Lack of awareness of erectile dysfunction in many men with risk factors for erectile dysfunction

Abstract

BackgroundMen with erectile dysfunction often have concurrent medical conditions. Conversely, men with these conditions may also have underlying erectile dysfunction. The prevalence of unrecognized erectile dysfunction in men with comorbidities commonly associated with erectile dysfunction was determined in men invited to participate in a double-blind, randomized, placebo-controlled trial of sildenafil citrate.MethodsMen ≥30 years old presenting with ≥1 erectile dysfunction risk factor (controlled hypertension, hypercholesterolemia, smoking, metabolic syndrome, stable coronary artery disease, diabetes, depression, lower urinary tract symptoms, obesity [body mass index ≥30 kg/m2] or waist circumference ≥40 inches), and not previously diagnosed with erectile dysfunction were evaluated. The screening question, "Do you have erectile dysfunction?," with responses of "no," "yes," and "unsure," and the Erectile Function domain of the International Index of Erectile Function (IIEF-EF) were administered.ResultsOf 1084 men screened, 1053 answered the screening question and also had IIEF-EF scores. IIEF-EF scores indicating erectile dysfunction occurred in 71% (744/1053), of whom 54% (399/744) had moderate or severe erectile dysfunction. Of 139 answering "yes," 526 answering "unsure," and 388 answering "no," 96%, 90%, and 36%, respectively, had some degree of erectile dysfunction. The mean±SD (range) number of risk factors was 2.9 ± 1.7 (3-8) in the "yes" group, 3.2 ± 1.7 (3-9) in the "unsure" group, and 2.6 ± 1.5 (2-8) in the "no" group.ConclusionAlthough awareness of having erectile dysfunction was low, most men with risk factors had IIEF-EF scores indicating erectile dysfunction. Erectile dysfunction should be suspected and assessed in men with risk factors, regardless of their apparent level of awareness of erectile dysfunction.Trial registrationClinicalTrials.gov Identifier NCT00343200.

Association between Erectile Dysfunction and Quality of Life in Patients with Coronary Artery Disease

“…Contrary to literature, in our study we had a predominance of milder forms of dysfunction. 21,30 We emphasize that in patients with CAD the prevalence is higher than in the general population, which was also described by Kloner and Mullin, 31 who identified in this group 75% and 67% of patients with difficulty in having or maintaining an adequate erection, respectively.…”

Weaker Masturbatory Erection May Be a Sign of Early Cardiovascular Risk Associated with Erectile Dysfunction in Young Men Without Sexual Intercourse

“…The non-typical ED, which includes honeymoon ED (ED accompanying the first sexual attempts), teenager ED, mild ED, unrecognized ED, and WME-NS, is unsuitable to be assessed by the scoring system of IIEF [32] and habitually presumed to be psychogenic origin. But in fact, several studies had shown that early vascular dysfunction and cardiovascular risk factors also occurred in the subjects with honeymoon ED [33], teenager ED [34], mild ED [35] and unrecognized ED [36], which implied that these non-typical ED cohorts might have fairly similar risk factors with the typical ED population. Likewise, the underlying risk factors related to ED in our study also occurred in the WME-NS cohort (Figure 1).…”

Enfermedad periodontal y disfunción eréctil

“…Existen factores de riesgo mutuos (tabaco 16 , diabetes mellitus 17 , enfermedades cardíacas 18---21 y obesidad 22---24 ) compartidos por la DE y la periodontitis crónica 20 .…”