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Predisposing factors for erectile dysfunction and response to treatment in younger males: Are they different from those of older men? An observational‐comparative study
Author(s) -
Kızılay Fuat,
Kalemci Serdar,
Şimşir Adnan,
Altay Barış
Publication year - 2020
Publication title -
andrologia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.633
H-Index - 59
eISSN - 1439-0272
pISSN - 0303-4569
DOI - 10.1111/and.13495
Subject(s) - erectile dysfunction , medicine , psychogenic disease , libido , decreased libido , testosterone (patch) , depression (economics) , observational study , erectile function , sexual dysfunction , mood , multivariate analysis , etiology , beck depression inventory , sexual function , gynecology , clinical psychology , anxiety , psychiatry , economics , macroeconomics
Abstract We aimed to correlate the predisposing demographic and clinical factors for erectile dysfunction (ED) in young men and treatment response in these men with data from older men. The patients were divided into two groups: <40 years (group I, n = 58) and ≥40 years (group II, n = 73). ED was evaluated with the International Index of Erectile Function‐5 (IIEF‐5) questionnaire, and Beck's Depression Inventory (BDI) questionnaire was used to evaluate mood status. The number of patients with morning rigidity and normal libido was higher in group I (70.7% vs. 16.4%, p = .039 and 72% vs. 37%, p = .047). The increase in scores other than IIEF‐Orgasmic Function and Sexual Desire domain scores after treatment was higher in the first group ( p = .029, p = .035 and p < .001 respectively). In multivariate analysis, the factors predicting the low IIEF‐Erectile Function domain score in young men were testosterone level and BDI score ( p = .026 and p = .034). Although psychogenic factors contribute significantly to the aetiology of ED, hormone profile is more preserved in young men than in older men.