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The prevalence of erectile dysfunction among hypertensive and prehypertensive men aged 25-40 years
Rafi J Heruti1, Yehonatan Sharabi2, Yaron Arbel3
1Reuth Medical Center-Rehabilitation, Tel-Aviv, Israel;.
Introduction:
Erectile dysfunction (ED) and hypertension (HTN) are common and associated among men aged 40-70 years. Data on the prevalence of ED among younger hypertensive and prehypertensive men are limited.
Aim:
To study the prevalence of ED in a large-scale population of hypertensive and prehypertensive men aged 25-40 years.
Main Outcome Measures:
ED severity, systolic blood pressures (SBPs), diastolic blood pressures (DBPs), and mean arterial blood pressures (MAPs).
Methods:
Israel Defense Force personnel, aged 25 years and older, go through routine health checks at the Staff Periodic Health Examination Center (SPEC) every 3-5 years, including measuring blood pressure and completing the Sexual Health Inventory for Men (SHIM) questionnaire in order to detect HTN and ED, respectively, and assess its severity. Pre-HTN was defined as SBP 120-139 mm Hg or DBP 80-89 mm Hg. HTN was defined as SBP >/or140 mm Hg and/or DBP >or=90 mm Hg.
Results:
During 2001-2004, an overall of 11,252 men, aged 25-40 years, reported to the SPEC, and 5,860 (52.1%) men filled out the SHIM questionnaire. Among responders to the SHIM questionnaire, 1,278 (21.8%) men had low scores (
Conclusions:
The prevalence of ED is not increased among hypertensive and prehypertensive men compared with normotensive men aged 25-40 years. Moreover, higher blood pressures are not associated with worse erections among all men in this age group. Apparently, it takes years for HTN to cause ED.
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