Sexual dysfunction among Ghanaian men presenting with various medical conditions

Amidu, Nafiu; Owiredu, William K. B. A.; Woode, Eric; Appiah, Roselyn; Quaye, Lawrence; Gyasi-Sarpong, Christian Kofi

doi:10.1186/1477-7827-8-118

Cited by 17 publications

(24 citation statements)

References 36 publications

(43 reference statements)

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“…However, this figure (69.3%) is in agreement with the 70.0% reported among self-reported diabetic subjects [10]. The agreement between the SD rate among self-reported and the clinically diagnosed diabetics in this study is reasonable since it can be assumed that subjects who reported that they were 'diabetic' did so on the basis of medical diagnosis.…”

Section: Discussionsupporting

confidence: 87%

“…The 69.3% rate of SD observed among this cohort of diabetic men was higher than the 66% reported among the general Ghanaian male population [9], 59.8% reported among Ghanaian men with various medical conditions [10] and the 59.2% reported among men in a marriage relationship [11]. However, this figure (69.3%) is in agreement with the 70.0% reported among self-reported diabetic subjects [10].…”

Section: Discussionsupporting

confidence: 72%

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Determinants of sexual dysfunction among clinically diagnosed diabetic patients

Owiredu

Amidu

Alidu

et al. 2011

Reprod Biol Endocrinol

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BackgroundDiabetes mellitus is a chronic disease that can result in various medical, psychological and sexual dysfunctions (SD) if not properly managed. SD in men is a common under-appreciated complication of diabetes. This study assessed the prevalence and determinants of SD among diabetic patients in Tema, Greater Accra Region of Ghana.MethodSexual functioning was determined in 300 consecutive diabetic men (age range: 18-82 years) visiting the diabetic clinic of Tema General Hospital with the Golombok Rust Inventory of Sexual Satisfaction (GRISS) questionnaire, between November, 2010 and March, 2011. In addition to the socio-demographic characteristics of the participants, the level of glycosylated haemoglobin, fasting blood sugar (FBS) and serum testosterone were assessed. All the men had a steady heterosexual relationship for at least 2 years before enrolment in the study.ResultsOut the 300 participants contacted, the response rate was 91.3% after 20 declined participation and 6 incomplete data were excluded All the respondents had at least basic education, 97.4% were married, 65.3% were known hypertensive, 3.3% smoked cigarettes, 27% took alcoholic beverages and 32.8% did some form of exercise. The 69.3% SD rate observed in this study appears to be related to infrequency (79.2%), non-sensuality (74.5%), dissatisfaction with sexual acts (71.9%), non-communication (70.8%) and impotence (67.9%). Other areas of sexual function, including premature ejaculation (56.6%) and avoidance (42.7%) were also substantially affected. However, severe SD was seen in only 4.7% of the studied population. The perceived "adequate", "desirable", "too short" and "too long intra-vaginal ejaculatory latency time (IELT) are 5-10, 5-10, 1-2 and 15-30 minutes respectively. Testosterone correlates negatively with glycated haemoglobin (HBA1c), FBS, perceived desirable, too short IELT, and weight as well as waist circumference.ConclusionSD rate from this study is high but similar to that reported among self-reported diabetic patients in Kumasi, Ghana and vary according to the condition and age. The determinants of SD from this study are income level, exercise, obesity, higher perception of "desirable" and "too short" IELT.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionsupporting

confidence: 72%

Determinants of sexual dysfunction among clinically diagnosed diabetic patients

Owiredu

Amidu

Alidu

et al. 2011

Reprod Biol Endocrinol

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“…The prevalence of SD among the Ghanaian community has been reported to vary between 59.8 to 70% depending on the population [11,12], medical conditions [13] and marital status [14]. Previous reports among this same population of clinically diagnosed diabetic subjects indicated an SD rate of 69.3% [15].…”

Section: Introductionmentioning

confidence: 99%

Association between metabolic syndrome and sexual dysfunction among men with clinically diagnosed diabetes

Amidu

Owiredu

Alidu

et al. 2013

Diabetol Metab Syndr

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BackgroundThe worldwide epidemic of diabetes and obesity has resulted in a rapid upsurge in the prevalence of metabolic syndrome (MetS). MetS makes the individual liable to endothelial dysfunction which can initiate sexual dysfunction (SD). This study assessed the association between MetS and SD among clinically diagnosed diabetic subjects in Tema, Greater Accra Region of Ghana.MethodSexual functioning was assessed using Golombok Rust Inventory of Sexual Satisfaction in 300 consecutive diabetic men visiting the diabetic clinic of Tema General Hospital between November, 2010 and March, 2011. Anthropometric data including waist and hip circumference as well as blood pressure were measured. The levels of fasting blood glucose and serum lipid profile were assessed. All the men had a steady heterosexual relationship for at least 2 years before enrolment in the study.ResultsThe response rate was 91.3% out of the 300 subjects recruited for the study. Those with SD were significantly older and had diabetes for a longer period as compared to those without SD. The prevalence of MetS as defined by the various criteria was 78.8%, 43.4% and 51.8% for WHO, NCEP ATP III and IDF respectively. Central obesity (p = 0.0482) and raised blood pressure (p = 0.0309) are the significant MetS components when the studied population was stratified according to sexual functioning. Generally, SD as well as its sub-scales correlate positively with age, blood pressure, duration of diabetes and MetS score. Whereas TC and LDL-c correlated positively with non-communication, TG correlates positively with avoidance and infrequency.ConclusionSD and its sub-scales have a direct relationship with duration of diabetes, blood pressure and MetS score from this study. Central obesity and raised blood pressure seem to be the link between MetS and SD among this clinically diagnosed diabetic subjects.

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“…Regarding to HSA, sexual dissatisfaction is revealed in a HSA man and his spouse concurrently [49]. Sexual satisfaction, but not general dissatisfaction [2] is usually lower in migraineurs than migraineurs [2] [67], The prevalence of sexual dissatisfaction in migraineurs ranges from 30.4% in Spanish [70] to 66.7% in Ghanaian [69]. Interestingly, sexual dissatisfaction continuously persists in some migraineurs even under appropriate treatment due to different causes, such as drug effect [70] or psychological factor [71].…”

Section: Discussionmentioning

confidence: 99%

“…Generally, sexual response cycle is consistently disturbed in female migraineurs [67] whereas mainly erectile dysfunction in male migraneurs [65] [68] [69].…”

Section: Discussionmentioning

confidence: 99%

Sexual Behavior, Function and Satisfaction in Headache Associated with Sexual Activity: A Systematic Review of Literature

Chen¹,

Chu²,

Lin³

2017

ASM

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Introduction: Headache associated with sexual activity (HSA) is the painful event of head and neck precipitated only by sexual activity. The negative impact of sexuality is expected to be more severe in HSA patients and their partners than other headache disorder. In addition, social and cultural taboo may conceal sexual problem or hinder seeking counseling for sexual perplexity. A sufficient scientific evidence is therefore needed to clarify the misunderstanding and schedule appropriate education in clinical practice. Methods: A systematic review of literature was completed to elucidate the sexual behavior, function and satisfaction in HSA patients and their partners. Results: A total of 97 publications are eligible after careful screening. However, most of the studies focus on the etiopathogenesis or treatment. Sexual change was mentioned in 23 publications. Orgasmic headache is the most frequent type of HSA. The HSA occurs more frequent in dyadic than extradyadic sexual activity. Intercourse is the leading sexual act for HSA occurrence, following by masturbation. A few patients suffer HSA under specific sexual position, like kneeling, and trigger, such as cannabis. Pain can be rapidly ceased in half of patients when sexual activity was halted. Sexual function and sexual satisfaction may decrease in HSA patient and partner but improve after pain reversal. Conclusions: A shortage of sexuality data of HSA is documented in literature but that still clarifies the extradyadic and masturbatory effect on HSA occurrence. Nevertheless, HSA disturbs sexual function and satisfaction in patients and their partners. The pathogenesis of pain includes two components, the hypersympathetic status and exertional action. Therefore, physician can schedule their education and counseling for HSA according to these findings. Further investigation for sexual function and satisfaction is warranted.

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Sexual dysfunction among Ghanaian men presenting with various medical conditions

Cited by 17 publications

References 36 publications

Determinants of sexual dysfunction among clinically diagnosed diabetic patients

Determinants of sexual dysfunction among clinically diagnosed diabetic patients

Association between metabolic syndrome and sexual dysfunction among men with clinically diagnosed diabetes

Sexual Behavior, Function and Satisfaction in Headache Associated with Sexual Activity: A Systematic Review of Literature

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