• Mehmet Murat Baykam, Aykut Baser, Hulya Yilmaz Baser, Sinan Eliacik, and Funda Uysal Tan.
• Department of Urology, Faculty of Medicine, Hitit University, Corum, Turkey.
• J Coll Physicians Surg Pak. 2022 Apr 1; 32 (4): 419-423.

ObjectiveTo investigate the clinical implication of the sexual functions of male patients diagnosed with chronic migraine (CM) compared with the healthy population.Study DesignObservational study.Place And Duration Of StudyDepartments of Urology and Neurology, Hitit University Hospital, Turkey, from August 2019 to August 2020.MethodologyA total of 179 patients (92 subjects diagnosed with CM and 87 control healthy volunteers) were included in this study. Demographic descriptive data including age, height, weight, and body mass index (BMI) of all patients were recorded. A 5-question version of the international index of erectile function questionnaire (IIEF-5) was applied to evaluate their sexual functions. Furthermore, a migraine identification test was performed for CM patients for the diagnosis of migraine in accordance with the International Headache Society's (IHS) definition of chronic migraine. Visual analog scale (VAS) scores between 0-10 points were recorded for the qualitative assessment of migraine pain.ResultsThe IIEF-5 scores of CM patients [16 (11 - 21)] were lower compared to the control patients [21 (19 - 23), p <0.001)]. A negative correlation was found between the VAS scores and IIEF-5 scores of CM patients (rho -0.582, p <0.001). In the regression analysis, it was found that a 1-unit increase in the VAS score led to a 1.5 point decrease in the IIEF-5 score (p <0.001).ConclusionMigraine pain in male patients with CM adversely affected erectile functions. A more detailed investigation of the pathophysiological mechanisms may be helpful in the treatment of ED.Key WordsErectile dysfunction, Chronic migraine, IIEF-5, Erectile functions.

17 keywords...

hide…