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Erectile dysfunction and premature ejaculation in men who have sex with men.
J Sex Med. 2012 Feb; 9(2):576-84.JS

Abstract

INTRODUCTION

Quantitative research into sexual function and dysfunction in men who have sex with men (MSM) has been sparse due in large part to a lack of validated, quantitative instruments for the assessment of sexuality in this population.

AIM

To assess prevalence and associations of erectile problems and premature ejaculation in MSM.

METHODS

MSM were invited to complete an online survey of sexual function. Ethnodemographic, sexuality, and health-related factors were assessed.

MAIN OUTCOME MEASURE

Participants completed a version of the International Index of Erectile Function modified for use in MSM (IIEF-MSM) and the Premature Ejaculation Diagnostic Tool (PEDT). Total score on the erectile function (EF) domain of the IIEF-EF (IIEF-MSM-EF) was used to stratify erectile dysfunction (ED) severity (25-30 = no ED, 16-24 mild or mild moderate ED, 11-15 moderate ED, and ≤10 severe ED). PEDT scores were used to stratify risk of premature ejaculation (PE, diagnosed as PEDT score ≥9).

RESULTS

Nearly 80% of the study cohort of 2,640 men resided in North America. The prevalence of ED was higher in older men whereas the prevalence of PE was relatively constant across age groups. Multivariate logistic regression revealed that increasing age, HIV seropositivity, prior use of erectogenic therapy, lower urinary tract symptoms (LUTS), and lack of a stable sexual partner were associated with greater odds of ED. A separate multivariate analysis revealed that younger age, LUTS, and lower number of lifetime sexual partners were associated with greater odds of PE.

CONCLUSIONS

Risk factors for sexual problems in MSM are similar to what has been observed in quantitative studies of non-MSM males. Urinary symptoms are associated with poorer sexual function in MSM.

Authors+Show Affiliations

Department of Urology, University of California, Davis, Sacramento, CA 95817, USA. alan.shindel@ucdmc.ucdavis.eduNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

22214402

Citation

Shindel, Alan W., et al. "Erectile Dysfunction and Premature Ejaculation in Men Who Have Sex With Men." The Journal of Sexual Medicine, vol. 9, no. 2, 2012, pp. 576-84.
Shindel AW, Vittinghoff E, Breyer BN. Erectile dysfunction and premature ejaculation in men who have sex with men. J Sex Med. 2012;9(2):576-84.
Shindel, A. W., Vittinghoff, E., & Breyer, B. N. (2012). Erectile dysfunction and premature ejaculation in men who have sex with men. The Journal of Sexual Medicine, 9(2), 576-84. https://doi.org/10.1111/j.1743-6109.2011.02585.x
Shindel AW, Vittinghoff E, Breyer BN. Erectile Dysfunction and Premature Ejaculation in Men Who Have Sex With Men. J Sex Med. 2012;9(2):576-84. PubMed PMID: 22214402.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Erectile dysfunction and premature ejaculation in men who have sex with men. AU - Shindel,Alan W, AU - Vittinghoff,Eric, AU - Breyer,Benjamin N, Y1 - 2012/01/03/ PY - 2012/1/5/entrez PY - 2012/1/5/pubmed PY - 2013/3/8/medline SP - 576 EP - 84 JF - The journal of sexual medicine JO - J Sex Med VL - 9 IS - 2 N2 - INTRODUCTION: Quantitative research into sexual function and dysfunction in men who have sex with men (MSM) has been sparse due in large part to a lack of validated, quantitative instruments for the assessment of sexuality in this population. AIM: To assess prevalence and associations of erectile problems and premature ejaculation in MSM. METHODS: MSM were invited to complete an online survey of sexual function. Ethnodemographic, sexuality, and health-related factors were assessed. MAIN OUTCOME MEASURE: Participants completed a version of the International Index of Erectile Function modified for use in MSM (IIEF-MSM) and the Premature Ejaculation Diagnostic Tool (PEDT). Total score on the erectile function (EF) domain of the IIEF-EF (IIEF-MSM-EF) was used to stratify erectile dysfunction (ED) severity (25-30 = no ED, 16-24 mild or mild moderate ED, 11-15 moderate ED, and ≤10 severe ED). PEDT scores were used to stratify risk of premature ejaculation (PE, diagnosed as PEDT score ≥9). RESULTS: Nearly 80% of the study cohort of 2,640 men resided in North America. The prevalence of ED was higher in older men whereas the prevalence of PE was relatively constant across age groups. Multivariate logistic regression revealed that increasing age, HIV seropositivity, prior use of erectogenic therapy, lower urinary tract symptoms (LUTS), and lack of a stable sexual partner were associated with greater odds of ED. A separate multivariate analysis revealed that younger age, LUTS, and lower number of lifetime sexual partners were associated with greater odds of PE. CONCLUSIONS: Risk factors for sexual problems in MSM are similar to what has been observed in quantitative studies of non-MSM males. Urinary symptoms are associated with poorer sexual function in MSM. SN - 1743-6109 UR - https://www.unboundmedicine.com/medline/citation/22214402/Erectile_dysfunction_and_premature_ejaculation_in_men_who_have_sex_with_men_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1743-6095(15)33866-2 DB - PRIME DP - Unbound Medicine ER -