ED and satisfaction

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Moderate and severe erectile dysfunction equally affects life satisfaction AIMS To explore the life satisfaction of patients with erectile dysfunction (ED). To examine the relation between severity of ED and life satisfaction.

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Centre for Sexual and Reproductive Health METHOD (1) Male patients who attended a Sexual and Reproductive Health Outpatient Clinic complaining for ED. Exclusion criteria: mental health conditions or co-morbidities affecting everyday life. Typical basic evaluation: demographics clinical evaluation laboratory exams

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Centre for Sexual and Reproductive Health METHOD (2) Instruments International Index of Erectile Dysfunction (IIEF) – erectile function domain score (items: 1, 2, 3, 4, 5 andamp; 15) in order to assess severity of ED. B. Life Satisfaction Inventory (LSI), 13-item scale assessing life satisfaction in diverse groups of patients. Previously published nomograms based on healthy Greek population were used.

RESULTS (1): 

Centre for Sexual and Reproductive Health RESULTS (1) Participants 69 consecutive patients with ED currently involved in a relationship. Age range 22-71 yrs, mean age=49.5 (+13.7) Reliability analysis LSI had high internal consistency (α=0.82)

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RESULTS (2) ED patients, compared to healthy population, had significantly lower: satisfaction from their sexual life (mean: 2.0 vs 3.42) total satisfaction from their life (mean: 43.63 vs 46.08) ED patients, compared to healthy population, had significantly more satisfaction: from their financial status (mean: 3.26 vs 2.70) from their leisure time activities (mean: 3.49 vs 3.04)

RESULTS (3)Differences in satisfaction from sexual life according to different levels of ED severity: 

Centre for Sexual and Reproductive Health RESULTS (3) Differences in satisfaction from sexual life according to different levels of ED severity ** [F(2, 65)= 9.530, pandlt;0.001]

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CONCLUSIONS Men who seek help for ED have lower satisfaction with sexual life and with their overall life compared to healthy people. Severity of ED has a strong negative impact in patients’ satisfaction with sexual life. ED patients gain more satisfaction from other domains of their life (financial status and leisure time activities). ED patients do not differ from healthy people in their expressed subjective rating of QoL.