Sexual Dysfunctions as Self-Reported by Diabetic- Type-2 Men: An Andrology Clinic-Based Study in Alexandria, Egypt

Abstract

Objectives: To document the prevalence of self-reported sexual dysfunctions (SDs) in diabetic type 2 (DM2) men attending the andrology clinic in the Alexandria University hospital. Methods: A retrospective analysis of clinical case records of 276 consecutive DM2 and 100 consecutive non-diabetic (controls) men who reported SDs directly to the andrology clinic was done. Results: The majority of the patients and controls had light manual occupation, low education level and no history of smoking. No patient reported history of alcohol intake. Erectile dysfunction (ED) was frequent in the DM2 patients and the only complaint in 54.7%. The remaining patients had more than one (compound) complaint. ED (42.7%), premature ejaculation (22.1%) and low libido (11.7%) were the most frequent SDs in these compound complaints. They often joined together in the patients. Less frequently reported SDs were anejaculation (7.2%), penile curvature (4.4%), small-sized penis (2.5%) and penile plaques (0.7%). Penile pain and delayed and painful ejaculations were the rarest reported SDs. Conclusion: DM2 men consulting the andrology clinic may present with several different sexual complaints although ED is the most frequent among these. All diabetic men, therefore, should be asked carefully about the probable existence of any variety of SDs during their medical evaluation.

Type 2 Diabetic Patients; Frequency of Self-Reported Sexual Dysfunctions Among Male

“…PE was the second most common SD selfreported by 38.9% study participants either as a single SD or in combination with other SDs. It was higher than that reported by Shaikh et al 27 (20%) in the same community while Salama 14 reported 22.4% prevalence of PE but this difference can possibly be due to change in the sample size and methodology. However, it was little lower than that revealed by El-Sakka 32 (40.2%) and Malavige et al 28 (40.2%).…”

Ejaculatory dysfunction in men with diabetes mellitus

“…There have been few attempts to study the prevalence of DE and AE in DM. While one study showed 0% prevalence among a series of 54 diabetes patients[ 129 ], another research demonstrated self-reported absent ejaculation and DE in 7.2 % and 0.36 % respectively among a total series of 276 diabetes patients[ 130 ]. However, sporadic cases were reported in literature either in the context of fertility evaluation[ 110 , 131 ] or as a sexual complaint[ 132 ].…”

The THE EXPERIENCE OF TYPE 2 DIABETES MELLITUS MALE PATIENTS WHO UNDERGO SEXUAL DYSFUNCTION

“…According to the National Diabetes Information Clearinghouse (2008), that as many as 20-75% of patients with diabetes mellitus sexual dysfunction (5). Sexual dysfunction in patients with diabetes will experience libido disorders, ejaculation disorders, and erectile dysfunction (6). The frequency of erectile dysfunction in patients with diabetes will increase by four times as much at the age of 40-70 years (7).…”