Premature ejaculation in urban Malaysian population: the associations between erectile dysfunction (ED), anxiety and depression

Introduction: Both premature ejaculation(PE) and erectile dysfunction(ED) are prevalent sexual health disorders that have been inadequately investigated in Malaysia, a multiethnic and conservative nation.The objective of the study was to study the relationship between PE and ED, and other common m...

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Bibliographic Details
Main Authors: Arasalingam, Shamini, Sidi, Hatta, Ng, Chong Guan, Das, Srijit, Midin, Marhani, Musa, Ramli
Format: Article
Language:English
English
English
Published: Faculty of Medicine, International Islamic University Malaysia 2016
Subjects:
Online Access:http://irep.iium.edu.my/50832/
http://irep.iium.edu.my/50832/
http://irep.iium.edu.my/50832/1/50832.pdf
http://irep.iium.edu.my/50832/4/50832_Premature%20ejaculation%20in%20Urban%20Malaysian%20population_Scopus.pdf
http://irep.iium.edu.my/50832/10/50832_Premature%20ejaculation%20in%20Urban%20Malaysian%20population_WoS.pdf
Description
Summary:Introduction: Both premature ejaculation(PE) and erectile dysfunction(ED) are prevalent sexual health disorders that have been inadequately investigated in Malaysia, a multiethnic and conservative nation.The objective of the study was to study the relationship between PE and ED, and other common mental health issues, i.e. anxiety and depression in Malaysian urban population. Methods: The diagnosis for PE was established by clinical diagnosis using DSM-5 and ISSM definition criteria for PE, whereas a diagnosis of ED was established by the International Index of Erectile Function (IIEF) questionnaire. Anxiety and depression levels were detected from the Hospital Anxiety and Depression Scale (HADS). Results: Based on DSM-V and ISSM clinical diagnosis for PE, the prevalence of PE was found to be 25%. Erectile dysfunction (p = 0.035, OR = 3.315, 95% CI 1.088, 10.103) and severe anxiety (p = 0.020, OR = 7.656, 95% CI 1.383, 42.396) significantly predicted presence of PE. Conclusion: There was a strong association between PE and ED and between PE and anxiety. Routine examination for PE in male patients should address the issue and the management of both ED and anxiety among PE patients, especially in an urban Malaysian clinical and medical care setting.