

(53 citation statements)

References 45 publications

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“…In the past, ED was considered to be a purely or primarily psychological symptom in most cases (Aghighi, Grigoryan, & Delavar, 2015; Bivalacqua, Champion, Hellstrom, & Kadowitz, 2000; Papagiannopoulos, Khare, & Nehra, 2015). With more research and more advanced diagnostic approaches (Tang, Tang, Dai, Lu, & Jiang, 2013; Tang et al, 2009), the current evidence suggests that potential organic risk factors or aetiologies were determined in more than 80% of cases (Yafi et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Is milder psychological stress responsible for more severe erectile dysfunction?

Liao

Tang

et al. 2020

Andrologia

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China is a sexually conservative country compared with Western countries. To evaluate the psychological characteristics of Chinese erectile dysfunction (ED) patients, we conducted a cross‐sectional study of 153 ED outpatients. Patients were interviewed with the Structured Interview on Erectile Dysfunction (SIEDY) for pathogenic quantification. ED was measured by International Index of Erectile Function (IIEF). Depression and anxiety were evaluated with 9‐item Patient Health Questionnaire (PHQ‐9) and 7‐item Generalised Anxiety Disorder Scale (GAD‐7) respectively. Most patients (74.5%) were <40 years old. IIEF‐5 were significantly correlated with SIEDY scale 3 (r = .16, p = .040) and GAD‐7 (p = .15, p = .033). The SIEDY scale 1 increased with age, but the IIEF‐5, SIEDY scale 3, PHQ‐9 and GAD‐7 decreased with age. A negative correlation was observed between ED and psychological stress, which conflicts with many Western‐country studies. Younger patients were characterised by milder ED but more psychological stress, while older patients were characterised by worse ED but less psychological stress. Which may be responsible for the conflicting result. Meanwhile, the much younger age distribution among Chinese ED outpatients may indicate that quite a few older ED patients (≥40 years) in China do not seek outpatient service which should merit more attention.

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Section: Discussionmentioning

confidence: 99%

Is milder psychological stress responsible for more severe erectile dysfunction?

Liao

Tang

et al. 2020

Andrologia

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“…9,10 As such, a thorough work-up including elicitation of risk factors coupled with necessary laboratory tests and integrated with clinical picture helps to diagnose and develop a treatment plan to manage these patients effectively. 11 Different protocols of diagnosis and treatment have always been the matter of interest for clinicians worldwide with the problem still showing a significant prevalence. There is a need to have a relook into various associated factors to develop an effective intervention strategy.…”

Section: Introductionmentioning

confidence: 99%

Role of lifestyle and psychological variables in erectile dysfunction: a cross-sectional study

Langer¹,

Sharma²,

Gupta

et al. 2017

Int J Res Med Sci

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INTRODUCTIONErectile dysfunction (ED) is the persistent lack of ability to attain and maintain an erection which is sufficient to permit satisfactory sexual performance. 1 Erection is a complex interplay of phenomenon like arterial dilation, trabecular smooth muscle relaxation, and activation of the corporeal veno-occlusive mechanism and requires a coordinated equilibrium between the neurological, vascular and the tissue compartments.ED may occur as a result of vasculogenic, neurogenic, anatomical, hormonal, drug-induced and/or psychogenic factors.2 Burden of disease on men suffering from ED in particular and also on their partners has a significant ABSTRACT Background: Erectile dysfunction (ED) is a highly prevalent yet underestimated disorder among men, associated with a significant burden of illness. The understanding of pathophysiological factors has led to better assessment of the disease yet a lot of patients are left dissatisfied and undertreated. The study was undertaken to elicit the various life style and psychological variables associated with ED. Methods: A cross-sectional study was conducted on cases of ED reporting in urology OPD in 3 months period. A pretested semi structured questionnaire was used as a data collection tool. ED was addressed in five domains using International index of erectile function (IIEF) scale. Information collected included socio demographic factors, life style variables and psychological factors [perceived stress (PT), self-esteem (SST) and erectile performance anxiety (ET)]. Data collected was analyzed using independent sample t test. Results: A total of 155 cases of ED participated in the study. Their mean age was 33.93±5.05 years (range 25-48). 80.6% were non-smokers, 54.8% were alcoholic and 22.6% patients performed light physical activity. There was no statistically significant association between different life style variables with five domains of International index of erectile function except for the domain of orgasmic function with consumption of drugs (p=0.017) and intercourse satisfaction with physical activity(p=0.045). Barring the domain of overall satisfaction most of the other domains of ED showed a significant association with psychological variables. Conclusions: Contrary to lifestyle factors, psychological factors are significantly related to ED and need to be addressed effectively for improving patient treatment outcome.

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“…Men who do not have erections because of psychological problems can still have erections during deep sleep. If a lack of morning erections is accompanied by a lack of overall erections, a physical cause is suggested rather than a psychological cause [21,23,24]. …”

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confidence: 99%

Why Do Healthy Men Experience Morning Erections?

Youn¹

2017

Open Psy. J.

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Abstract:People begin the sleep cycle with a period of non-rapid eye movement (NREM) sleep, followed by a very short period of rapid eye movement (REM) sleep. During a normal night of sleep, humans usually experience about four or five periods of REM sleep. Penile erections have generally been considered to be an epiphenomenon of REM sleep-related physiological changes for healthy males. Thus, men are very likely to awaken in the morning with a REM sleep-related erection, which is also known as nocturnal penile tumescence (NPT). Men who are physically under great strain or serious psychological stress may find it difficult to maintain a psychogenic erection. The best time for them to have sex would be during sleep time, such as when they are experiencing REM sleep-related erections. It is reasonable to assume that the NPT phenomena might have evolved as a tool for having sex, in the context of both procreation and recreation.Keywords : REM sleep, Morning erection, Nocturnal penile tumescence, Sexual intercourse, Procreation, Recreational sex. REM SLEEPMammalian sleep consists of natural cycles of activity in the brain and has distinct states: rapid eye movement (REM) sleep and non-rapid eye movement (NREM) sleep which consists of Stages 1 through 3 [1]. Typically, people begin the sleep cycle with a period of NREM sleep followed by a very short period of REM sleep. Dreams generally occur in the REM state of sleep [2,3]. Usually, REM sleep occurs 90 minutes after sleep onset. The first period of REM typically lasts 10 minutes, with each recurring REM state lengthening, and the final one lasting up to an hour. That is, the proportion of REM sleep in total sleep time in humans increases as morning approaches. During a normal night of sleep, humans usually experience about four or five periods of REM sleep. REM sleep in adult humans occupies approximately 20-25% of total sleep, or about 90-120 minutes. Some people tend to wake, or experience a period of very light sleep, for a short time immediately after a bout of REM [2 -6].There are many theories about the functions of REM sleep, but they are not understood well. It has been hypothesized that the REM state serves a sentinel function, bringing about a brief, but periodic, awakening after preparing the organism for immediate fight or escape [7,8]. That is, REM sleep activates an animal periodically to scan the environment for possible predators. Such a built-in physiological mechanism presumably would provide maximal security from external danger compatible with minimal disturbance to the continuity of sleep. Apparently, humans are more alert when aroused from REM sleep than NREM sleep [2,8,9]. Many researchers argue that REM sleep serves an important function for the survival of mammalian and avian species. In both humans and experimental animals, REM sleep loss leads to several behavioral and physiological abnormalities [2,8,10,11]. In addition, some researchers state that REM sleep may function to influence and promote social bonding or attachment in the develop...

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Evaluation of young men with organic erectile dysfunction

Cited by 75 publications

References 45 publications

Is milder psychological stress responsible for more severe erectile dysfunction?

Is milder psychological stress responsible for more severe erectile dysfunction?

Role of lifestyle and psychological variables in erectile dysfunction: a cross-sectional study

Why Do Healthy Men Experience Morning Erections?

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