Comparison of psychological and sexual disorders between infertile and fertile Senegalese men

Comparación de los trastornos psicológicos y sexuales entre hombres Senegaleses infértiles y fértiles

Background: This study aimed to assess and compare the prevalence of sexual and psychological disorders among infertile and fertile men at a healthcare center in Dakar. Methods: We conducted a descriptive, comparative, and cross-sectional study from April 2023 to August 2023. The study included male patients aged 18 and over being treated for male infertility (group 1) as well as patients or companions of fertile patients of the same age range (group 2). We designed a questionnaire assessing the sociodemographic characteristics of respondents, the psychological impact using the Hospital Anxiety and Depression Scale (HADS), erectile function using the International Index of Erectile Function (IIEF-15), and premature ejaculation using the Premature Ejaculation Profile (PEP). Results: Our sample consisted of 86 respondents in each group. The average age of respondents in both groups was 41.02 ± 8.26 years (range: 27 to 60 years). Participants in group 1 had significantly lower average scores for erectile function, orgasmic function, sexual desire, sexual satisfaction, and overall satisfaction compared to participants in group 2 (p < 0.05). The average total PEP score in group 1 (12.52 ± 3.27) was significantly lower than that in group 2 (13.99 ± 2.05) (p = 0.001). The average total score for anxiety and depressive disorders in group 1 was significantly higher than that in group 2 (p < 0.001). The presence of anxiety disorders in group 1 was correlated with a decrease in IIEF-15 subdomain scores and PEP. In addition, reductions in different IIEF-15 subdomains were correlated with a lower PEP score. Conclusions: Infertile men have more severely altered IIEF-15, PEP, and HADS scores compared to fertile men. The presence of anxiety disorders in group 1 was correlated with lower IIEF-15 subdomain scores and PEP. The presence of erectile disorders was associated with premature ejaculation in infertile patients.

Resumen

Antecedentes: Nuestro estudio tuvo como objetivo comparar los trastornos sexuales y psicológicos entre hombres infértiles y fértiles en un centro en Dakar. Métodos: Realizamos un estudio descriptivo, comparativo y transversal desde abril de 2023 hasta agosto de 2023. Se incluyeron en el estudio pacientes masculinos de 18 años o más seguidos por infertilidad masculina (grupo 1), así como pacientes o acompañantes de pacientes fértiles de la misma edad que los del grupo 1 (grupo 2). Diseñamos un cuestionario para evaluar las características sociodemográficas de los participantes, el impacto psicológico (Escala Hospitalaria de Ansiedad y Depresión (HADS), la función eréctil (Índice Internacional de la Función Eréctil (IIEF-15)) y la eyaculación precoz (Perfil de Eyaculación Precoz (PEP)). Resultados: Nuestra muestra estuvo compuesta por 86 participantes en cada grupo. La edad promedio de los participantes en ambos grupos fue de 41.02 ± 8.26 (de 27 a 60 años). Los participantes del grupo 1 tuvieron puntuaciones medias significativamente más bajas en función eréctil, función orgásmica, deseo sexual, satisfacción sexual y satisfacción general que los participantes del grupo 2 (p < 0.05). La puntuación total media del PEP de los participantes del grupo 1 (12.52 ± 3.27) fue significativamente menor que la de los participantes del grupo 2 (13.99 ± 2.05) (p = 0.001). La puntuación total media de trastornos de ansiedad y depresión de los participantes del grupo 1 fue significativamente mayor que la de los participantes del grupo 2 (p < 0.001). La presencia de trastornos de ansiedad en los participantes del grupo 1 se correlacionó con una disminución en las puntuaciones de los subdominios del IIEF-15 y del PEP. La disminución en los diferentes subdominios del IIEF-15 se correlacionó con la del puntaje PEP. Conclusiones: Los hombres infértiles presentan puntuaciones más alteradas en el IIEF-15, PEP y HADS que los hombres fértiles. La presencia de trastornos de ansiedad en los participantes del grupo 1 se correlaciona con una disminución en las puntuaciones de los subdominios del IIEF-15 y del PEP. La presencia de trastornos eréctiles se asocia con la eyaculación precoz en pacientes infértiles.

Erectile function; Male infertility; Premature ejaculation; Depression; Anxiety

Palabras Clave

Función eréctil; Infertilidad masculina; Eyaculación precoz; Depresión; Ansiedad

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