Dysfunkcje seksualne w ciągu pierwszych 9 miesięcy u mężczyzn po przebytym zawale serca.

Bartosz Puchalski,Filip Szymański,Krzysztof Filipiak,Robert Kowalik

doi:10.12740/pp/16918

Abstract

The aim of the study is to assess the frequency of sexual dysfunction in men after myocardial infarction (MI). 62 men were asked to fill IIEF 15 to assess sexual dysfunction 3 and 9 months after MI. RESULTS. Erectile dysfunction (ED), orgasmic dysfunction, decreased sexual desire, decreased intercourse satisfaction, decreased overall satisfaction were recognized respectively by: 61.3%, 24.2%, 62.9%, 71%, 54.8% of men 3 months after MI, and 51.6%, 17.7%, 58.1%, 77.4%, 59.7% of men 9 months after MI. Men with ED had higher serum CRP (5.8 vs. 3.8; p = 0.04) and creatinine (1 vs. 0.9; p = 0.04) levels in the peri-infarction period and higher serum BNP (47.4 vs. 24.6; p = 0.04) measured 3 months after MI than men without ED. They had also higher serum testosterone levels than men without ED (12.6 vs. 10.6; p = 0.03). Men with decreased sexual desire had significantly lower serum DHEAs (dehydroepiandrosterone sulfate) levels in the peri-infarction period than men with normal sexual desire (191.1 vs. 224.3; p = 0.044). Men with ED 9 months after MI had higher serum CRP levels in the peri-infarction period (7.5 vs. 4.6; p = 0.0371). Men with orgasmic dysfunction had lower left ventricular ejection fraction (EF) measured in the peri-infarction period (0.4 vs. 0.5; p = 0.0318). 1. Men with ED have higher serum CRP and creatinine levels in the peri-infarction period. 2. DHEAs level has an influence on sexual desire and on erectile function after MI. 3. BNP level in post-MI patients affects erectile function. 4. EF has an impact on orgasmic function.

Highlights

The topic of men’s sexual activity after myocardial infarction is often overlooked for various reasons, even in medical interviews
The present study demonstrated that erectile dysfunction correlates with C-reactive protein (CRP) concentration in the peri-infarction period
Similar findings are reported in a study by Billups et al which shows that men with sexual dysfunction caused by atherosclerosis of penile arteries have higher serum CRP [4,5]

Summary

Introduction

The topic of men’s sexual activity after myocardial infarction is often overlooked for various reasons, even in medical interviews Both sides can find it difficult to discuss the problem, and this intimate sphere of life is frequently neglected. This is confirmed by the data from the Report on the Sexuality of Poles from 2011 which shows that most men look for help on the Internet (approximately 33.6% of respondents), while relatively few of them seek a doctor’s advice [1]. Sexual dysfunction is among typical complications after myocardial infarction, and applies to most patients This fact was confirmed in one of the studies which demonstrated that erectile dysfunction after myocardial infarction occurred in almost 82% of men [2]. A similar study, which included a 6-month follow-up of post-MI patients, found that about 60% of them reported problems with sexual functions: about 34% – erectile dysfunction, and about 46% – decreased sexual desire [3]

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