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P. Capogrosso, L. Boeri, W. Cazzaniga, N. Schifano, L. Candela, D. Oreggia, F. Belladelli, A. Baudo, G. Fallara, F. Pellegrino, E. Ventimiglia, E. Pozzi, C. Abbate, F. Montorsi, A. Salonia, PS-8-4 Trends in Reported Male Sexual Dysfunction Over the Last Decade: The Evolving Landscape, The Journal of Sexual Medicine, Volume 17, Issue Supplement_2, June 2020, Pages S144–S145, https://doi.org/10.1016/j.jsxm.2020.04.078
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Extract
Objective
We investigated changes in pattern of reported sexual dysfunction (SD over time at a single academic center.
Methods
Data of 3,244 patients consecutively assessed for the first time by a single sexual medicine expert between 2009 and 2019 has been analyzed. All patients were assessed with a comprehensive medical history. The primary reason for seeking medical help was recorded for all patients and categorized as erectile dysfunction (ED), premature ejaculation (PE), Peyronie's disease (PD), and low/reduced sexual desire/interest (LSD/I). Linear and logistic regression models tested the association between different reasons for seeking medical help and the time at first evaluation. Local polynomial regression model explored the probability of reporting different SD over 10-yr time frame.
Results
Most patients were assessed for ED [824 (36.8%)], followed by LSD/I [490 (21.9%)], PE [469 (20.9%)] and PD [458 (20.4%)]. We observed significant changes in terms of reported SD over the time (Figure 1). The likelihood of assessing patients for ED significantly increased up to 2013, with a subsequent slight decrease in the last 5 years (p< 0.0001). The probability of assessing patients for PE linearly decreased over time (OR: 0.94; p< 0.001). Patients assessed in the last few years were more likely to report PD (OR: 1.30; p< 0.001)) and LSD/I (OR: 1.32; p< 0.001) with a linear increase over the evaluated time-frame.
