Sexual behavior and sexual dysfunctions after age 40: The global study of sexual attitudes and behaviors

Nicolosi, Alfredo; Laumann, Edward O.; Glasser, Dale B.; Moreira, Edson Duarte; Paik, Anthony; Gingell, Clive

doi:10.1016/j.urology.2004.06.055

Cited by 527 publications

(337 citation statements)

References 25 publications

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“…The GSSAB study reported the global prevalence of PE (based on subject self-report) to be approximately 30% across all age groups. 15,16 Similar results by age groups were also reported by the Brazilian Sexual Life Study: PE was reported in 25.8% of 3332 Brazilian men. 17 JaspersenGastelum et al 18 reported a high prevalence rate in older age groups.…”

Section: Discussionsupporting

confidence: 82%

“…Data from the Global Study of Sexual Attitudes and Behaviors (GSSAB), an international survey investigating the attitudes, behaviors, beliefs and sexual satisfaction of 27 500 men and women aged 40 --80 years, reported that the global prevalence of PE (based on subject self-report) is approximately 30% across all age groups. 15,16 Many studies have found age to be a predisposing factor for EjD. EjD increases with advancing age.…”

Section: Discussionmentioning

confidence: 99%

“…15,16 Although the prescription of PDE5 inhibitors for PE is still controversial, PDE5 inhibitors are regarded as the first choice for patients with comorbid ED and PE. 27 Subjects with ED may either require higher levels of manual stimulation to achieve an erection or may intentionally 'rush' intercourse to prevent early detumescence of a partial erection, resulting in ejaculation with a brief latency.…”

Section: Discussionmentioning

confidence: 99%

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Impact of erectile function and age in men with lower urinary tract symptoms on ejaculatory dysfunction and premature ejaculation

et al. 2012

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Lower urinary tract symptoms (LUTSs) and ED are clearly correlated, but to date no correlation with ejaculatory dysfunction (EjD) has been identified. Therefore, this study evaluated the impact of erectile function in men with LUTS on EjD and premature ejaculation (PE). Erectile function, PE and EjD of 239 men (mean age, 53.0±10.65 years), International Prostate Symptom Score (IPSS), International Index of Erection Function (IIEF), intravaginal ejaculatory latency time (IELT) and the seven-item Male Sexual Health questionnaire (MSHQ)-EjD were used to compare with the degree of LUTS. Ages were divided into five groups (o40, 40 --49, 50 --59, 60--69 and 470 years). The IPSS categorized patients into three symptom groups: mild, 1 --7; moderate, 8 --19; and severe, 419. ED was classified into five categories based on IIEF-EF scores: severe (0 --6), moderate (7 --12), mild-to-moderate (13--18), mild (19 --24) and normal (25 --30). The correlations among age, IIEF-EF, IELT and the MSHQ-EjD domain were studied through regression and cross-tabulation analyses. The results revealed that aging significantly affected each item of the MSHQ-EjD (Po0.05). The IIEF-EF domain was also correlated with each question on the MSHQ-EjD (Po0.05). PE (IELT o1 min) increased in incidence as patients got older but was not linked to IIEF-EF (P40.05). These results indicate that EjD is closely related to age and erectile function, and that PE is closely related to age, although PE is not related to erectile function. INTRODUCTIONRepresentative symptoms that may develop with aging include lower urinary tract symptoms (LUTSs) and ED. These two symptoms are not simply the result of aging, and they have a common pathophysiology. Thus, by treating one disease, a synergistic effect of treating the other disease may occur simultaneously. 1,2 A multinational questionnaire survey involving 12 815 men older than 50 years revealed that the two diseases are associated, and for those with ED, age and LUTS were more potent risk factors than diabetes, hypertension or hyperlipidemia. 3 Ejaculation is the process of sperm transport from the epididymis to the urethral meatus, resulting in the expulsion of semen. Ejaculation occurs in two phases: seminal emission and ejaculation proper, and they are mediated by sympathetic and parasympathetic inputs, respectively. When sexual stimulation is extremely intense, the autonomic impulses responsible for the emission phase exit the spinal cord at the T10 --L2 level via sympathetic chains, course into the pelvis as hypogastric outflow and onto the genital structures involved in ejaculation. Parasympathetic and somatic inputs from S2 to S4 then cause ejaculation proper, and antegrade ejaculation occurs. 4,5 If the ejaculation reflex takes place too quickly, it may induce premature ejaculation (PE). In contrast, if it is late, delayed ejaculation may occur. Abnormalities in the sympathetic nerves or deterioration in male hormone levels because of aging may reduce semen volume or ejaculation force and decrease the fre...

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Impact of erectile function and age in men with lower urinary tract symptoms on ejaculatory dysfunction and premature ejaculation

et al. 2012

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“…The rates were 13% to 14% in Northern Europe, Southern Europe, Central and South America, and the Middle East. In the non-European West, the rate was higher at 21% but, as reported in the studies by Nicolosi et al, 20,42 the highest prevalence rates for ED were in two regions in Asia (27% in East Asia and 28% in Southeast Asia).…”

Section: Erectile Dysfunctionmentioning

confidence: 51%

“…The overall prevalence rate was 16% and the individual rates from the seven countries except the United States were below this rate, with the overall prevalence rate of ED in the United States being 22%. 41 In a second study from Nicolosi et al, 20 regional prevalence rates for 40 to 80 years of age from around the world were reported. Rates were stratified for age for all the countries and were low before 60 years of age, 15.2% for the seventh decade of life, and 22% for older than 70 years.…”

Section: Erectile Dysfunctionmentioning

confidence: 97%

Incidence and Prevalence of Sexual Dysfunction in Women and Men: A Consensus Statement from the Fourth International Consultation on Sexual Medicine 2015

McCabe

Sharlip

Lewis

et al. 2016

The Journal of Sexual Medicine

401

276

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Introduction: The incidence and prevalence of various sexual dysfunctions in women and men are important to understand to designate priorities for epidemiologic and clinical research. Aim: This manuscript was designed to conduct a review of the literature to determine the incidence and prevalence of sexual dysfunction in women and men. Methods: Members of Committee 1 of the Fourth International Consultation on Sexual Medicine (2015) searched and reviewed epidemiologic literature on the incidence and prevalence of sexual dysfunctions. Key older studies and most studies published after 2009 were included in the text of this article. Main Outcome Measures: The outcome measures were the reports in the various studies of the incidence and prevalence of sexual dysfunction among women and men. Results: There are more studies on incidence and prevalence for men than for women and many more studies on prevalence than incidence for women and men. The data indicate that the most frequent sexual dysfunctions for women are desire and arousal dysfunctions. In addition, there is a large proportion of women who experience multiple sexual dysfunctions. For men, premature ejaculation and erectile dysfunction are the most common sexual dysfunctions, with less comorbidity across sexual dysfunctions for men compared with women. Conclusion: These data need to be treated with caution, because there is a high level of variability across studies caused by methodologic differences in the instruments used to assess presence of sexual dysfunction, ages of samples, nature of samples, methodology used to gather the data, and cultural differences. Future research needs to use well-validated tools to gather data and ensure that the data collection strategy is clearly described.

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Hormone therapy for sexual function in perimenopausal and postmenopausal women

Lara,

Cartagena-Ramos,

Figueiredo

et al. 2023

Cochrane Database of Systematic Reviews

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Sexual behavior and sexual dysfunctions after age 40: The global study of sexual attitudes and behaviors

Cited by 527 publications

References 25 publications

Impact of erectile function and age in men with lower urinary tract symptoms on ejaculatory dysfunction and premature ejaculation

Impact of erectile function and age in men with lower urinary tract symptoms on ejaculatory dysfunction and premature ejaculation

Incidence and Prevalence of Sexual Dysfunction in Women and Men: A Consensus Statement from the Fourth International Consultation on Sexual Medicine 2015

Hormone therapy for sexual function in perimenopausal and postmenopausal women

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