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Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility
Published on: May 30, 2025
Epidemiology/risk factors of sexual dysfunction
Ronald W Lewis1, Kersten S Fugl-Meyer, R Bosch
1Department of Urology, Medical College of Georgia, Augusta, GA, USA. rlewis@mail.mcg.edu
The Journal of Sexual Medicine
|January 21, 2006
Summary
Accurate estimates of sexual dysfunction prevalence are crucial for understanding its burden and identifying risk factors. More research is needed to address data gaps, especially for female sexual dysfunction.
Area of Science:
- Sexual Medicine
- Epidemiology
- Public Health
Background:
- Accurate prevalence and incidence data are vital for understanding the burden of male and female sexual dysfunction.
- Identifying risk factors is essential for developing effective prevention strategies.
Purpose of the Study:
- To provide evidence-based recommendations on the epidemiology and risk factors of male and female sexual dysfunctions.
- To synthesize state-of-the-art knowledge for clinical practice and research.
Main Methods:
- An international multidisciplinary expert consultation involving over 200 specialists from 60 countries.
- Recommendations were developed over two years through grading evidence-based literature, committee discussions, and public debate.
Main Results:
- Prevalence of sexual dysfunction increases with age, affecting approximately 40-45% of adult women and 20-30% of adult men.
- Common risk factors include general health status, diabetes, cardiovascular disease, genitourinary conditions, psychiatric disorders, and socio-demographic factors.
- Endothelial dysfunction is implicated in erectile dysfunction, sharing etiological pathways with other vascular diseases; increased physical activity may lower erectile dysfunction incidence.
Conclusions:
- There is a significant need for expanded epidemiologic research on both male and female sexual dysfunctions.
- Standardized definitions and more comprehensive data are required for accurate assessment and targeted interventions.
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