Assessment of the Relational Factor in Male Patients Consulting for Sexual Dysfunction: The Concept of Couple Sexual Dysfunction

Wiley - Tập 27 Số 6 - Trang 795-801 - 2006
Giovanni Corona1,2, Luisa Petrone1, Edoardo Mannucci3, Angela Magini1, Francesco Lotti1, Valdo Ricca4, Valerio Chiarini2, Mario Maggi1
1Andrology Unit, Department of Clinical Physiopathology, Diabetes Section, University of Florence, Florence, Italy
2Endocrinology Unit, Maggiore-Bellaria Hospital, Bologna, Italy
3Geriatric Unit, Department of Critical Care, University of Florence, Florence, Italy
4Psychiatry Unit, Department of Neurological and Psychiatric Sciences, University of Florence, Florence Italy

Tóm tắt

ABSTRACT: In a consecutive series of 1140 male subjects reporting a stable couple relationship and different degrees of sexual dysfunction, we evaluated the impact of relational factors, as assessed by the Structured Interview on Erectile Dysfunction (SIEDY) Scale 2 (exploring, as reported by the patient, menopausal symptoms, partner's medical illness interfering with sexual activity, and reduced partner desire and climax). We found that the SIEDY Scale 2 is significantly and independently associated with erectile dysfunction (ED), delayed ejaculation, hypoactive sexual desire, and decreased frequency of intercourse. SIEDY Scale 2 scores are associated with an advanced age of the partner and a long couple relationship, independently from patient's age. In addition, an increased relational factor correlates with increased extramarital affairs, conflicts in the couple, alcohol abuse, and presence of depressive symptoms, as assessed by the Middlesex Hospital Questionnaire. Our results should encourage the andrologist to consider the context in which sexual symptoms develop, analyzing the relationship and partner's behaviors and diseases. Resolving, or at least ameliorating, the relational background and the sexual framework might help in treating male sexual dysfunction.

Từ khóa


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Thông tin
Thông tin xuất bản

Wiley

Tập 27 Số 6

795-801

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