Abstract
Background Sexual dysfunction is a common problem in chronic obstructive pulmonary disease (COPD). Aim To evaluate the sexual activity in patients with COPD. Patients and methods A total of 100 male patients with COPD (diagnosed and staged according to the American Thoracic Society guidelines) and 96 healthy volunteers (controls) with normal pulmonary function were included. After clinical evaluation, pulmonary function test, arterial blood gas, and hormonal profiles such as follicle-stimulating hormone, leutenizing hormone, and testosterone (total and free) were measured and compared. Participants were asked to answer the International Index of Erectile Function questionnaire as a method to diagnose and classify impotency. Results Varying degrees of erectile dysfunction (ED) was detected in 78 (78%) patients with COPD and 56 (58.3%) of controls. The mean score of ED was found to be significantly (P Conclusion ED is a frequent problem in patients with COPD. Hypoxemia, smoking, limitation of physical activity, and hormonal imbalance are thought to be responsible mechanisms for ED in patients with COPD.
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