Worry, Desire, and Sexual Satisfaction and Their Association with Severity of ED and Age

Gralla, Oliver; Knoll, Nina; S, Fenske; Spivak, Inna; Hoffmann, Marga; Rönnebeck, Claudia; Lenk, S; Hoschke, B.; May, Matthias

doi:10.1111/j.1743-6109.2008.00842.x

Cited by 17 publications

(7 citation statements)

References 33 publications

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“…These findings are consistent with widely held clinical impressions and published research concerning the overall responsiveness or refractoriness of different types of ED cases to tadalafil and other PDE5 inhibitors [28–31]. A recent European study demonstrated that men with less severe ED reported significantly higher sexual satisfaction than their counterparts with more severe dysfunction [32]. However, in contrast to our findings, these investigators also found that older men reported greater sexual satisfaction than their younger counterparts (at each level of ED severity).…”

supporting

confidence: 92%

Sexual Satisfaction in Men with Erectile Dysfunction: Correlates and Potential Predictors

Althof¹,

Buvat²,

Gutkin³

et al. 2010

The Journal of Sexual Medicine

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Introduction Sexual satisfaction is an important treatment objective for men with erectile dysfunction (ED). Aims To evaluate potential associations between International Index of Erectile Function (IIEF) satisfaction at study endpoint and a range of baseline, on-treatment, and endpoint variables. Methods An exploratory analysis was conducted involving 3,935 subjects with ED randomized to on-demand tadalafil (N=2,824) or placebo (N=1,111) in randomized, controlled trials across 28 countries. Patients achieving scores ≥16 on IIEF questions 7, 8, 13, and 14 at study endpoint were operationally defined as satisfied (vs. <16, not satisfied). Multivariate logistic regression and other analyses were conducted to ascertain correlates and potential predictors of improvements in the IIEF-erectile function domain (IIEF-EF). Main Outcome Measures Satisfaction on the IIEF at study endpoint, on-treatment improvements in IIEF-EF, and endpoint sexual frequency. Results Patients who were satisfied with sexual function were on average younger and had less severe ED, a shorter history of the condition, and no history of vascular disorders, hypertension, or diabetes mellitus/insulin use at baseline (P <0.01 vs. not satisfied for each). Satisfied patients were also more likely to experience a ≥4-point increase on the IIEF-EF domain on treatment (adjusted odds ratio [OR]=22.4; 95% CI=17.6–28.5; P <0.0001) or IIEF-EF ≥26 at endpoint (adjusted OR=41.0; 95% CI=33.6–50.2; P <0.0001). Satisfaction emerged as a strong correlate of a ≥4-point increase in the IIEF-EF on treatment; however, as a correlate of endpoint sexual frequency, baseline sexual frequency was stronger than endpoint satisfaction. Conclusions Satisfaction is associated with certain baseline, on-treatment, and endpoint variables in ED patients. Further studies are needed to confirm these preliminary findings and explore their meaning for female partners.

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supporting

confidence: 92%

Sexual Satisfaction in Men with Erectile Dysfunction: Correlates and Potential Predictors

Althof¹,

Buvat²,

Gutkin³

et al. 2010

The Journal of Sexual Medicine

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“…27 When ED has been present for a long time, and a couple has undergone an extended period without intimacy and/or sexual activity, it is often more difficult for them to benefit from efficacious treatment. 28 In general, the expectations of partners, which are possibly related to intimacy and emotional closeness, are likely to be substantially different from those of the patients, who measure success on the basis of the improved quality of their erections.…”

Section: Discussionmentioning

confidence: 99%

Assessing satisfaction in men and their female partners after treatment with phosphodiesterase type 5 inhibitors for erectile dysfunction

Jiann

2013

Int J Impot Res

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The Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) and its partner version questionnaire were used to assess couples' satisfaction with the use of phosphodiesterase type 5 (PDE5) inhibitors to treat erectile dysfunction (ED) over a 3-month period. Of 161 ED patients, who together with their female partners were invited to answer separate questionnaires at home, 111 patients (68.9%; mean age 61.8 (23-87) years) and female partners (mean age 52.8 (22-77) years) returned completed questionnaires. Patients reported a substantially higher treatment satisfaction score and level of satisfaction with ED treatment than their female partners (Po0.001). Patients with milder severity of ED at baseline and better erectile function after treatment were more likely to be satisfied with the outcome of the treatment. Of the different aspects of satisfaction that patients were asked about, they reported the lowest level of satisfaction about their partners' feeling about continued treatment for ED. Our study shows that more patients than their female partners are more satisfied with medical treatment for ED. To maintain long-term therapy for ED, it is important to include female partners in the assessment and management of the therapy.

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“…ED may have a direct association with poorer MH, but it may also be hypothesized that the association between ED and MH is influenced through mediating factors, such as satisfaction with and importance attached to sex life. On the one hand, studies found that ED was associated with dissatisfaction with and importance attached to sex life [12–16], and on the other hand, it is likely that satisfaction with and importance attached to sex life are associated with poor MH [17].…”

Section: Introductionmentioning

confidence: 99%

Erectile Dysfunction and Mental Health in a General Population of Older Men

Korfage

Pluijm

Roobol

et al. 2009

The Journal of Sexual Medicine

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Introduction Erectile dysfunction (ED) is more prevalent with increasing age. Previous studies showed that ED was negatively associated with mental health (MH) in specific patient groups. Aim To examine the association, and potential mediating factors, between ED and MH in healthy elderly men. Main Outcome Measures ED was defined as (almost) always having problems in achieving or maintaining an erection if desired, or not being sexually active because of erectile problems. MH was assessed with 36-item Short-Form Health Survey scale MH5 with five items on, e.g., being happy or depressed (range 0–100). Potential mediators between ED and MH were satisfaction with and importance attached to sex life. Methods The study population consisted of a consecutive sample of 3,810 participants from the European Randomized Study of Screening for Prostate Cancer, aged 57–78 years, who had screened negatively for prostate cancer. Associations between ED, potential mediating factors, and MH were tested by analysis of variance and analysis of covariance. Results Covariance analysis, adjusted for age, comorbidity, and use of erectile aids, showed that men with ED had significantly lower MH scores (80.8 ± 1.2) than men without ED (83.7 ± 1.2; P < 0.001). ED was also associated with the potential mediator “satisfaction with sex life” but not with “importance attached to sex life.” Men with ED were significantly more often dissatisfied with their sex lives (P < 0.001). Adjustment for satisfaction with sex life, but not for importance attached to sex life, reduced the strength of the association (β value) between ED and poor MH from 2.88 to −0.84. Conclusions ED was associated with poorer MH. Satisfaction with sex life, but not importance attached to sex life, may play a mediating role in this association. These results suggest that if men with ED can be helped to be satisfied with their sex lives despite ED, MH can be preserved.

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Worry, Desire, and Sexual Satisfaction and Their Association with Severity of ED and Age

Cited by 17 publications

References 33 publications

Sexual Satisfaction in Men with Erectile Dysfunction: Correlates and Potential Predictors

Sexual Satisfaction in Men with Erectile Dysfunction: Correlates and Potential Predictors

Assessing satisfaction in men and their female partners after treatment with phosphodiesterase type 5 inhibitors for erectile dysfunction

Erectile Dysfunction and Mental Health in a General Population of Older Men

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