Trends in factors for going to a the San Raffaele sexual health center. Credit: This diagram appears with the consent of the authors and the International Journal of Impotence Research. The EAU thanks the authors, and the journal for their cooperation.
Scientists report a modification in why guys look for assistance for sexual issues, with less guys grumbling about impotence (impotence) and early ejaculation, and more guys, particularly more youthful guys, grumbling about low libido and curvature of the penis (Peyronie’s illness).
Presenting the work at the European Association of Urology (virtual) Congress, after current approval for publication, research study leader Dr. Paolo Capogrosso (San Raffaele Hospital, Milan, Italy) stated:
“Over a 10 year period we have seen a real change in what concerns men when they attend sexual health clinics. This is probably driven by greater openness, and men now accepting that many sexual problems can be treated, rather than being something they don’t want to talk about.”
The success of impotence treatments such as Viagra and Cialis, and the schedule of brand-new treatments, suggests that guys dealing with sexual issues have now have treatments for sexual issues which weren’t readily available a generation back. Now scientists at San Raffaele Hospital in Milan have actually studied why guys pertain to sexual health centers, and how this has actually altered over a 10-year duration.
In what is thought to be the very first research study of its kind, the researchers questioned 3244 male visitors to the San Raffaele Hospital Sexual Health Clinic in Milan over a 10 year duration (2009 to 2019), and categorized the primary factor for the check out. They discovered that the variety of clients going to with impotence issues increased from 2009 to 2013, then began to reduce.
There were relatively couple of clients experiencing low libido or Peyronie’s illness in 2009, however grievances about both of these conditions grow from 2009 to the end of the research study. In 2019 guys were around 30% most likely to report Peyronie’s illness than in 2009, and around 32% most likely to report low libido.
The quantity of guys experiencing early ejaculation visited around 6% over the 10-year duration. The typical age of very first participation at the medical likewise dropped, from a mean of 61 to 53 years.
“Erectile dysfunction is still the main reason for attending the clinic, but this number is dropping, whereas around 35% of men attending the clinic now complain of Peyronie’s disease, and that number has shown steady growth,” stated Paolo Capogrosso. “Our patients are also getting younger, which may reflect a generational change in attitude to sexual problems.”
Dr. Capogrosso continued “We need to be clear about what these figures mean. They do not indicate any change in the prevalence of these conditions, what they show is why men came to the clinic. In other words, it shows what they are concerned about. The changes probably also reflect the availability of treatments; as treatments for sexual conditions have become available over the last few years, men are less likely to suffer in silence.”
These are arise from a single centre, so they require to be verified by more inclusive research studies. “Nevertheless there seems to be a growing awareness of conditions such as Peyronie’s disease, with articles appearing in the popular press*. In addition, we know that the awareness of this condition is increasing in the USA and elsewhere, so this may be a general trend,**” stated Dr. Capogrosso.
Commenting, Dr Mikkel Fode (Associate Professor of Urology at University of Copenhagen), stated:
“Although these data are somewhat preliminary as they stem from single institution they are interesting because they allow us to formulate several hypotheses. For example the drop in men presenting with erectile dysfunction may mean that family physicians are becoming more comfortable addressing this issue and that the patients are never referred to specialized centers. Likewise, the simultaneous drop in age at presentation and increase in Peyronie’s disease and low sex drive could indicate that both men and their partners are becoming more mindful to optimizing their sex lives. I will be very interesting to see if these trends are also present in other centers around the world.”
Dr. Fode was not associated with this work, this is an independent remark.
References:
* “Trends in reported male sexual dysfunction over the past decade: an evolving landscape” by Edoardo Pozzi, Paolo Capogrosso, Luca Boeri, Walter Cazzaniga, Rayan Matloob, Eugenio Ventimiglia, Davide Oreggia, Nicolò Schifano, Luigi Candela, Costantino Abbate, Francesco Montorsi and Andrea Salonia, 1 July 2020, International Journal of Impotence Research.
** “The Prevalence of Peyronie’s Disease in the United States: A Population-Based Study” by Mark Stuntz, Anna Perlaky, Franka des Vignes, Tassos Kyriakides and Dan Glass, 23 February 2016, PLOS ONE.
DOI: 10.1371/journal.pone.0150157
PMCID: PMC4764365
