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Male hepatitis C patients' sexual functioning and its determinants
Christos K Triantos1, Aggeliki Tsintoni, Katerina Karaivazoglou
1Departments of aGastroenterology bInternal Medicine cDepartment of Psychiatry, School of Medicine, University of Patras, Patras, Greece.
Male hepatitis C virus patients experience sexual dysfunction, even without cirrhosis. Erectile function and satisfaction are linked to depression, anxiety, quality of life, and specific blood markers.
Area of Science:
- Hepatology
- Sexual Medicine
- Psychiatry
Background:
- Hepatitis C virus (HCV) infection can impact various aspects of patient health.
- Sexual dysfunction is a potential complication in male patients with chronic diseases.
Purpose of the Study:
- To investigate the prevalence of sexual impairment in male patients with hepatitis C virus.
- To identify factors associated with sexual dysfunction in this population.
Main Methods:
- A cross-sectional study involving 61 male HCV patients.
- Assessment of sexual functioning using the International Index of Erectile Function.
- Evaluation of health-related quality of life (HRQOL) and psychological distress (anxiety, depression).
Main Results:
- Clinically significant sexual dysfunction was observed, particularly in intercourse and overall satisfaction.
- Erectile function and desire correlated with depression, anxiety, HRQOL, platelet count, and international normalized ratio (INR).
- Orgasmic function and intercourse satisfaction showed significant associations with platelet count, INR, and psychological factors.
Conclusions:
- Hepatitis C is associated with sexual dysfunction in men, irrespective of cirrhosis.
- Specific domains of male sexual function are differentially correlated with psychological and biological markers.
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