Prevalence of Erectile Dysfunction Among Men with Newly Diagnosed Psychiatric Disorders in Damietta Governorate

Document Type : Original Article

Authors

1 Department of Dermatology, Venereology and Andrology, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt.

2 Department of Psychiatry, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt.

Abstract

Background: Epidemiological studies have demonstrated that prevalence of erectile dysfunction [ED] is elevated in males with psychiatric diseases. Depressive disorders, anxiety disorders, obsessive-compulsive disorder [OCD], and psychotic disorders are the primary psychiatric conditions that directly disrupt the erectile process.
Aim: This study aims to assess the prevalence and the severity of ED in psychiatric disorders patients in Damietta governorate men.
Patients and methods: This cross-sectional study included 300 adult males who were newly diagnosed with a psychiatric disorder. Full history taking and general and local examinations were done for every patient at the time of recruitment. Psychiatric disorders diagnoses were done based on the DSM-5. Erectile function was assessed by using the Arabic version of the international index of Erectile function
Results: The prevalence of ED based on the IIEF score in our study was 54% of the included patients. However, the severity of ED is different, 36% were mild 16% were mild to moderate, and 2% were moderate. Prevalence of ED was calculated in each psychiatric disorder, and we found that 100% of all schizophrenic patients had ED [60% of them were mild, and 40% were mild to moderate], 47% of the depressed patients developed ED [29.4% of them were mild, 11.8% of them were mild to moderate, and 5.9 % of them were moderate], 35.2 % of the anxiety patients developed ED [17.6% were mild, and 17.6 were mild to moderate], and 72.7 % of the OCD patients had ED [63.6% were mild and 9.1% were mild to moderate]
Conclusion: ED is prevalent in patients with psychiatric disorders who didn’t receive any medications so, it may be helpful to assess these persons' sexual functioning prior to therapy, to avoid any decline in sexual function caused by the introduction of psychiatric medicines

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