Quality of Sexual Life and its Correlates among Men with Diabetes Mellitus and Erectile dysfunction attending a tertiary hospital in Owerri, Nigeria
Main Article Content
Keywords
Diabetes mellitus, Erectile dysfunction, Quality of sexual life, Correlates, Predictors
Abstract
Background: Erectile dysfunction (ED) is common among men with Diabetes mellitus (DM), with a negative impact on their sexual satisfaction. There is a paucity of data on this in our locality. Hence this study was to determine the quality of sexual life, its correlates and predictors among such men.
Methodology: One hundred diabetic men with ED as well as 100 without ED were recruited consecutively. Questionnaires were used to collect relevant information and assess their quality of sexual life. This was followed by a focused physical examination and anthropometric measurements. Blood samples were collected for relevant investigations. Data analysis was with SPSS version 25 while p-value < 0.05 was considered significant.
Result: Participants with ED had a mean IIEF-5 score of 11.97 ± 4.73 while those without ED had 24.06 ± 1.10 (p = 0.000). Among the DM participants with ED and those without ED, their mean SQoL-M scores were 44.14 ± 10.85% and 89.73 ± 16.23% respectively (p = 0.000). Correlation between SQoL-M scores and IIEF-5 scores showed (r = 0.374, p = 0.000) while that between SQoL-M scores and HbA1c showed (r = - 0.205, p = 0.040) in diabetic participants with ED. IIEF-5 scores and HbA1c levels were observed to be the only predictors of SQoL scores among diabetic participants with ED.
Conclusions: There is a significant difference in the quality of sexual life between diabetic men with ED and those without ED. While there is a positive correlation between SQoL-M and IIEF-5 scores, there is a negative correlation between SQoL-M scores and HbA1c levels among diabetic men with ED. IIEF-5 scores and HbA1c values are predictors of quality of sexual life among diabetic men with ED. Thus, there is a need for evaluation of quality of sexual life among diabetic men with ED.
References
2. Hoskins PL, Handelsman DJ, Hannelly T, Silink M, Yue DK, Turtle JR. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract. 2010;3(1):257–67.
3. Sun P, Cameron A, Seftel A, Shabsigh R, Niederberger C, Guay A. Erectile dysfunction--an observable marker of diabetes mellitus? A large national epidemiological study. J Urol. 2006;176(3):1081–5
4. Olarinoye JK, Kuranga SA, Katibi IA, Adediran OS, Jimoh AAG, Sanya EO. Prevalence and determinants of erectile dysfunction among people with type 2 diabetes in Ilorin, Nigeria. Niger Postgrad Med J. 2006;13(4):291–6.
5. Futyma H, Jakiel G. Sexual disorders in men with diabetes. Ginekol Pol. 2005;76(4):331–6.
6. De Berardis G, Franciosi M, Belfiglio M, Di Nardo B, Greenfield S, Kaplan SH, et al. Erectile dysfunction and quality of life in type 2 diabetic patients: a serious problem too often overlooked. Diabetes Care. 2002;25(2):284–91.
7. Fernandes GV, dos Santos RR, Soares W, de Lima LG, de Macêdo BS, da Fonte JE, et al. The impact of erectile dysfunction on the quality of life of men undergoing hemodialysis and its association with depression. J Sex Med. 2010;7(12):4003–10.
8. Kouidrat Y, Pizzol D, Cosco T, Thomson T, Carnaghi M, Bertoldo A, Solmi M, Stubbs B VN. High prevalence of erectile dysfunction in diabetes: a systemic review and meta-analysis of 145 studies. Diabet Med. 2017;34(9):1185–92.
9. Maalmi H, Herder C, Bönhof GJ, Strassburger K, Zaharia OP, Rathmann W, et al. Differences in the prevalence of erectile dysfunction between novel subgroups of recent-onset diabetes. Diabetologia. 2022;65(3).
10. Walle B, Reba LK, Debela FY, Gutema AH. Prevalence of erectile dysfunction and associated factors among diabetic men attending the diabetic clinic at Felege Hiwot Referral Hospital, Bahir Dar, North West Ethiopia, 2016. BMC Res Notes. 2018; 11: 130
11. Chaudhary RK, Shamsi BH, Tan T, Chen HM, Xing JP. Study of the relationship between male erectile dysfunction and type 2 diabetes mellitus/metabolic syndrome and its components. J Int Med Res. 2016;44(3).
12. Abeway S, Dagne K, Zegeye T. Erectile dysfunction and correlates among diabetic men at Dessie referral hospital: North Central Ethiopia, 2020. Diabetes, Metab Syndr Obes. 2020;13: 4201- 8
13. Chen S, Shen Y, Liu YH, Dai Y, Wu ZM, Wang XQ, et al. Impact of glycemic control on the association of endothelial dysfunction and coronary artery disease in patients with type 2 diabetes mellitus. Cardiovasc Diabetol. 2021;20(1):1–9.
14. Rajamani K, Fisher M. An Overview of Atherosclerosis. Prim Cerebrovasc Dis. 2017;105–8.
15. Parmar RS, Verma S, Pathak VK, Bhadoria AS. Prevalence of erectile dysfunction in Type 2 diabetes mellitus ( T2DM ) and its predictors among diabetic men. 2022;11(7):3875–9.
16. Ugwumba FO, Okafor CI, Nnabugwu II, Udeh EI, Echetabu KN, Okoh AD, et al. Prevalence of, and risk factors for erectile dysfunction in male type 2 diabetic outpatient attendees in Enugu, South East Nigeria. Ann Afr Med. 2018;17(4): 215-20
17. Thongtang P, Seesawang J. Erectile Dysfunction and Quality of Life among Diabetic Men: A Systematic Review of Quantitative Studies. Nurs Sci J Thail. 2020;38(1):4–18.
18. Latini DM, Penson DF, Colwell HH, Lubeck DP, Mehta SS, Henning JM, et al. Psychological impact of erectile dysfunction: Validation of a new health-related quality of life measure for patients with erectile dysfunction. J Urol. 2002;168(5):2086-91
19. Tomlinson JM, Wright D. Impact of erectile dysfunction and its subsequent treatment with sildenafil: Qualitative study.British Medical Journal. 2004;328(7447):1037
20. Mccabe MP, Althof SE. A systematic review of the psychosocial outcomes associated with erectile dysfunction: Does the impact of erectile dysfunction extend beyond a man’s inability to have sex? Journal of Sexual Medicine. 2014;11(2):347-63
21. Thongtang P, Fongkaew W, Lojanapiwat B, Sansiriphun N, Chaloumsuk N. Prevalence and factors associated with quality of life among diabetic men living with erectile dysfunction. Walailak J Sci Technol. 2020;17(9):947-57
22. Natasya A, Andrajati R, Sauriasari R. Cross-sectional study of the association between glycemic control and quality of life among diabetic patients. Int J Appl Pharm. 2018;10(Special Issue 1):92-96
23. Kalka D. Sexual Satisfaction, Relationship Satisfaction, and Quality of Life in Individuals with Type 2 Diabetes: Evidence from Poland. Sex Disabil. 2018;36(1):69-86
24. Yıldız H, Bölüktaş RP. Evaluation of Sexual Dysfunction in Males with Diabetes. Sex Disabil. 2015;33(2):187-205
25. Malavige LS, Jayaratne SD, Kathriarachchi ST, Sivayogan S, Ranasinghe P, Levy JC. Erectile dysfunction is a strong predictor of poor quality of life in men with Type 2 diabetes mellitus. Diabet Med. 2014;31(6):699-706
26. Stamogiannou I, Grunfeld EA, Denison K, Muir G. Beliefs about illness and quality of life among men with erectile dysfunction. Int J Impot Res. 2005;17(2):142-7
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
This is an open-access journal and articles are distributed under the terms of the Creative Commons Attribution Non-Commercial Share-Alike License 4.0. This licence allows users to download and share, remix, tweak and build upon the article for non-commercial purposes, so long as the original authorship is acknowledged and the new creations are licensed under identical terms.