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Erectile dysfunction and andropause symptoms in infertile men
Jeanne H O'Brien1, Steve Lazarou, Leslie Deane
1Department of Urology, University of Rochester Medical Center, Rochester, New York 14642-8656, USA.
The Journal of Urology
|October 12, 2005
Summary
Andropause symptoms and erectile dysfunction are common in infertile men, affecting 38%. Early screening is recommended for these men to identify and treat sexual dysfunction, improving overall health outcomes.
Area of Science:
- Reproductive endocrinology
- Men's health
- Urology
Background:
- Andropause symptoms and erectile dysfunction (ED) are prevalent concerns in aging men.
- Infertility affects a significant portion of the male population, and its association with hormonal and sexual health is increasingly recognized.
Purpose of the Study:
- To determine the prevalence of andropause symptoms and erectile dysfunction among men undergoing infertility evaluation.
- To compare these prevalence rates with those in a fertile control group.
Main Methods:
- A cross-sectional study involving 302 infertile men and 60 fertile controls.
- Utilized the Androgen Deficiency in the Aging Male and Sexual Health Inventory for Men (SHIM) questionnaires.
- Collected clinical and seminal parameters through chart review.
Main Results:
- 38% of infertile men reported significant andropause symptoms, compared to 21% in the fertile group.
- 28% of infertile men had abnormal SHIM scores, indicating erectile dysfunction, versus 11% in the fertile group.
- The prevalence of ED was significantly higher in infertile men (p = 0.007).
Conclusions:
- Andropause symptoms and erectile dysfunction are common comorbidities in infertile men.
- Infertile men represent a key population for screening and management of sexual dysfunction.
- Targeted screening can lead to timely diagnosis and treatment, potentially improving fertility outcomes and quality of life.