Prevalence and Clinical Correlates of Sexual Dysfunctions among Male Patients Attending the Outpatient Department of a Tertiary Care Hospital

Abstract

Background: Sexual dysfunction (SD) is a common but underreported issue among men, impacting quality of life, mental well-being, and relationships. It includes conditions like erectile dysfunction, premature ejaculation, and low libido. Multiple factors contribute to SD, including chronic illnesses, psychological issues, and unhealthy lifestyles. In developing countries, stigma and lack of awareness hinder proper diagnosis and treatment. This study explores the prevalence and associated factors of SD in a tertiary care hospital setting. Objectives: To determine the prevalence and associated clinical and sociodemographic factors of sexual dysfunction among male outpatients at a tertiary hospital. Method and Materials: This cross-sectional study was conducted from June 2020 to May 2021 at Mymensingh Medical College & Hospital, involving 102 male outpatients. Data were collected using structured questionnaires through face-to-face interviews. Inclusion criteria included males aged ≥18 years who consented. Exclusion criteria involved psychiatric illness or incomplete data. Data were analyzed using SPSS v25, with significance at p<0.05. Ethical approval was obtained, and participant confidentiality was strictly maintained. Result: Among the 102 male patients, the most affected age group was 40–49 years (29.4%), with a mean age of 44.6 ± 11.5 years. Erectile dysfunction was the most common issue (66.7%), followed by premature ejaculation (48%). Hypertension (39.2%) and diabetes (35.3%) were the leading comorbidities. Notably, 52.9% had a sedentary lifestyle, and 43.1% reported low self-esteem as a psychological consequence of their sexual dysfunction. Conclusion: Sexual dysfunction is highly prevalent, linked to comorbidities and lifestyle factors, emphasizing the need for awareness and integrated management.