• Arch Med Sci · Mar 2017

    Sexual health of male cardiac patients - present status and expectations of patients with coronary heart disease.

    • Dariusz Kałka, Łukasz Karpiński, Jana Gebala, Lesław Rusiecki, Anna Biełous-Wilk, Ewa S Krauz, Magdalena Piłot, Krzysztof Womperski, Małgorzata Rusiecka, and Witold Pilecki.
    • Cardiosexology Unit, Department of Pathophysiology, Medical University of Wroclaw, Wroclaw, Poland; Center of Men's Health, Wroclaw, Poland.
    • Arch Med Sci. 2017 Mar 1; 13 (2): 302-310.

    IntroductionDue to the pathogenetic association between erectile disorders and cardiovascular diseases, cardiologists consult many patients with erectile dysfunction (ED). The aim of the study was to evaluate sexual function in patients with coronary heart disease (CHD) and the use of sexual knowledge in cardiology practice, both current use and that expected by patients.Material And MethodsOne thousand one hundred and thirty-six patients (average age: 60.73 ±9.20) underwent a dedicated survey which encompassed demographic data and the presence of modifiable ED risk factors. The presence of ED was assessed using the International Index of Erectile Function (IIEF-5) Questionnaire.ResultsSexual problems were discussed by cardiologists with 45 (3.96%) patients. The frequency of initiating the topic was significantly associated with the respondents' education level (p = 0.0031); however, it was not associated with the patients' age, duration of CHD, presence of ED, or modifiable risk factors. Four hundred and sixteen (36.62%) respondents indicated that they expect their cardiologist to take an interest in their ED. Nine hundred and twenty-six (81.51%) patients claimed good sexual function to be important or very important to them. Attitude to sexual function was significantly associated with age (p < 0.0001), duration of CHD (p = 0.0018), education (p = 0.0011), presence of ED (p = 0.0041), diabetes (p = 0.0283) and hyperlipidaemia (p = 0.0014).ConclusionsThe low frequency with which cardiologists initiate the topic of ED is in contrast to the expectations of patients with CHD. The majority of these patients regard good sexual maintenance as an important part of their life.

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