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Psychobiological correlates of women's sexual interest as perceived by patients with erectile dysfunction.

机译:勃起功能障碍患者对女性性兴趣的心理生物学相关性。

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INTRODUCTION: We have recently reported that the perceived loss of a partner's sexual desire is independently associated with an increased incidence of major cardiovascular events in patients with erectile dysfunction (ED). No study has ever evaluated the specific impact of men's perception of women's sexual desire on male sexual function and lifestyle attitudes in ED subjects. AIM: To evaluate the clinical correlates of the perception of a partner's sexual desire [hypoactive sexual desire (HSD)] in a consecutive series of subjects seeking medical care for ED. METHODS: A consecutive series of 2,303 heterosexual male patients (mean age 58.1 +/- 10.5) was studied. MAIN OUTCOME MEASURES: Patients were interviewed with the Structured Interview on Erectile Dysfunction (SIEDY) structured interview. They also completed the Middlesex Hospital Questionnaire, a brief questionnaire for the screening of the symptoms of mental disorders. RESULTS: Among the patients studied, 458 (19.9%) reported a mild loss of their partner's desire, 302 (13.1%) a moderate reduction of libido, while 118 (5.1%) complained of a complete absence of sexual interest on the part of their partner. After adjustment for confounding factors, the perceived women's HSD was associated with different sexual, lifestyle, and relational factors. In particular, more extra-marital affairs, a longer and more hostile couple relationship, as well as a stressful job and both alcohol and smoking abuse were all significantly associated with perceived women's HSD. In addition, the perceived women's moderate to severe HSD was significantly associated with severe ED and less frequent sexual intercourse. Finally, partner HSD was significantly associated with a stepwise increase of free-floating anxiety and depressive symptoms (adj. r = 0.081, P < 0.05 and 0.158, P < 0.0001, respectively). CONCLUSIONS: Perceived sexual interest (eros) on the part of the woman can be seen for men not only as a fun and enjoyable behavior, but also a safe strategy for improving a man's overall health and life expectancy.
机译:简介:我们最近报道说,勃起功能障碍(ED)患者中,伴侣的性欲减退与主要心血管事件发生率的增加独立相关。尚无研究评估过男性对女性性欲的感知对急诊科目的男性性功能和生活方式的影响。目的:在连续一系列寻求ED治疗的受试者中,评估伴侣对性欲[下垂性欲(HSD)]的感知的临床相关性。方法:研究了连续2,303例异性恋男性患者(平均年龄58.1 +/- 10.5)。主要观察指标:对患者进行勃起功能障碍结构访谈(SIEDY)结构访谈。他们还完成了Middlesex医院问卷,这是一份用于筛查精神障碍症状的简短问卷。结果:在研究的患者中,有458(19.9%)的人称其伴侣的欲望有轻度丧失,有302(13.1%)的人的性欲有轻度降低,而有118(5.1%)的人则抱怨性伴侣完全没有性欲他们的伴侣。在对混杂因素进行调整后,被感知的女性HSD与不同的性,生活方式和关系因素相关。尤其是,更多的婚外情,更长时间和更敌对的夫妻关系,压力大的工作以及酗酒和吸烟都与被认为是妇女的HSD密切相关。此外,女性的中度至重度HSD与重度ED和性交频率降低显着相关。最后,伴侣HSD与自由浮动焦虑和抑郁症状的逐步增加显着相关(分别为r = 0.081,P <0.05和0.158,P <0.0001)。结论:对于男性而言,女性的性兴趣(色情)不仅可以看作是一种有趣和愉快的行为,而且可以看作是改善男性总体健康和预期寿命的安全策略。

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