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Sexual activity and erectile dysfunction in elderly men with angiographically documented coronary artery disease

D Justo1, Y Arbel, B Mulat

  • 1Department of Geriatric Medicine B, Sourasky Medical Center, Tel-Aviv, Israel. justo1@bezeqint.net

International Journal of Impotence Research
|September 18, 2009
PubMed

Insights

Erectile dysfunction (ED) and lack of sexual activity are common in elderly men with coronary artery disease (CAD). Among sexually active men with CAD, only age impacts ED severity.

Area of Science:

  • Cardiology
  • Geriatrics
  • Sexual Health

Background:

  • Coronary artery disease (CAD) affects a significant portion of the elderly population.
  • Erectile dysfunction (ED) is a common health concern in aging men.
  • The relationship between CAD and ED in older men requires further investigation.

Purpose of the Study:

  • To determine the prevalence of ED in elderly men (≥65 years) with documented coronary artery disease (CAD).
  • To assess the severity of ED in this population using the Sexual Health Inventory for Males (SHIM) questionnaire.
  • To identify factors associated with ED in elderly men with CAD.

Main Methods:

  • Cross-sectional study including 123 elderly men (mean age 74.6 years).
  • 112 men had documented CAD, and 11 served as a control group.
  • The SHIM questionnaire was used to assess ED prevalence and severity.

Main Results:

  • Lack of sexual activity was significantly more prevalent in men with CAD (31.3%) compared to those without (0.0%).
  • Among sexually active men, ED prevalence was higher in the CAD group (85.7%) versus the control group (72.7%).
  • In sexually active men with CAD, age was the sole factor significantly associated with SHIM scores (P=0.001).

Conclusions:

  • Erectile dysfunction and sexual inactivity are highly prevalent in elderly men with CAD.
  • ED severity in sexually active elderly men with CAD is primarily associated with age.
  • Factors like hypertension, diabetes, smoking, and medication use did not show a significant association with ED severity in this cohort.

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