Influence of age and changes over time on erectile dysfunction: Results from two large cross-sectional surveys 11 years apart

Stranne, Johan; Malmsten, Ulf G.H.; Areskoug, Björn; Milsom, Ian; Molander, Ulla; Peeker, Ralph

doi:10.3109/00365599.2012.726644

Cited by 8 publications

(2 citation statements)

References 25 publications

(28 reference statements)

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“…Apart from weaker desire in older patients, we found that none of the three factors of patient age, time since diagnosis of MS, and EDSS score were independently correlated with the incidence or severity of SD. Age and age-related comorbidities have been confirmed as powerful predictors of ED in many studies [31][32][33]. The similar prevalence of ED across age groups in our research may be explained by neurological and psychosocial changes that appear in MS independently of age.…”

Section: Discussionsupporting

confidence: 83%

Sexual Dysfunctions and Sexual Quality of Life in Men with Multiple Sclerosis

Lew–Starowicz

Rola

2014

The Journal of Sexual Medicine

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Introduction Multiple sclerosis (MS) is one of the most frequent diseases of the central nervous system and usually occurs at the age when people would be expected to be in the prime of their sexual lives. Clinicians working in this field commonly concentrate on the classical neurological deficits and often overlook symptoms that seriously affect the quality of life, such as sexual dysfunction (SD). Sexual functioning of MS patients remains poorly understood. Aim The aim of this study was to assess the prevalence of SDs, their relationship with demographic factors, and sexual quality of life in men with multiple sclerosis (MS). Methods Sixty-seven patients from the National Multiple Sclerosis Center were interviewed, completed the questionnaires, and underwent neurological assessment. Main Outcome Measures Primary outcome measures included the International Index of Erectile Function (IIEF), the Sexual Quality of Life Questionnaire (SQoL), and the Expanded Disability Status Scale (EDSS). Results The most common complaints were erectile dysfunction (52.9%), decreased sexual desire (26.8%), and difficulties in reaching orgasm (23.1%) or ejaculation (17.9%). The severity of SD had a clear impact on sexual quality of life, especially in the domains of erectile function and intercourse satisfaction. However, neither IIEF nor SQoL scores were correlated with age, time since onset of MS symptoms, or EDSS scores. Only 6% of the patients had ever discussed their concerns with a medical professional or undergone sexual therapy. Conclusions SD is highly prevalent but commonly overlooked in MS patients and has a significant impact on their sexual quality of life. The data support a multifactorial etiology of SD in MS. More focus on SD and use of appropriate screening tools in clinical practice with MS patients are recommended.

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Section: Discussionsupporting

confidence: 83%

Sexual Dysfunctions and Sexual Quality of Life in Men with Multiple Sclerosis

Lew–Starowicz

Rola

2014

The Journal of Sexual Medicine

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“…The Health Professionals Follow-Up Study, a large cross-sectional study including 31,742 men, aged 53-90 years, found that smoking was associated with the risk of ED [73]. A further survey of 10,458 men living in Gothenburg, Sweden, in 1992 revealed that smoking most significantly affected the risk of ED along with concomitant medication use [74]. Cao et al conducted a metaanalysis involving 28,586 participants to evaluate the association between smoking and the risk of ED [75].…”

Section: Smokingmentioning

confidence: 99%

The Circle of Lifestyle and Erectile Dysfunction

Kirby

2015

Sexual Medicine Reviews

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Sildenafil citrate use in Addis Ababa: characteristics of users and pharmacists’ dispensing practices

2017

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Background Studies have reported misuse of sildenafil citrate for recreational purpose, not least by healthy young men. This is becoming a major concern, for medical and other reasons. Objective The aim of this study was to document the characteristics of sildenafil citrate users and to explore the dispensing practices of the medicine in selected community pharmacies in Addis Ababa, Ethiopia. Setting Data was collected in community pharmacies in Addis Ababa, Ethiopia. Method A survey, using a self-administrated questionnaire, was conducted among customers who purchased sildenafil citrate from community pharmacies. Simple descriptive statistics were used to analyse data. Also, semi-structured interviews were conducted with community pharmacists. These were analysed thematically. Main outcome measures Socio-demographic characteristics (survey), themes (interviews). Results All survey respondents (n = 197) were men, 57.9% were below 40 years old, 53.8% had never been married and 58.4% had used sildenafil citrate before. A minority (16.2%) were diagnosed with erectile dysfunction. The main reason for buying sildenafil citrate was experimentation (45.7%). Pharmacists reported that sildenafil citrate was often dispensed without a prescription. The reason for this was, according to the interviewees, competition in the market. Also, the medicine was often dispensed without adequate information or counselling. Conclusions Selling and buying sildenafil citrate without a prescription seems to be common practice in pharmacies in Addis Ababa. It is crucial to strengthen the regulatory activity to protect customers from health risks. In addition pharmacy professionals should be supported to work in accordance with professional and legal standards.

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Influence of age and changes over time on erectile dysfunction: Results from two large cross-sectional surveys 11 years apart

Abstract: Despite a seemingly healthier lifestyle in 2003 compared with 1992, the rate of ED increased in the population, highlighting the importance of assessing lifestyle factors when examining ED patients.

Cited by 8 publications

References 25 publications

Sexual Dysfunctions and Sexual Quality of Life in Men with Multiple Sclerosis

Sexual Dysfunctions and Sexual Quality of Life in Men with Multiple Sclerosis

The Circle of Lifestyle and Erectile Dysfunction

Sildenafil citrate use in Addis Ababa: characteristics of users and pharmacists’ dispensing practices

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