PMID- 22214402
OWN - NLM
STAT- MEDLINE
DCOM- 20130307
LR  - 20240315
IS  - 1743-6109 (Electronic)
IS  - 1743-6095 (Print)
IS  - 1743-6095 (Linking)
VI  - 9
IP  - 2
DP  - 2012 Feb
TI  - Erectile dysfunction and premature ejaculation in men who have sex with men.
PG  - 576-84
LID - 10.1111/j.1743-6109.2011.02585.x [doi]
AB  - 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.
CI  - (c) 2011 International Society for Sexual Medicine.
FAU - Shindel, Alan W
AU  - Shindel AW
AD  - Department of Urology, University of California, Davis, Sacramento, CA 95817, 
      USA. alan.shindel@ucdmc.ucdavis.edu
FAU - Vittinghoff, Eric
AU  - Vittinghoff E
FAU - Breyer, Benjamin N
AU  - Breyer BN
LA  - eng
GR  - K12 DK083021/DK/NIDDK NIH HHS/United States
GR  - L30 DK092174-01/DK/NIDDK NIH HHS/United States
GR  - K12DK083021/DK/NIDDK NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
DEP - 20120103
PL  - Netherlands
TA  - J Sex Med
JT  - The journal of sexual medicine
JID - 101230693
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Age Distribution
MH  - Aged
MH  - Erectile Dysfunction/*epidemiology/etiology
MH  - Health Surveys
MH  - Homosexuality, Male
MH  - Humans
MH  - Logistic Models
MH  - Lower Urinary Tract Symptoms/complications
MH  - Male
MH  - Middle Aged
MH  - Multivariate Analysis
MH  - Premature Ejaculation/*epidemiology/etiology
MH  - Risk Factors
MH  - Sexual Behavior
MH  - Sexual Partners
MH  - Surveys and Questionnaires
MH  - Young Adult
PMC - PMC3271132
MID - NIHMS337395
COIS- Conflict of Interest: None
EDAT- 2012/01/05 06:00
MHDA- 2013/03/08 06:00
PMCR- 2013/02/01
CRDT- 2012/01/05 06:00
PHST- 2012/01/05 06:00 [entrez]
PHST- 2012/01/05 06:00 [pubmed]
PHST- 2013/03/08 06:00 [medline]
PHST- 2013/02/01 00:00 [pmc-release]
AID - S1743-6095(15)33866-2 [pii]
AID - 10.1111/j.1743-6109.2011.02585.x [doi]
PST - ppublish
SO  - J Sex Med. 2012 Feb;9(2):576-84. doi: 10.1111/j.1743-6109.2011.02585.x. Epub 2012 
      Jan 3.