Association between Frailty and Erectile Dysfunction among Chinese Elderly Men

Sexual function and sexual quality of life in men with genital warts: a cross-sectional study

BACKGROUND

Human papillomavirus is the most common sexually transmitted infection, usually passing from one person to another after the first sexual activity. Infection with this virus and the occurrence of genital warts (GWs) could have several effects on patients' health. This study was performed to evaluate the sexual function and sexual quality of life (SQOL) in men with GWs.

METHODS

This cross-sectional study was conducted from September 2019 to March 2020 with a sample size of 105 men with GWs in the dermatology clinic of Shahid Faghihi Hospital in Shiraz University of Medical Sciences, Iran. Data were collected using a demographic questionnaire, the International Index of Erectile Function (IIEF), and the Sexual Quality of Life-Men (SQOL-M) questionnaires and analyzed by descriptive and inferential tests with SPSS software version 22.

RESULTS

The mean score for overall sexual function in men was 48.50 ± 8.89. About 35.2% of men had overall sexual dysfunction (SD). The highest disorder rate was related to the erection domain (85.7%), and the lowest was related to the desire domain (5.7%). In the erection domain, most men (54.3%) experienced mild to moderate erectile dysfunction. The mean score for SQOL-M was 38.36 ± 14.47, and 56.2% of them had a good SQOL.

CONCLUSIONS

GWs affected men's erection more than the other sexual function domains. SD in men with GWs has a significant impact on their SQOL and ED was associated with impaired SQOL. Therefore, it is recommended to pay more attention to SD screening alongside SQOL assessment of men with GW.

Assessment of Sexuality and Frailty in Older Adults Living in Northeast Brazil

Objective: to evaluate the experiences of sexuality and its correlation with frailty among older adults. Materials and methods: cross-sectional study carried out with a total of 250 older adults living in the Northeast of Brazil. They answered three instruments to obtain biosociodemographic, sexuality and frailty data. The analysis was performed using Spearman correlation, Mann-Whitney and Kruskal-Wallis test with 95% confidence interval. Results: sexual intercourse was negatively correlated with reduced strength (ρ = -0.263; p < 0.001) and walking speed (ρ = -0.201; p = 0.001) and positively correlated with reported fatigue (ρ = 0.149; p = 0.018). Affective relationships were negatively correlated with reduced strength (ρ = -0.254; p < 0.001) and walking speed (ρ = -0.207; p = 0.001) and positively correlated with reported fatigue (ρ = 0.207; p = 0.001). Finally, physical and social adversities were positively correlated with reduced strength (ρ = 0.279; p < 0.001), reduced walking speed (ρ = 0.261; p < 0.001) and low physical activity (ρ = 0.140; p = 0.034), in addition to being negatively correlated with reported fatigue (ρ = -0.171; p = 0.009). Conclusion: it was found that the sexuality of older adults is better experienced in affective relationships and weak positive and negative correlations between sexuality and frailty.