Improvement in Erection Quality Is Associated With Treatment Satisfaction and Improved Self-Esteem, Confidence, and Sexual Relationship Satisfaction

Stecher, Vera J.; Collins, Suzanne; Feiner, Christina; Lording, Douglas; Gillman, Melissa

doi:10.1016/s1569-9056(06)60626-x

Cited by 4 publications

(8 citation statements)

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“…One important finding from the present study is that men who have higher EHS are more likely to have higher frequency of sexual activities and higher sexual confidence. Similarly, previous studies from Western countries reported that erection hardness was directly associated with improvement in outcomes, including intercourse enjoyment, sexual satisfaction (i.e., frequency of satisfactory intercourse and satisfaction with sex life and sexual relationship), emotional well‐being (i.e., self‐esteem, personal relationships, confidence in erectile function, and confidence overall) and satisfaction with their ED treatment . Although causality is difficult to determine, an implication from our result could be that men who improve their erection hardness through medical intervention, such as use of PDE5 inhibitors, are more likely to become sexually active and confident than men without treatment.…”

Section: Discussionsupporting

confidence: 76%

A Web-Based Survey of Erection Hardness Score and its Relationship to Aging, Sexual Behavior, Confidence, and Risk Factors in Japan

et al. 2013

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IntroductionErection hardness is an elemental component of men's sexual quality of life that can be easily measured by the Erection Hardness Score (EHS). However, there are few published data regarding EHS, and there is little understanding of its relationships to aging, men's sexual behavior, sexual confidence, and risk factors in Japan.AimTo assess EHS and how it correlates to aging, sexual behaviors, sexual self-confidence, and risk factors in a Japanese population database.MethodsA web-based cross-sectional nationwide survey conducted between March and May 2009 in Japan.Main Outcome MeasuresEHS, lifestyle factors, comorbidities, general health, sexual confidence, frequency of sexual behaviors, and attitudes toward treatment of erectile dysfunction (ED).ResultsA total of 7,710 men with a mean age of 39.3 ± 13.0 years participated in this survey. In 6,528 participants who were not using phosphodiesterase type 5 inhibitors, 3,540 (54.2%) had EHS ≤ 3 and 1,196 (18.3%) had EHS ≤ 2. We found a significant age-dependent decrease in EHS, sexual confidence, and frequency of sexual activities. Sexual confidence was strongly associated with higher EHS but was also associated with older age groups, presence of offspring, awareness of better general health, and greater frequency of sexual activity. In age-adjusted multivariate logistic regression, risk factors for a lower EHS (defined as EHS ≤ 2) were heavy smoking, which was defined as more than two packs per day (odds ratio [OR], 1.7) or a history of metabolic syndrome (OR, 1.4), hypertension (OR, 1.2), and diabetes mellitus (OR, 1.4).ConclusionsEHS correlates to various elements, such as aging, sexual behaviors, sexual confidence, and ED-related risk factors, and can be a valuable tool in clinical practice for monitoring and treating ED and thereby improving the quality of life for men and their sexual partners. Kimura M, Shimura S, Tai T, Kobayashi H, Baba S, Kano M, and Nagao K. A web-based survey of Erection Hardness Score and its relationship to aging, sexual behavior, confidence, and risk factors in Japan. Sex Med 2013;1:76–86.

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Section: Discussionsupporting

confidence: 76%

A Web-Based Survey of Erection Hardness Score and its Relationship to Aging, Sexual Behavior, Confidence, and Risk Factors in Japan

et al. 2013

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“…The Quality of Erection Questionnaire (QEQ) is a new patient-derived measure to evaluate satisfaction with the quality of erections in terms of hardness, onset, and duration, and to assess the effect of ED treatment [18,40]. The QEQ consists of six items that yield a total summary score, which may be transformed into a 0-100 scale.…”

Section: Quality Of Erection Questionnairementioning

confidence: 99%

“…The erectile function (EF) domain of the IIEF (questions 1-5 and 15) elicits a man's assessment of his ability to achieve and maintain an erection hard enough for penetration and completion of intercourse over the course of the preceding 4 weeks. The IIEF-EF domain score can be used to determine ED severity: severe ED (Յ10), moderate ED (11)(12)(13)(14)(15)(16), mild to moderate ED (17)(18)(19)(20)(21), mild ED (22)(23)(24)(25), and no ED (Ն26) [34,35]. A clinically meaningful change in the IIEF-EF domain score is represented by a 1-point change per question or 6-point change over the domain.…”

Section: Erectile Function Domain Of the International Index Of Erectmentioning

confidence: 99%

“…Results from two recently completed prospective clinical studies have provided new supportive evidence of a significant relationship between erection hardness and other aspects of the overall sexual experience. The first trial, Study 1195, was an open-label, multicenter, 10-week trial of flexible-dose sildenafil conducted in 107 men with ED in Australia [18,49]. The second trial, Study 1222, was a randomized, 6-week, double-blind, placebo-controlled trial of flexible-dose sildenafil in 307 men with ED; this phase was followed by a 6-week, open-label extension phase (only data from the double-blind period of the study are included in the analyses to follow) [24,50].…”

Section: Erection Hardness: Recent Prospective Studiesmentioning

confidence: 99%

“…Emerging data indicate significant correlations between erection hardness and successful sexual intercourse attempts, sexual satisfaction, treatment satisfaction, self-esteem, and confidence [17,18]. Given these new data, there may be a rationale for a new target-focused treatment of ED, in which "satisfactory" functioning is replaced by "optimal" functioning as a treatment goal.…”

Section: Introductionmentioning

confidence: 99%

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Erectile Dysfunction: Monitoring Response to Treatment in Clinical Practice—Recommendations of an International Study Panel

Mulhall

Althof²,

Brock

et al. 2007

The Journal of Sexual Medicine

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Introduction Clinical practice guidelines for management of erectile dysfunction (ED) provide limited direction in defining appropriate treatment goals with phosphodiesterase type 5 (PDE5) inhibitor therapy. Aim To establish an evidence-based position on treatment goals in ED, including the role of erection hardness, with the potential to improve self-esteem, confidence, and overall sexual and relationship satisfaction. Main Outcome Measure The target of ED therapy is optimization of a rigid erectile response, as assessed by the 4-point Erection Hardness Score (EHS). Methods An international panel of experts in urology, psychology, and primary care convened to evaluate retrospective data from worldwide phase 2, 3, and 4 clinical trials, involving over 10,000 men with ED, as well as data from recent prospective studies, concerning the role of erection hardness in defining the response to treatment with PDE5 therapy. Results Significant positive correlations were found between EHS and the Quality of Erection Questionnaire and the International Index of Erectile Function (IIEF) erectile function domain score and other IIEF measures. Significant positive correlations were also found between erection hardness and psychosocial measures such as self-esteem, confidence, and relationship satisfaction (assessed by the Self-Esteem And Relationship questionnaire), and satisfaction with medical treatment (assessed by the Erectile Dysfunction Inventory of Treatment Satisfaction). A shift in most frequent erection from EHS 3 (hard enough for penetration but not fully hard) at baseline to EHS 4 (completely hard and fully rigid) at the end of treatment was accompanied by significant improvements in intercourse and relationship satisfaction, psychosocial benefits, and satisfaction with ED treatment. Conclusion Support is found for monitoring and treating patients with ED to their full erectile potential. Quantitative assessment of erection hardness in clinical practice will lead to improved outcomes in overall sexual experience and optimal treatment satisfaction.

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Is erectile dysfunction related to self‐esteem and depression? A prospective case–control study

et al. 2020

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Sexual activity is important role in life of men. Decreased sexual function has a negative impact on the quality of life of the patients and their partners. In this study, we aimed to evaluate the relationship of erectile dysfunction (ED) with self-esteem, symptom severity and depression. The 80 patients were evaluated prospectively. Group 1 (cases group) included 40 patients who with ED an age range of up to 18-70 years. Group 2 (healthy control group) included 40 patients who apply to the urology clinic for various reasons without ED. All patients were filled international index of erectile function-5 (IIEF-5), Beck Depression questionnaire (BDI-2) and Rosenberg selfesteem questionnaires (RESQ). Demographic characteristics and inventory results of the patients were compared between the two groups. Significant differences were found between the two groups in IIEF-5, RESQ and BDI-2 scores. In Group 1, IIEF-5 score was low, RESQ, BDI-2 scores were significantly higher (All scores p < 0.001). As a result people significantly reflect their sexual satisfaction in their social life. The patients with mild ED are not entirely satisfied in spite of normal sexual frequency. This situation causes significantly low the self-esteem of men. Prevention of ED will contribute to increased self-esteem and happy lives.

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Improvement in Erection Quality Is Associated With Treatment Satisfaction and Improved Self-Esteem, Confidence, and Sexual Relationship Satisfaction

Cited by 4 publications

References 0 publications

A Web-Based Survey of Erection Hardness Score and its Relationship to Aging, Sexual Behavior, Confidence, and Risk Factors in Japan

A Web-Based Survey of Erection Hardness Score and its Relationship to Aging, Sexual Behavior, Confidence, and Risk Factors in Japan

Erectile Dysfunction: Monitoring Response to Treatment in Clinical Practice—Recommendations of an International Study Panel

Is erectile dysfunction related to self‐esteem and depression? A prospective case–control study

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