IIEF as a practical tool for male sexual problems differentiation
Rahne Otorepec, I1; Simetinger, G2; Kukec, A3
1: University Psychiatric Hospital Ljubljana, Slovenia; 2: General Hospital Novo mesto, Slovenia; 3: Medical Faculty Ljubljana, Slovenia
Objective(s): To assess the relationship between self-assessment of sexual problems and age groups of by male patients. The specific objective is to improve the estimate of needs for psychosexual interventions.
Material and Method(s): A total of 182 male patients with sexual problems and who had first visits the Clinic for sexual health were enrolled in the study. The data above “sex-history taking” by observed male patients was from September 2015 to September 2017 collected. For evaluation of male sexual function, a psychometrically valid and reliable multidimensional self-administered questionnaire “International Index of Erectile Function (IIEF)” was used. With the IIEF we have assessed five domains of male sexual function: erectile function (five items, max score=30), orgasmic function (two items, max score=10), sexual desire (two items, max score=10), intercourse satisfaction (three items, max score=15), and overall satisfaction (two items, max score=10). The possible score range is from 5 to 75; whit the higher score indication better sexual function. We defined patients with and without sexual dysfunction (SD) (a cut-off score of 42.9) and erectile dysfunction (ED) (a cut-off score of 25) according to literature recommendation. The patients were divided into four groups based on their age: Group 1 included 29 (21 to 30 years), Group 2 included 68 (31 to 40 years), Group 3 included 46 (41 to 50 years) and Group 4 included 39 (≥51 years) patients. For description of IIEF variables box plot with typical statistical values (minimum, maximum, SD, mean, median) was used. The relationship between the SD, ED scores and observed age groups were assessed by using chi-square test. A p-value less than 0.05 was considered statistically significant.
Result(s): The results of relationship between self-assessment SD and age group show that percent of SD are higher in younger patients (Group 1=21%, Group 2=50%) than in older patients (Group 3=14.5%, Group 4=14,5%) (p=0.008). The ED domain the similar pattern was indicated, however it was not statistical significant (Group 1=17.3%, Group 2=38.3%, Group 3=21.8%, Group 4=22,6%; p=0.341).
Conclusion(s): In the future improvement of the methodological approach with information on other risk factors (comorbidities, lifestyle and socio-economic factors) related to sexual problems is needed. Consequently, the clinical implication of psychosexual interventions could follow the patients` needs. For evaluated the psychosexual interventions by observed population is in the future necessary implemented follow up study.
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