Analysis of the significance of a male sexual wellbeing (mswb) clinic in an area of high diversity in east london, uk.

Abstract

To analyse the socio-demography of the clinic attendees, associated comorbidities, investigations and final diagnosis. A sample of 100 attendees were selected using simple random sampling out of a total of 270 patients between 2015-2017. The socio-demographic details, associated comorbidities, relevant examination, investigations including hormonal assessments and treatment methods were extracted from the electronic records. 270 patients visited the MSWB with a total of 539 visits during this period. The mean age was 40.37. More than half of the patients were of South Asian ethnic background. 75% of the clients experienced Erectile Dysfunction (ED). Rapid ejaculation (RE) was reported in 22% of the sample. 86% of the sample had a full sexual health screening within a year. 13% were PLWH who were on ARVs. 66% of the ED patients had any form of other underlying medical condition. Baseline hormonal assessments were carried out in 57% of the sample and 96% of them suffered from ED. 57% of patients were diagnosed with ED and 23 of them suffered from psychogenic related ED. Lifelong and acquired RE was diagnosed in 5 & 13 patients respectively. 7 patients were diagnosed with a mixture of ED & RE. Orgasmic and anorgasmic ejaculation was diagnosed in each one patient. 2 Peronei's and 1 Hypogonadism were diagnosed and referred to the specialist service. Different modes of treatment were given including PDE5 inhibitors, vasodilators in the form of urethral stick and cream for the ED patients. 59% of the attendees were referred to our psychosexual service. It reveals the importance of having MSWB service for a diverse population. The clinical assessments and further investigations lead to newer diagnoses and further management. No conflicts of Interest