Should an inquiry about sexual health, as a reflection of vascular health, be part of routine physicals for young men? Results from an outpatient study

Turki, Yousef Al

doi:10.1038/ijir.2009.36

Cited by 9 publications

(8 citation statements)

References 21 publications

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“…Anxiety and depression are psychological problems implicated in sexual dysfunction (SD), whereas marital status and relationships are socially related factors [2]. Chronic diseases such as diabetes mellitus and hypertension are common risk factors for SD in men [3-5]. Hypertension may contribute to SD, and many antihypertensive drugs might worsen sexual function because of side effects and decrease patient adherence to anti-hypertensive treatment [6].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of sexual activity and associated factors in hypertensive males and females in China: A cross-sectional study

2012

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BackgroundHypertension is an important factor contributing to sexual dysfunction. The number of people with hypertension is increasing in China, but research into sexual life, which has implications for quality of life, is limited. We aimed to compare sexual activity and the influence of daily behaviors and sexual domain of hypertensive males and females in south China.MethodsA cross-sectional study was conducted at the health care center of a university-affiliated hospital from 2007 to 2008. We enrolled 502 subjects with hypertension (225 males, 48.79 ± 7.39 years old; 277 females, 48.26 ± 6.93 years old) and 173 with normotension (82 males, 45.69 ± 6.58 years old; 91 females, 46.14 ± 7.03 years old), all sexually active. All subjects completed a self-administered questionnaire on sexual activity before a routine physical check-up. Data were collected on sociodemographic and clinical characteristics, use of cigarettes and intake of beverages (including alcohol).ResultsHypertensive and normotensive subjects differed in frequency of orgasms and of sexual satisfaction, as well as duration of sexual activity. For hypertensive men, low frequency of sexual activity, orgasms and satisfaction were associated with unemployed or retired status than physical labor work (odds ratio [OR] 0.28 [95% confidence interval (95% CI) 0.12–0.69], 0.32 [0.12–0.86], 0.33 [0.19–0.88], respectively; p < 0.05), and long sexual duration was associated with never drinking alcohol than heavy drinking (OR 4.49 [1.28–6.41]). For hypertensive women, low frequency and duration of sexual activity and low satisfaction were associated with never drinking tea than heavy tea drinking (OR 0.42 [0.18–0.96], 0.49 [0.24–0.98], 0.29 [0.14–0.64], respectively; p < 0.05). Medication use and electrocardiography results were not associated with sexual activity for hypertensive patients.ConclusionsFor hypertensive people in China, lifestyle factors are associated with sexual dysfunction, which differs by the sex of the person. Further research needs to examine serum hormone levels to validate the result.

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Section: Introductionmentioning

confidence: 99%

Prevalence of sexual activity and associated factors in hypertensive males and females in China: A cross-sectional study

2012

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“…▸ Sexual Health: • Younger boys: more aware of physiological/emotional puberty changes of their own sex; but not of opposite sex [ 28 ]. • Adults: dialogue between patients and their treating physicians regarding ED assists patients to seek proper/safe medical advice [ 80 ]. ▸ Healthcare workers sometimes displayed low knowledge e.g., about ICSI [ 73 , 75 , 76 ].…”

Section: Resultsmentioning

confidence: 99%

“…• ED: sensitive issue among older clients, hence in rarely consulting. Conversely, university students were more liberal toward sex, had more risky behaviours [ 80 , 85 ]. • Gay communities: highly knowledgeable but had high-risk behavior (low condom use/ HIV testing), most disclosed their sexual orientation only to their partners and not to their HCP even if needed [ 86 ].…”

Section: Resultsmentioning

confidence: 99%

Scoping review of sexual and reproductive healthcare for men in the MENA (Middle East and North Africa) region: a handful of paradoxes?

et al. 2023

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Background No study appraised the knowledge gaps and factors impacting men’s sexual and reproductive health (SRH) in MENA (Middle East and North Africa). The current scoping review undertook this task. Methods We searched PubMed and Web of Science (WoS) electronic databases for original articles on men’s SRH published from MENA. Data was extracted from the selected articles and mapped out employing the WHO framework for operationalising SRH. Analyses and data synthesis identified the factors impacting on men’s experiences of and access to SRH. Results A total of 98 articles met the inclusion criteria and were included in the analysis. The majority of studies focused on HIV and other sexually transmissible infections (67%); followed by comprehensive education and information (10%); contraception counselling/provision (9%); sexual function and psychosexual counselling (5%); fertility care (8%); and gender-based violence prevention, support/care (1%). There were no studies on antenatal/intrapartum/postnatal care and on safe abortion care (0% for both). Conceptually, there was lack of knowledge of the different domains of men’s SRH, with negative attitudes, and many misconceptions; as well as a deficiency of health system policies, strategies and interventions for SRH. Conclusion Men’s SRH is not sufficiently prioritized. We observed five ‘paradoxes’: strong focus on HIV/AIDS, when MENA has low prevalence of HIV; weak focus on both fertility and sexual dysfunctions, despite their high prevalence in MENA; no publications on men’s involvement in sexual gender-based violence, despite its frequency across MENA; no studies of men’s involvement in antenatal/intrapartum/postnatal care, despite the international literature valuing such involvement; and, many studies identifying lack of SRH knowledge, but no publications on policies and strategies addressing such shortcoming. These ‘mismatches’ suggest the necessity for efforts to enhance the education of the general population and healthcare workers, as well as improvements across MENA health systems, with future research examining their effects on men’s SRH.

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“…In addition, El-Sakka [8] showed that a low peak systolic velocity can be used as a screening tool for ischaemic heart disease (IHD) in patients with ED. Al Turki [9] tried to determine the valid clinical question of whether an inquiry about sexual health, as a reflection of vascular health, should be part of routine physical examinations for young men. He concluded that facilitating patients to talk with their treating physicians about sensitive issues such as ED during consultation will help patients to seek appropriate and safe medical advice.…”

Section: Diagnosismentioning

confidence: 99%

Erectile dysfunction in Arab countries. Part II: Diagnosis and treatment

El‐Sakka

2012

Arab Journal of Urology

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ObjectiveTo review local published data on the diagnosis and treatment of erectile dysfunction (ED) in Arab countries.MethodsMEDLINE was searched for English-language articles published from 2000 to 2011, using the search terms ‘Arab countries’, ‘sexual dysfunction’, ‘diagnosis’ and ‘treatment’.ResultsIn all, 86 articles were found to be relevant to this review; only a few had a high level of evidence and the remaining studies used an uncontrolled design. Several local studies were consistent with previous reports showing that a customised diagnostic pathway, with full consideration of the patient’s goals, is adopted by most clinicians to treat ED. For an effective treatment, the evaluation methods should answer important questions about the aetiology and severity of ED, as well as the patient’s and partner’s goals and expectations. As ED is known to be associated with many common medical comorbidities and medications, careful questioning can yield information about peripheral vascular disease, coronary artery disease, diabetes, hypertension, dyslipidaemia, and tobacco and alcohol use. The presence of psychological, neurological or chronic debilitating diseases can direct further evaluation.ConclusionThe methods used for the diagnosis and treatment of ED need more investigation, especially in Arab countries. Only a few studies addressed the results of different methods of investigating and treating ED among Arab men.

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Should an inquiry about sexual health, as a reflection of vascular health, be part of routine physicals for young men? Results from an outpatient study

Cited by 9 publications

References 21 publications

Prevalence of sexual activity and associated factors in hypertensive males and females in China: A cross-sectional study

Prevalence of sexual activity and associated factors in hypertensive males and females in China: A cross-sectional study

Scoping review of sexual and reproductive healthcare for men in the MENA (Middle East and North Africa) region: a handful of paradoxes?

Erectile dysfunction in Arab countries. Part II: Diagnosis and treatment

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