Prevalence of erectile dysfunction and impacts on sexual activity and self-reported intercourse satisfaction in men older than 40 years in Taiwan

Chen, K. K.; Chiang, Han Sun; Jiann, Bang‐Ping; Lin, Johnny Shinn‐Nan; Liu, W. J.; Wu, Chi-Ju; Hsieh, Ju‐Ton; Wang, C. J.; Hwang, Thomas I. S.; Lee, S. S.

doi:10.1038/sj.ijir.3901218

Cited by 47 publications

(43 citation statements)

References 27 publications

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“…In one multinational study of men aged 40-70 years in four Asian countries, including Japan and Malaysia, it was estimated that the overall prevalence of moderate to complete ED was 34% for Japan and 22% for Malaysia [5]. In Taiwan, the prevalence of self-reported ED was 17.7% [6], in China it was 28.3% [7] and in Korea, 32.2% [8]. Despite these Asian men suffering from ED, treatment-seeking is low but a small number of these Asian men appear to be willing to turn to traditional medicine for the treatment of ED [9].…”

Section: Usage Of Traditional Medicine In Erectile Dysfunctionmentioning

confidence: 99%

Asian traditional medicine for erectile dysfunction

Low¹,

Tan²

2007

The Journal of Men's Health & Gender

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Asian cultures have different belief systems and health seeking behaviors and they believe strongly in the holistic approach to medicine and health. Asian traditional medicine emphasizes the importance of prevention of illnesses and development of natural resistance to disease, and thus believes in the promotion of general well-being. Asian traditional medicine predominates in the Asian countries, and it is used for the treatment of various physical and mental illnesses. It has also been used for the treatment of sexual dysfunction, namely erectile dysfunction (ED) in men. However, the majority of research into the safety and efficacy of medicinal plants or herbs are mainly based on animal models and very limited studies on humans, probably due to negative clinical trial results, drug interactions or toxic reactions. It is generally very difficult to identify the actual ingredient of a herbal medication that is effective for the treatment of ED. Various traditional medicines, such as herbal medicine or animal products, which are used for the treatment of ED are discussed in this paper. It is important for physicians treating ED to know about the various traditional medicines and the perception and beliefs of ED sufferers regarding traditional therapies. Physicians should understand the potential associated health risks of various traditional medicines because of possible adverse events, drug interactions, contamination or adulteration of the medicine. Finally, practitioners treating ED should recognize and emulate the emphatic and approachable qualities of traditional therapists.

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Section: Usage Of Traditional Medicine In Erectile Dysfunctionmentioning

confidence: 99%

Asian traditional medicine for erectile dysfunction

Low¹,

Tan²

2007

The Journal of Men's Health & Gender

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“…4 However, a prevalence rate of 9%-17.7% was obtained in Taiwan (China). 5,6 In Thailand, the prevalence rate is 37.5%, 7 and in a population-based survey conducted in Singapore on men greater than 30 years old, a prevalence rate of 51.3% was obtained. 8 In another study on the ageing population of Singapore, the prevalence rate was 73%.…”

Section: Erectile Dysfunction (Ed)mentioning

confidence: 99%

“…1 The prevalence of ED in Asia varies between 9% and 73%. [2][3][4][5][6][7][8][9][10][11][12][13][14][15] The wide variability in prevalence rates can be attributed to the method of assessment (i.e., self-reported or International Index of Erectile Function score) and the type of survey. For example, if subjects are recruited from a clinic, higher prevalence rates are attained than when subjects are recruited from the community.…”

Section: Erectile Dysfunction (Ed)mentioning

confidence: 99%

Male sexual dysfunction in Asia

Ho¹,

Singam²,

Hong³

et al. 2011

Asian J Androl

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Sex has always been a taboo subject in Asian society. However, over the past few years, awareness in the field of men's sexual health has improved, and interest in sexual health research has recently increased. The epidemiology and prevalence of erectile dysfunction, hypogonadism and premature ejaculation in Asia are similar in the West. However, several issues are specific to Asian males, including culture and beliefs, awareness, compliance and the availability of traditional/complementary medicine. In Asia, sexual medicine is still in its infancy, and a concerted effort from the government, relevant societies, physicians and the media is required to propel sexual medicine to the forefront of health care. Asian Journal of Andrology (2011) 13, 537-542; doi:10.1038/aja.2010.135; published online 6 June 2011Keywords: Asia; erectile dysfunction; health; hypogonadism; male; premature ejaculation; sex INTRODUCTIONUntil recently, men's sexual health has taken a backseat in the planning and implementation of health care. When Viagra (sildanefil) burst onto the scene more than a decade ago, it opened up the floodgates for research and development on men's sexual health. As a result, a previously taboo subject was transformed into a popular topic, even in Asia. Being a conservative society, male sexual health was initially embraced with trepidation in Asia. In contrast, the more open culture of the West has seen significant progress in the field of sexual medicine. The purpose of this review is to examine the burden of men's sexual health in Asia and to identify issues that are unique to Asian men in order to develop strategies for the improvement of men's health care in Asia.

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“…The majority of organic causes are vasculogenic (72%) and neurogenic (12%), while 10-20% of ED cases may involve hormonal abnormalities. 8,9,15 The prevalence of hypogonadism in men with ED varies widely from 1.7 to 35% [14][15][16] ; the wide variation is due to studies of different patient populations, and the use of various definitions of ED and hypogonadism, and methodologies. Most available studies failed to demonstrate a significant correlation between plasma T levels and erectile function which would support a major role of T in erections.…”

mentioning

confidence: 99%

The relationship between hypogonadism and erectile dysfunction

Hwang

Lin

2008

Int J Impot Res

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It is well known that testosterone enhances sexual interest leading to an increased frequency of sexual acts and an increase in the frequency of sleep-related erections. However, it has little effect on fantasy-or visually induced erections. Exact contribution to erection from testosterone in men remains unclear. Animal studies have well demonstrated that testosterone plays critical physiological (activity of nitric oxide synthases and phosphodiesterases), biochemical (through an endothelial-independent pathway and adrenergic tonicity) and structural (change of fibroelasticity and hollow cell accumulation) roles in erectile function. The supplementation of testosterone to castrated animals can restore erectile function. Clinically, reports of patients with erectile dysfunction (ED) combined with hypogonadism who receive testosterone therapy have inconsistent results. However, testosterone may ameliorate the expression of the phosphodiesterase-5 (PDE5) inhibitor, and the use of testosterone in conjunction with the PDE5 inhibitor revealed convincing results. Because of potential risks in clinical use, testosterone therapy should be individualized, carefully considered and closely monitored, especially, in patients with possible occult prostate cancer, and large benign prostatic hyperplasia. Lower urinary tract symptoms might be worsened by this treatment, since the prostate is an androgen-dependent tissue.

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Prevalence of erectile dysfunction and impacts on sexual activity and self-reported intercourse satisfaction in men older than 40 years in Taiwan

Cited by 47 publications

References 27 publications

Asian traditional medicine for erectile dysfunction

Asian traditional medicine for erectile dysfunction

Male sexual dysfunction in Asia

The relationship between hypogonadism and erectile dysfunction

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