Comorbidities Among Sexual Problems in Men: Results From an Internet Convenience Sample. Issue 5 (2nd August 2021)

• Record Type: Journal Article
• Authors: Rowland, David L.; Oosterhouse, Laurel B.; Kneusel, Julia A.; Hevesi, Krisztina
• Is Part Of: Sexual medicine. Volume 9:Issue 5(2021)
• Page Start: 1
• Page End: 1
• Publication Date: 2021-08-02
• Subjects: Sexual Dysfunction -- Concordance -- Comorbidity -- Erectile Dysfunction -- Premature Ejaculation -- Lack of Sexual Interest -- Delayed Ejaculation; Sexual disorders -- Periodicals; Sexual health -- Periodicals; 616.69005
• DOI: 10.1016/j.esxm.2021.100416
• Languages: English
• ISSNs: 2050-1161

Abstract

Abstract: Introduction: Men suffering from one sexual problem sometimes report having another sexual problem, but few studies have determined concordance rates among dysfunctions in non-clinical samples. Aim: This study determined comorbidities among sexual dysfunctions based on an internet convenience sample of 4432 men from Hungary, the USA, and other world regions that visit social media fora. Method: Participants completed an online 55-item questionnaire that included questions assessing erectile dysfunction (ED), premature ejaculation (PE), delayed ejaculation (DE), and lack of sexual interest (LSI). Main Outcome Measures: Concordance rates and odds ratios among sexual dysfunctions. Results: Approximately 8% of men suffered from two or more sexual problems; men with a severe sexual problem were significantly more likely to suffer from a second sexual problem; concordance between PE and erectile dysfunction ranged from 23–29%, with subtypes of lifelong vs acquired PE showing patterns similar to one another; and most men with delayed ejaculation reported minimal problems with LSI, although LSI was generally key to understanding all other dysfunctions. Conclusion: The percentage of men with one sexual problem having a second sexual problem was substantial, ranging from 23–40%. These findings will help clinicians better understand the intertwined nature of sexual problems and assist them in developing management protocols that address concomitant inadequacies in sexual response.