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When do primary care doctors actively ask for erectile dysfunction (ED) their patients in Bulgaria?

Tsigarovski, G1; Kamenov, Z2; Foreva, G3; Asenova, R1; Postadzhiyan, A2

1: Medical University Plovdiv, Bulgaria; 2: Medical University Sofia, Bulgaria; 3: AGPPMP Brod GP Training practice, Bulgaria

Objective: The aim of the study is to identify when do GP's actively ask their patients for presence of ED in the primary care settings in Bulgaria.

Material and Methods: A cross-sectional study was conducted in the period March 2015 to July 2016 among randomly selected GP's. A questionnaire including closed questions was used to evaluate the cases which prompt primary care doctors to actively ask their patiens for ED. There were the following possible answers: always ask, almost always, in half of the cases, rarely, never. 237 GP were included in the survey. Those who were reluctant to complete the questionnaires were excluded. Of the remaining 197 participants 67,5% were female. The mean age of the participants was 50,97 +/- 9,606. Statistical analysis - descriptive statistics, SPSS 17.0.

Results: 16 diseases / conditions were tested. The first 3 most frequent were:patients with diabetes - 33,0% will always ask; young men with depression 26,9%; а patient after pelvic/ prostate surgery 29,4%. The last 3 conditions/ diseases were a patient with dyslipidemia 10,2%/; a patient with thyroid gland pathology 6,1%; a patient with COPD 4,6%. Interestingly only 19,3% of all participants would always ask a patient with CVD for ED problems, 23,4% would ask young men with hypertension without any complaints and 19,8% for patient with BPH.

Conclusions: The results of the survey, which is part of a PhD thesis, point out that ED is a rarely actively searched problem. Despite the increasing knowledge on this problem and existing guidelines, for some reason doctors ask relatively rarely for presence of ED, even in cases with socially significant and life threatening diseases. Further research is in progress.


Work supported by industry: no.

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