TYPE 2 DIABETIC PATIENTS

FREQUENCY OF SELF-REPORTED SEXUAL DYSFUNCTIONS AMONG MALE

Abstract

Objectives: To determine the frequency of different types of self-reported sexual
dysfunction among male type 2 diabetic patients attending diabetic clinics of National Institute
of Diabetes & Endocrinology (NIDE) at Karachi, Pakistan. Study Design: Descriptive crosssectional.
Place and Duration of Study: National Institute of Diabetes & Endocrinology at Dow
University Hospital, Ojha Campus, Karachi. From August 2014 to January 2015. Methodology:
This study was conducted at diabetic clinics of NIDE at Karachi from August 2014 to January
2015. Type 2 diabetic males with self-reported complaints of sexual dysfunction were selected
by non-probability convenient sampling after obtaining well informed consent. Inclusion
criteria was married type 2 diabetic males of age between 35 to 65 years with at least five
years duration of type 2 diabetes, taking oral hypoglycemic agents, HbA1c levels between
6.5% to 9.4% and living in a stable relation with a female partner for at least one year. Patient’s
demographic, anthropometric, biochemical parameters and sexual history was recorded on
pre-designed questionnaire. Arizona Sexual Experience Scale and Diagnostic and Statistical
Manual of Mental Disorder-5th edition were used for quantification of sexual dysfunction. Data
was analyzed by SPSS-18, to compute mean ± SD, frequencies and percentages. P-value of
<0.05 was taken significant. Results: 95 Patients Type 2 diabetic male patients were recruited;
who attended diabetic clinics of NIDE with different types of SD complaints. The mean age
of patients was 53.92 ± 8.17 years with 11.59 ± 3.52 years mean duration of type 2 diabetes
mellitus. 81% patients had HbA1c levels of more than 7.4% and overweight patients were
52.6%. 77.9% of patients were non-smokers. According to ASEX scale, 100% participants
had clinically significant sexual dysfunction with mean score 17 ± 2.3. 58 patients had single
sexual dysfunction and among them 26.3% had erectile dysfunction, while 36 patients had
double sexual dysfunctions and among them 20% had combination of erectile dysfunction and
premature ejaculation. Data analysis showed no significant differences in age, duration of type
2 diabetes mellitus, HbA1c levels and BMI with participant’s sub-groups having single, double
and triple sexual dysfunctions. Erectile dysfunction was the most common sexual dysfunction
self-reported by 64.2% patients either as a sole complaint or in combination with other types
of sexual dysfunction, premature ejaculation was reported by 38.9% participants, hypoactive
sexual desire disorder was found in 22.1% patients while the least common sexual dysfunction
reported was delayed ejaculation by 14.7% participants. Conclusion: The combination of
erectile dysfunction and premature ejaculation is most frequent, followed by the combination
of erectile dysfunction and hypoactive sexual desire disorder. All diabetic men should be asked
carefully about the probable existence of any variety of sexual dysfunctions during their medical
evaluation.