Chest
Clinical InvestigationsSexual Dysfunction and Erectile Impotence in Chronic Obstructive Pulmonary Disease
Section snippets
MATERIALS AND METHODS
Sexual function was evaluated in 20 male subjects with moderate to severe COPD, ages 46 to 69 (mean, 56) years. The subjects were in clinically stable conditions for three weeks prior to the study. Five subjects were self-referred for sexual problems; the remaining 15 were volunteers recruited from a pulmonary disease clinic without our prior knowledge of their sexual function. Seventeen subjects were living with wives or female companions, and three lived alone but claimed having sexual
Subjective Sexual Function
Sexual function histories revealed that seven subjects had ceased sexual activity from three months to nine years before the study, while the remaining 13 continued to engage in coitus with a frequency of 16 percent of the premorbid level (Fig 2). For the entire group, the mean frequency of interest in engaging in sexual intercourse was 25 percent of premorbid levels, and for those still sexually active it was 40 percent. The average time between the onset of severe exertional dyspnea and the
DISCUSSION
Sexual dysfunction has been associated with long-standing diabetes mellitus,6, 16 cerebrovascular disease,17 after myocardial infarction,18 and several other chronic diseases.19 To our knowledge, no prospective studies of sexual dysfunction in COPD have previously been undertaken. The care of patients with COPD has centered on symptomatic treatment of airway infections, bronchospasm, and respiratory failure, while related physical and psychosocial problems have received little attention.20
ACKNOWLEDGMENT
The authors wish to thank Nguyen N. Thong, M.D., for performing the BCRL reflex studies; Robert L. Kane, Ph.D., and George P. Prigatano, Ph.D., for evaluating MMPI results, Paul Costiloe, Ph.D., for statistical analysis, and Mrs. Fern Brandt, R.N., and the nurses of the clinical research unit of the Veterans Administration Medical Center at Oklahoma City for their help in conducting this study.
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2013, Arab Journal of UrologyCitation Excerpt :Furthermore, some cardiovascular drugs can contribute to impaired EF [67]. Besides the important link between ED and CVD, a significant but incompletely known correlation between ED and other comorbid conditions has been outlined, with an impressive direct effect on men’s overall health [12,31,68–74]. In this context, several epidemiological surveys have highlighted the association between ED and conditions like respiratory disorders, connective tissue disorders, kidney and liver impairment and neurological diseases.
Effects of Hypoxia on Nocturnal Erection Quality: A Case Report from the Manaslu Expedition
2011, Journal of Sexual MedicineCitation Excerpt :Heavy smoking men with erectile dysfunction (ED) have less penile rigidity, lower total tumescence time, and more rapid detumescence during sleep, in comparison to nonsmokers [6]. Similar SRE‐related alterations are found in patients with chronic obstructive pulmonary disease (COPD) [7]. ED is a highly prevalent condition in patients affected by obstructive sleep apnea syndrome (OSAS), characterized by chronic intermittent hypoxia [8,9], and some researchers have demonstrated that OSAS‐related pathophysiological events may have an important role in the occurrence of ED [8,10].
This work was supported in part by funds from the Veterans Administration and US Public Health Service, National Institutes of Health, grant HL07210-05.