Assessment of erectile dysfunction and other sexual dysfunction in men with type 2 diabetes mellitus: A multicenter observational study in North India

Abstract

Background: Type 2 diabetes mellitus (T2DM) is one of the major contributing factors of sexual dysfunction in males. Given the presence of limited literature on prevalence of T2DM associated sexual dysfunction in North Indian population, the following study was conducted with aim of investigating the prevalence of ED. Materials and methods: A multicenter observational study was conducted across 11 centers in Lucknow, North India. A total of 460 patients were asked to fill a validated International Index of Erectile function (IIEF) Questionnaire, and sexual dysfunction was assessed based on scoring for erectile function, orgasmic function, sexual desire, intercourse satisfaction, and overall satisfaction over a period of 4 weeks. Chi-Square analysis was performed to form an association between ED or OFD and other confounding factors. Results: ED and OFD were found to be prevalent in 32% and 43.3% of patients, respectively. Their presence correlated significantly with T2DM duration (ED, p = 0.0101; OFD, p = 002). In Indian context, the prevalence of ED was found to correlate with, presence of macrovascular complications and serum creatinine levels, whereas OFD significantly correlated with T2DM duration, macro– and microvascular complications among other factors. Conclusion: The prevalence of ED and OFD in men suffering from T2DM is on significant rise, considerably impacting the lives of millions of men worldwide. Thus, the findings of this study highlight the significance of taking follow-up of sexual discomfort and disorders by the clinicians during the visits.

Keywords

• Erectile dysfunction
• Type 2 diabetes mellitus
• IIEF Questionnaire
• India
• Prevalence
• Age of onset