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Premature Ejaculatory Dysfunction in Rheumatoid Arthritis (PED-RA Study).

Abrar Ahmed Wagan¹, Sultan Ahmed Chandio², Paras Surahyo³

¹Dr. Abrar Ahmed Wagan, MBBS, FCPS (Medicine), FCPS (Rheumatology), FACR. Associate Professor of Rheumatology, Indus Medical College, Tando Mohammad Khan.

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|November 23, 2022

Summary

Premature ejaculation dysfunction affects nearly half of rheumatoid arthritis patients. This condition requires further evaluation and research to understand its impact and develop effective treatments.

Keywords:

DAS-28 Premature ejaculation Rheumatoid Arthritis Sexual dysfunction

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Area of Science:

Rheumatology
Urology
Men's Health

Background:

Rheumatoid arthritis (RA) is a chronic autoimmune disease affecting joints.
Erectile and ejaculatory dysfunctions are increasingly recognized in chronic conditions.
The prevalence of premature ejaculation dysfunction (PED) in RA patients is not well-established.

Purpose of the Study:

To determine the frequency of premature ejaculation dysfunction (PED) in patients diagnosed with rheumatoid arthritis (RA).
To explore potential associations between PED and clinical factors in RA patients.

Main Methods:

A cross-sectional study was conducted involving 168 RA patients.
Data collected included demographics, medical history, physical measurements (BMI, blood pressure), and laboratory tests (CBC, ESR, blood sugar, HBs Ag, anti-HCV).
RA disease activity was assessed using the DAS-28 calculator, and PED was evaluated using the Premature Ejaculation Diagnostic Tool.

Main Results:

The prevalence of premature ejaculation dysfunction (PED) among rheumatoid arthritis (RA) patients was found to be 44.6%.
The mean PED score was 9.17.
Positive associations were observed between PED and hypertension, Hepatitis C Virus (HCV) infection, traditional herbal medications, and the use of disease-modifying antirheumatic drugs (DMARDs).
Higher Body Mass Index (BMI) and higher DAS-28 scores showed a negative association with PED.

Conclusions:

There is a high prevalence of premature ejaculation dysfunction (PED) in patients with rheumatoid arthritis (RA).
These findings underscore the need for systematic evaluation and treatment of PED in RA patients.
Further research is recommended to elucidate the underlying mechanisms and optimize management strategies.