Low Scores in the Sexual Health Inventory for Men Questionnaire May Indicate Sexual Disorders Other Than Erectile Dysfunction

Heruti, Rafi; Ashkenazi, Itschak; Shochat, Tzipora; Tekes‐Manova, Dorit; Justo, Dan

doi:10.1111/j.1743-6109.2005.20227.x

Cited by 11 publications

(12 citation statements)

References 17 publications

(24 reference statements)

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“…This observation is not consistent with previous observations that ED is only associated with severe SAS and that SAS is not associated with mild to moderate ED [36]. Certainly, low scores in the SHIM questionnaire may indicate sexual disorders other than ED, and high scores in the SQ questionnaire may indicate sleep disorders other than SAS [24,26,37]; hence it is likely that moderately low scores in the SHIM questionnaire, observed in our cohort, were consistent with sexual disorders other than ED and associated with sleep disorders other than SAS. Furthermore, a negative correlation was observed in our study between low scores in the SHIM questionnaire and high scores in the SQ questionnaire—even after age adjustment and exclusion of examinees with essential hypertension, diabetes mellitus, and obesity.…”

Section: Discussioncontrasting

confidence: 99%

Association Between Erectile Dysfunction and Sleep Disorders Measured by Self-Assessment Questionnaires in Adult Men

Heruti

Shochat

Tekes‐Manova

et al. 2005

The Journal of Sexual Medicine

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Background Erectile dysfunction (ED) is often associated with sleep disorders and sleep apnea syndrome (SAS) in mostly middle-aged and elderly men. Sleep disorders and ED are also prevalent in younger men. Purpose To study the association between ED, sleep disorders, and SAS, particularly among adult men. Methods A health screening program is offered by the Israel Defense Force (IDF) for career servicemen older than 25 years, for the purpose of early detection of ED and sleep disorders, among other concealed morbidities. The Sexual Health Inventory for Man questionnaire (SHIM) was used to measure ED. The Sleep Quality (SQ) questionnaire, developed by the medical services of the IDF, was used to characterize SAS and other sleep disorders. Results From 2002 through 2003, 3,363 men (mean age, 36.1 ± 6.8 years) replied to the SHIM and SQ questionnaires. Of these men, 337 (10%) scored high (≥25) in the SQ questionnaire, suggesting moderate to severe sleep disorders, and 870 men (25.8%) scored low (≤21) in the SHIM questionnaire, suggesting ED. There was a negative correlation between the scores in the SHIM questionnaire and in the SQ questionnaire (r = −0.29, P < 0.0001)—even after age adjustment and after excluding men with risk factors for both ED and SAS (such as essential hypertension, diabetes mellitus, and obesity; r = −0.21, P < 0.0001). This correlation was consistent with all severity levels of ED and sleep disorders. Conclusions Sleep disorders, in particular SAS, and ED are prevalent and may be related in adult men. Either ED or sleep disorders should be considered whenever the other is suspected in adult men. Sleep disorders and ED should also be investigated for the purpose of treating underlying systemic diseases and emotional disorders, and in order to prevent late complications of atherosclerosis.

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Section: Discussioncontrasting

confidence: 99%

Association Between Erectile Dysfunction and Sleep Disorders Measured by Self-Assessment Questionnaires in Adult Men

Heruti

Shochat

Tekes‐Manova

et al. 2005

The Journal of Sexual Medicine

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“…The questions on sexual history showed quite remarkable results that lend support to the notion of a considerable comorbidity (either primary or secondary) of ED with other sexual problems, thus conforming the results of other studies [12]. Libido changes were thus observed in 51.8% of the patients, ejaculation difficulties (premature, delayed) in 29.2%, and orgasm disorder in 24.7%.…”

Section: Resultssupporting

confidence: 86%

Erectile Dysfunctions in Patient–Physician Communication: Optimized Strategies for Addressing Sexual Issues and the Benefit of Using a Patient Questionnaire

Hartmann

Burkart

2007

The Journal of Sexual Medicine

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Introduction Erectile dysfunctions are prevalent but underdiagnosed and undertreated health problems. Communication barriers between patients and physicians are one of the main reasons for this and responsible for a low report rate of sexual dysfunction. Aim The main aim of the study was to investigate which phrasing and communication strategies gained the highest acceptance from physicians and their patients and were considered the most effective. Main Outcome Measures A documentation form on which each consultation was rated by the participating physicians. Methods A large group of physicians was asked to hand out a short patient questionnaire to all male patients over 30 years. The physician was instructed to discuss the questionnaire with the patient and to ask him about sexual problems. A total of 1,191 physicians took part in the study that documented a total of 10,622 consultations with an average duration of 15 minutes. Results The main results were: (i) the patient questionnaire found a high level of acceptance and 54% of discussions of sexual health were prompted by it; (ii) the patients’ reaction to physicians addressing sexual health was positive in more than two-thirds of the sample and characterized by openness, willingness to communicate, and relief that their sexual problems had been addressed; (iii) from the physicians’ perspective, the most favored communication strategies were a clear signaling of a willingness to talk, and addressing treatment possibilities or signaling that help was available; and (iv) the resulting discussion led to further diagnostic measures in 25% of patients and to further therapeutic measures in 60% of patients. Conclusion There are good grounds for concluding that: (i) addressing a patient’s sexual health as part of a physician’s everyday routine is feasible in terms of duration and content; and (ii) a short patient questionnaire is an excellent aid for patients and physicians for initiating communication on the topic.

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“…Although there are several domains of male sexual function that may be impaired, the most frequently studied has been erectile dysfunction (ED), in part because of the availability of efficacious pharmacological therapy (7,8). Multiple studies have documented ED to be highly prevalent and strongly correlated with HRQoL in men on chronic dialysis and have identified the clinical predictors of this symptom (9,10).…”

mentioning

confidence: 99%

Female Sexual Dysfunction in ESRD

Weisbord

2012

Clinical Journal of the American Society of Nephrology

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While life-sustaining, chronic dialysis is associated with substantial impairments in health-related quality of life (HRQoL) (1,2). The well-recognized decrements in HRQoL in patients with ESRD are likely related to multiple factors, including functional limitations, impaired social well being, vocational disruptions associated with a thrice-weekly or quotidian treatment, and a large burden of physical and emotional symptoms. Specific symptoms that occur with regularity in patients on chronic dialysis are fatigue, cramping, pain, and dyspnea (3,4). Another symptom that appears to occur frequently in patients with ESRD is sexual dysfunction, etiologies for which include hormonal dysregulation, vascular disease, autonomic dysfunction, medication side effects, and psychologic illness such as depression (5,6).To date, the preponderance of research on sexual dysfunction in patients with ESRD has focused on men. Although there are several domains of male sexual function that may be impaired, the most frequently studied has been erectile dysfunction (ED), in part because of the availability of efficacious pharmacological therapy (7,8). Multiple studies have documented ED to be highly prevalent and strongly correlated with HRQoL in men on chronic dialysis and have identified the clinical predictors of this symptom (9,10). In a comprehensive cross-sectional study of 302 communitybased male hemodialysis patients, Rosas et al. (9,11) found that ED was present in 82%, was severe in 45%, and was associated with impairments in multiple domains of HRQoL. A subsequent study by Türk et al. (10) demonstrated that ED was present in 104 (70%) of 148 patients on chronic hemodialysis and was closely correlated with decrements in physical and mental well being. Older age and diabetes were associated with ED in both of these studies. Data from these and other studies, which collectively enrolled thousands of patients, confirm the high prevalence and clinical importance of ED in men on dialysis and inform our understanding of factors that help predict the presence of this symptom.Although women comprise approximately one-half of all patients with ESRD, considerably less attention has been paid to female sexual dysfunction in this population. A series of small past studies suggest that sexual dysfunction is common among women receiving chronic dialysis. Yazici et al. (12) studied 117 women with ESRD and found that sexual dysfunction was present in 94% of patients on peritoneal dialysis and 100% of those on hemodialysis. More recently, Seethala et al. (13) found impairments in multiple domains of sexual function in 66 female patients on chronic dialysis and high rates of sexual dysfunction among women with partners and those who reported to be sexually active. Notwithstanding these findings, studies investigating this issue were limited by the enrollment of small numbers of patients and the lack of statistical power to elucidate which clinical factors are associated with and predict the presence of sexual dysfunction.In an effort to br...

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Low Scores in the Sexual Health Inventory for Men Questionnaire May Indicate Sexual Disorders Other Than Erectile Dysfunction

Cited by 11 publications

References 17 publications

Association Between Erectile Dysfunction and Sleep Disorders Measured by Self-Assessment Questionnaires in Adult Men

Association Between Erectile Dysfunction and Sleep Disorders Measured by Self-Assessment Questionnaires in Adult Men

Erectile Dysfunctions in Patient–Physician Communication: Optimized Strategies for Addressing Sexual Issues and the Benefit of Using a Patient Questionnaire

Female Sexual Dysfunction in ESRD

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