PMID- 33574574 OWN - NLM STAT- MEDLINE DCOM- 20220331 LR - 20221023 IS - 1476-5489 (Electronic) IS - 0955-9930 (Print) IS - 0955-9930 (Linking) VI - 34 IP - 2 DP - 2022 Mar TI - Increase in searches for erectile dysfunction during winter: seasonal variation evidence from Google Trends in the United States. PG - 172-176 LID - 10.1038/s41443-020-00397-1 [doi] AB - Several diseases associated with erectile dysfunction (ED), such as type 2 diabetes mellitus (T2DM) and coronary artery disease (CAD), are known to have seasonal variation, with increased incidence during winter months. However, no literature exists on whether this chronological-seasonal evolution is also present within ED symptomatology. We hypothesized ED would follow the seasonal pattern of its lifestyle-influenced comorbid conditions and exhibit increased incidence during winter months. In order to investigate the seasonal variation of ED in the United States between 2009 and 2019, Internet search query data were obtained using Google Trends. Normalized search volume was determined during the winter and summer seasons for ED, other diseases known to be significantly associated with ED (T2DM and CAD), kidney stones (positive control), and prostate cancer (negative control). There were significantly more internet search queries for ED during the winter than during the summer (p = 0.001). CAD and T2DM also had significantly increased search volume during winter months compared to summer months (p < 0.001 and p = 0.011, respectively). By contrast, searches for kidney stones were significantly increased in the summer than in the winter (p < 0.001). There was no significant seasonal variation in the relative search frequency for prostate cancer (p = 0.75). In conclusion, Google Trends internet search data across a ten-year period in the United States suggested a seasonal variation in ED, which implies an increase in ED during winter. This novel finding in ED epidemiology may help increase awareness of ED's associated lifestyle risk factors, which may facilitate early medical evaluation and treatment for those at risk of both ED and cardiovascular disease. CI - (c) 2021. The Author(s), under exclusive licence to Springer Nature Limited part of Springer Nature. FAU - Garijo, Belen Mora AU - Garijo BM AUID- ORCID: 0000-0002-7083-2684 AD - Department of Urology, University of Miami Miller School of Medicine, Miami, FL, USA. bxm109@med.miami.edu. FAU - Katz, Jonathan E AU - Katz JE AD - Department of Urology, University of Miami Miller School of Medicine, Miami, FL, USA. FAU - Greer, Aubrey AU - Greer A AD - Department of Urology, University of Miami Miller School of Medicine, Miami, FL, USA. FAU - Gonzalgo, Mia AU - Gonzalgo M AD - Department of Urology, University of Miami Miller School of Medicine, Miami, FL, USA. FAU - Lopez, Alejandro Garcia AU - Lopez AG AD - Department of Urology, University of Miami Miller School of Medicine, Miami, FL, USA. FAU - Deane, Leslie AU - Deane L AD - Department of Urology, University of Miami Miller School of Medicine, Miami, FL, USA. FAU - Ramasamy, Ranjith AU - Ramasamy R AD - Department of Urology, University of Miami Miller School of Medicine, Miami, FL, USA. LA - eng PT - Journal Article DEP - 20210211 PL - England TA - Int J Impot Res JT - International journal of impotence research JID - 9007383 SB - IM MH - *Diabetes Mellitus, Type 2 MH - *Erectile Dysfunction/epidemiology MH - Humans MH - Internet MH - Male MH - Risk Factors MH - Search Engine MH - Seasons MH - United States/epidemiology PMC - PMC8964410 COIS- The authors declare that they have no conflict of interest. EDAT- 2021/02/13 06:00 MHDA- 2022/04/01 06:00 PMCR- 2021/02/11 CRDT- 2021/02/12 06:02 PHST- 2020/08/11 00:00 [received] PHST- 2020/12/02 00:00 [accepted] PHST- 2020/11/10 00:00 [revised] PHST- 2021/02/13 06:00 [pubmed] PHST- 2022/04/01 06:00 [medline] PHST- 2021/02/12 06:02 [entrez] PHST- 2021/02/11 00:00 [pmc-release] AID - 10.1038/s41443-020-00397-1 [pii] AID - 397 [pii] AID - 10.1038/s41443-020-00397-1 [doi] PST - ppublish SO - Int J Impot Res. 2022 Mar;34(2):172-176. doi: 10.1038/s41443-020-00397-1. Epub 2021 Feb 11.