Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego · 2025
Analysis of the men's sexual dysfunctions impact on different aspects of their quality of life.
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Trishch Volodymyr I, Detsyk Oryna Z, Solomchak Dmytro B, Antoniv Rostyslav R
Аннотация
OBJECTIVE: Aim: To study different aspects of quality of life depending on the type and severity of sexual disorders in men.
PATIENTS AND METHODS: Materials and Methods: An observed case-control study was carried out during 2023-2024, at three private-funded out-patient health care facilities of the Ivano-Frankivsk region of Ukraine. A survey of the quality of life of 402 men with sexual dysfunctions and 200 men without ones was carried out. The control group included men who visited the health care facilities for the check-up and were recognized as practically healthy. The study data were analyzed using Microsoft Excel data analysis and the Statistica10.0 software packages. Statistical processing of qualitative data was carried out by calculating their prevalence per 100 respondents, and the reliability of their differences in different observation groups was assessed by calculating the chi-square (χ2) test. The research design and programs were reviewed and approved by the Ethics Commission of the Ivano-Frankivsk National Medical University (protocol No. 133/23 dated March 29, 2023).
RESULTS: Results: The quality-of-life integral index in sexual dysfunctions was (64.9±7.14) % of the maximum possible 100% vs (92.4±3.52) % in the control group. The progression of erectile dysfunction was accompanied by a decrease of the quality-of-life integral index from -25.2% in mild to -33.3% in moderate and -41.6% in severe, and the presence of premature ejaculation reduces the quality of life by 38.6%, hypoactive sexual desire disorder by 38.0%, orgasmic dysfunction by 39.8%. The greatest impact on the men`s quality-of-life reduction in sexual dysfunctions was the dissatisfaction with sexual drive, interest and/ or performance (on average 2.1 points on a 5-point scale, compared to 4.9 points in the control group), especially expressed in hypoactive sexual desire disorder (1.6 points, respectively), orgasmic dysfunction (1.7) and severe erectile dysfunction (1.5). Respondents with sexual dysfunctions were the least satisfied with the psychological components of the quality-of-life, in particular in case of severe erectile dysfunction (3.0 points), premature ejaculation (2.9), hypoactive sexual desire disorder (3.0) and orgasmic dysfunction (3.0).
CONCLUSION: Conclusions: Male sexual dysfunctions negatively affect the psychological component of the quality of life without significant impact on the physical and socio-economic. The complex of treatment measures for men`s sexual dysfunctions must necessarily include psychological interventions.
PATIENTS AND METHODS: Materials and Methods: An observed case-control study was carried out during 2023-2024, at three private-funded out-patient health care facilities of the Ivano-Frankivsk region of Ukraine. A survey of the quality of life of 402 men with sexual dysfunctions and 200 men without ones was carried out. The control group included men who visited the health care facilities for the check-up and were recognized as practically healthy. The study data were analyzed using Microsoft Excel data analysis and the Statistica10.0 software packages. Statistical processing of qualitative data was carried out by calculating their prevalence per 100 respondents, and the reliability of their differences in different observation groups was assessed by calculating the chi-square (χ2) test. The research design and programs were reviewed and approved by the Ethics Commission of the Ivano-Frankivsk National Medical University (protocol No. 133/23 dated March 29, 2023).
RESULTS: Results: The quality-of-life integral index in sexual dysfunctions was (64.9±7.14) % of the maximum possible 100% vs (92.4±3.52) % in the control group. The progression of erectile dysfunction was accompanied by a decrease of the quality-of-life integral index from -25.2% in mild to -33.3% in moderate and -41.6% in severe, and the presence of premature ejaculation reduces the quality of life by 38.6%, hypoactive sexual desire disorder by 38.0%, orgasmic dysfunction by 39.8%. The greatest impact on the men`s quality-of-life reduction in sexual dysfunctions was the dissatisfaction with sexual drive, interest and/ or performance (on average 2.1 points on a 5-point scale, compared to 4.9 points in the control group), especially expressed in hypoactive sexual desire disorder (1.6 points, respectively), orgasmic dysfunction (1.7) and severe erectile dysfunction (1.5). Respondents with sexual dysfunctions were the least satisfied with the psychological components of the quality-of-life, in particular in case of severe erectile dysfunction (3.0 points), premature ejaculation (2.9), hypoactive sexual desire disorder (3.0) and orgasmic dysfunction (3.0).
CONCLUSION: Conclusions: Male sexual dysfunctions negatively affect the psychological component of the quality of life without significant impact on the physical and socio-economic. The complex of treatment measures for men`s sexual dysfunctions must necessarily include psychological interventions.