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Published on: June 6, 2018
Erectile dysfunction in general medicine practice: prevalence and clinical correlates
K K Chew1, C M Earle, B G Stuckey
1The Keogh Institute for Medical Research, QEII Medical Centre, Perth, Australia.
International Journal of Impotence Research
|September 12, 2000
Summary
Erectile dysfunction (ED) is common, affecting nearly 40% of men surveyed, particularly older individuals and those with chronic conditions. Treatment for ED remains significantly underutilized, with only 11.6% of affected men seeking medical help.
Area of Science:
- Urology
- Andrology
- Public Health
Background:
- Erectile dysfunction (ED) is a prevalent condition, especially in aging populations and individuals with comorbidities like cardiovascular disease and diabetes mellitus.
- Understanding the prevalence and associated factors of ED is crucial for effective public health strategies and clinical management.
Purpose of the Study:
- To determine the prevalence of erectile dysfunction in a large cohort of adult men attending general medical practices.
- To investigate the association of ED with age and common chronic health conditions.
- To assess the rate of treatment seeking among men experiencing ED.
Main Methods:
- A cross-sectional study utilizing questionnaires distributed to 1240 adult male attendees across 62 general medical practices.
- Data collected included self-reported erectile dysfunction (occasional, often, complete), age, and presence of chronic diseases.
- Statistical analysis focused on prevalence rates, age-related trends, and correlations with hypertension, ischemic heart disease, peripheral vascular disease, and diabetes mellitus.
Main Results:
- Overall, 39.4% of participants reported some form of ED, with 18.6% experiencing complete ED.
- The prevalence of complete ED significantly increased with age, from 2.0% in men aged 40-49 to 44.9% in those aged 70-79.
- ED was frequently associated with hypertension, ischemic heart disease, peripheral vascular disease, and diabetes mellitus; 40% of diabetic men aged 60+ reported complete ED.
- Only 11.6% of men with ED had received treatment.
Conclusions:
- Erectile dysfunction is highly prevalent in men attending general practice, with a strong age-dependent increase and significant association with cardiovascular risk factors and diabetes.
- There is a substantial gap in treatment-seeking behavior among men with ED, highlighting a need for increased awareness and intervention.
- Further research into barriers to treatment and effective management strategies for ED in primary care settings is warranted.
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