Ejaculatory Dysfunction in Patients Presenting to a Men's Health Clinic: A Retrospective Cohort Study
- PMID: 32553504
- PMCID: PMC7471068
- DOI: 10.1016/j.esxm.2020.05.002
Ejaculatory Dysfunction in Patients Presenting to a Men's Health Clinic: A Retrospective Cohort Study
Abstract
Introduction: Prevalence and bother of ejaculatory dysfunction (EjD) has yet to be evaluated in a men's health referral population.
Aim: To evaluate the prevalence and associated risk factors of EjD in men presenting to a men's health clinic.
Methods: A retrospective review examined patients presenting to an outpatient men's health clinic who completed the Sexual Health Inventory for Men and the Male Sexual Health Questionnaire Ejaculatory Dysfunction (MSHQ-EjD) Short Form. Patient factors including demographics, comorbidities, and medication were examined. Descriptive statistics and multivariable logistic regression were used.
Main outcome measures: The main outcomes of this study are Sexual Health Inventory for Men and MSHQ-EjD scores.
Results: A total of 63 (24%) of patients presenting to the urology clinic were characterized as having EjD based on questionnaire responses. The mean age for men with EjD was 53.8 years, while those without was 42.6 years (P < .001). Of men with EjD, 74.6% were at least moderately bothered (MSHQ-EjD ≥3). Men with EjD were more likely to have erectile dysfunction (77.8%) compared with those without (21%, P < .001) as well as a history of a pelvic cancer (20.6% vs 6%, P = .001). On multivariable regression, erectile dysfunction (odds ratio: 15.04, 95% confidence interval: 6.76-35.92, P < .0001) and alpha inhibitor prescription (odds ratio: 6.82, 95% confidence interval: 1.57-30.16, P = .01) were associated with a higher odds of EjD. ED was found to be a mediator of the relationship between EjD and age, as the age association was lost in the ED population on multivariable regression compared with the non-ED population where it remained significant.
Conclusions: EjD is common among patients presenting to a men's health clinic and may present at varying ages, though it is more common in those aged 50 years or older; it is independent of age and race. EjD is associated with erectile dysfunction, pelvic cancer history, and use of alpha inhibitors, presenting a population that could be considered for screening. Kasman AM, Bhambhvani HP, Eisenberg ML. Ejaculatory Dysfunction in Patients Presenting to a Men's Health Clinic: A Retrospective Cohort Study. J Sex Med 2020;8:454-460.
Keywords: Delayed Ejaculation; Ejaculatory Dysfunction; Erectile Dysfunction; Men's Health.
Copyright © 2020 The Authors. Published by Elsevier Inc. All rights reserved.
Similar articles
-
Development and validation of four-item version of Male Sexual Health Questionnaire to assess ejaculatory dysfunction.Urology. 2007 May;69(5):805-9. doi: 10.1016/j.urology.2007.02.036. Urology. 2007. PMID: 17482908
-
Clinical and Demographic Correlates of Ejaculatory Dysfunctions Other Than Premature Ejaculation: A Prospective, Observational Study.J Sex Med. 2015 Dec;12(12):2276-86. doi: 10.1111/jsm.13027. Epub 2015 Oct 29. J Sex Med. 2015. PMID: 26511106
-
Impact of Kidney Transplantation on Male Sexual Function: Results from a Ten-Year Retrospective Study.J Sex Med. 2020 Nov;17(11):2191-2197. doi: 10.1016/j.jsxm.2020.07.014. Epub 2020 Aug 13. J Sex Med. 2020. PMID: 32800739
-
Alfuzosin and Its Effect on Ejaculatory Dysfunction: A Systematic Review.World J Mens Health. 2021 Apr;39(2):186-194. doi: 10.5534/wjmh.180024. Epub 2020 Jan 2. World J Mens Health. 2021. PMID: 32009306 Free PMC article. Review.
-
Clinical review of ejaculatory dysfunction.Reprod Med Biol. 2019 Jul 24;18(4):331-343. doi: 10.1002/rmb2.12289. eCollection 2019 Oct. Reprod Med Biol. 2019. PMID: 31607793 Free PMC article. Review.
Cited by
-
Diagnoses and medications associated with delayed ejaculation.Sex Med. 2023 Aug 2;11(4):qfad040. doi: 10.1093/sexmed/qfad040. eCollection 2023 Aug. Sex Med. 2023. PMID: 37547871 Free PMC article.
-
Comorbidities Among Sexual Problems in Men: Results From an Internet Convenience Sample.Sex Med. 2021 Oct;9(5):100416. doi: 10.1016/j.esxm.2021.100416. Epub 2021 Aug 1. Sex Med. 2021. PMID: 34348218 Free PMC article.
References
-
- Rowland D., McMahon C.G., Abdo C. Disorders of orgasm and ejaculation in men. J Sex Med. 2010;7(4 PART 2):1668–1686. - PubMed
-
- Rowland D., Diest S Van, Incrocci L. Psychosexual factors that Differentiate men with inhibited ejaculation from men with No dysfunction or Another sexual dysfunction. J Sex Med. 2005;2:383–389. - PubMed
-
- Althof S.E., Shindel A., Adaikan G. An Evidence-based Unified Definition of Lifelong and Acquired premature Ejaculation : report of the Second International Society for sexual medicine Ad Hoc Committee for the Definition of premature ejaculation. J Sex Med. 2014;11:1423–1441. - PubMed
-
- Butcher M., Welliver R., Sadowski D. How is delayed ejaculation defined and treated in North America? Andrology. 2015;3:626–631. - PubMed
LinkOut - more resources
Full Text Sources
Research Materials
Miscellaneous