Genitourinary Issues in the Male College Student: A Case-Based Approach

Adelman, William P.; Joffe, Alain

doi:10.1016/j.pcl.2004.11.003

Cited by 2 publications

(1 citation statement)

References 82 publications

(67 reference statements)

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“…• Possible negative effect on semen parameters; however, this issue and effects on fertility are debated 200 • Erectile dysfunction and premature ejaculation in urogenital infections 217 Human papilloma virus • Some evidence for HPV as a risk factor for fertility, with possible negative effects on semen quality, IVF failure, and miscarriages, but its influence is debated, as is the role of HPV clearance in restoring fertility 218 • Risk factors for HPV infection in both sexes are number of lifetime partners and young age 219,220 • Women with vulvar lesions more often worry about sexual consequences (such as being unable to have children, being sexually less attractive, or infecting a sexual partner) than those without 221 . • Men with genital warts have higher rates of sexual dysfunction, depression, and anxiety than the general population 222 Other endocrine and metabolic disorders.…”

Section: Hivmentioning

confidence: 99%

Sexual dysfunction and male infertility

2018

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Infertility affects up to 12% of all men, and sexual dysfunction occurs frequently in men of reproductive age, causing infertility in some instances. In infertile men, hypoactive sexual desire and lack of sexual satisfaction are the most prevalent types of sexual dysfunction, ranging from 8.9% to 68.7%. Erectile dysfunction and/or premature ejaculation, evaluated with validated tools, have a prevalence of one in six infertile men, and orgasmic dysfunction has a prevalence of one in ten infertile men. In addition, infertile men can experience a heavy psychological burden. Infertility and its associated psychological concerns can underlie sexual dysfunction. Furthermore, general health perturbations can lead to male infertility and/or sexual dysfunction. Erectile dysfunction and male infertility are considered proxies for general health, the former underlying cardiovascular disorders and the latter cancerous and noncancerous conditions. The concept that erectile dysfunction in infertile men might be an early marker of poor general health is emerging. Finally, medications used for general health problems can cause sperm abnormalities and sexual dysfunction. The treatment of some causes of male infertility might improve semen quality and reverse infertility-related sexual dysfunction. In infertile men, an investigation of sexual, general, and psychological health status is advisable to improve reproductive problems and general health.

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