Physicians who treat patients with ED need to inform them about the true dangers of fake drugs. The counterfeiting of medications is a growing global problem that needs to be combated on all fronts. Furthermore, by not consulting a doctor, they miss useful medical information on ED and underlying diseases related to ED.
A Dating Site for Men with Erectile Dysfunction?
More epidemiological work is required to generate solid assumptions of the prevalence rates in such subgroups of the population as the MSM population. Because there are limited studies of ED in the MSM population, cross-study comparisons are difficult to make. This study was designed as an exploratory, hypothesis-generating investigation.
In the past, there usually was a representation problem for gay studies. Not all groups based on age, gender, and education within the gay population were equally represented. Older MSM and less educated people were less represented. Medical disorders such as diabetes mellitus, hypertension, obesity, autonomic nervous disorders, neuropathy, and the use of medication for instance antihypertensive therapy are associated with ED. There were no questions about the medical history of the participants, except the knowledge of their HIV status and the use of PDE5 inhibitors. We can only generalize findings to Belgian MSM, who used the online website from which participants were recruited.
Mainly for MSM, the internet has become an important source of social networking and dating and they are early adaptors of new gadgets.
The GAy MEn Sex StudieS: erectile dysfunction among Belgian gay men
In Western post-industrialized countries, asking people about their sexual preference is becoming more and more acceptable. In computer-assisted interviews, anonymous respondents are more willing to answer sensitive questions, such as on sexual preferences, than in person-to-person interviews. A disadvantage of e-research is that men without access to the internet could not participate. Because older people have less access to the internet, older MSM were likely to be underrepresented. Among the strengths of our population-based study are its large size and the coverage of different sexual dysfunctions.
Not only ED, but also problems of libido, ejaculation, and pain during sexual activity were questioned.
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These other sexual dysfunctions will be reported later. To our knowledge, this is the first study on the prevalence of ED and the use of medication to improve the erection among MSM in Belgium. Further investigation of sexual dysfunctions is needed to improve the care for sexual problems in the MSM population. The authors thank all participating men for the registration and David Proot for the language editing.
The study was not funded by an external organization. The condoms for the promotion of the questionnaire were provided by LSE Holland. Ethical approval. The study protocol was approved by the ethical committee of the university hospital of the Vrije Universiteit Brussel. The approval number was BUN B He has no stock or ownership to report.
National Center for Biotechnology Information , U. Int J Gen Med. Published online Jul 2. Author information Copyright and License information Disclaimer. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited. This article has been cited by other articles in PMC. Abstract Aim To determine the prevalence of erectile dysfunction ED in a sample of the Belgian men who have sex with men MSM population, and to assess the relevance of major predictors such as age, relationship, and education.
Introduction Erectile dysfunction ED is defined as the persistent inability to obtain and maintain an erection sufficient to permit a satisfactory sexual performance. Open in a separate window. Questionnaire We developed an online questionnaire, which was available in three languages: Data management and statistical analysis The data of this study were entered in an online registration system by the participants themselves.
Figure 1. Limitations Because there are limited studies of ED in the MSM population, cross-study comparisons are difficult to make. Strengths Among the strengths of our population-based study are its large size and the coverage of different sexual dysfunctions. Acknowledgments The authors thank all participating men for the registration and David Proot for the language editing.
Funding The study was not funded by an external organization. Ethical approval The study protocol was approved by the ethical committee of the university hospital of the Vrije Universiteit Brussel. The other authors have no conflicts of interest in this work. References 1. Guidelines on erectile dysfunction. European Urology. J Sex Med. The likely worldwide increase in erectile dysfunction between and and some possible policy consequences. BJU Int. Prevalence of erectile dysfunction among hypertensive and nonhypertensive Qatari men. Medicina Kaunas ; 43 Prevalence of erectile dysfunction: Int J Impot Res.
Epidemiology of erectile dysfunction. Impotence and its medical and psychosocial correlates: J Urol. Prevalence and correlates of erectile dysfunction in a population-based study in Belgium. Eur Urol. Correlates for erectile and ejaculatory dysfunction in older Dutch men: J Am Geriatr Soc. Erectile dysfunction: Ned Tijdschr Geneeskd. Erectile dysfunction in primary care: Sandfort TG, de Keizer M.
Sexual problems in gay men: Annu Rev Sex Res. Erectile and ejaculatory problems in gay and heterosexual men.
A Dating Site for Men with Erectile Dysfunction? - The Good Men Project
Arch Sex Behav. Sexual dysfunction in an Internet sample of US men who have sex with men. Paff BA. Sexual dysfunction in gay men requesting treatment. J Sex Marital Ther. Antiretroviral therapy is associated with sexual dysfunction and with increased serum oestradiol levels in men.
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Platteau T, van Lankveld J. Sexual dysfunctions in homosexual men with hiv: Tijdschrift Voor Seksuologie. Sexual behavior in the human male. Am J Public Health. The international index of erectile function IIEF: Erection quality scale: Development and evaluation of an abridged, 5-item version of the International Index of Erectile Function IIEF-5 as a diagnostic tool for erectile dysfunction. The use of the simplified Inernational Index of erectile Function IIEF-5 as a diagnostic tool to study the prevalence of erectile dysfunction. Lue TF. Erectile dysfunction.
N Engl J Med. Importance of and satisfaction with sex among men and women worldwide: Ministerie van de Vlaamse gemeenschap gelijke kansen in Vlaanderen; Hellstrom WJ. Body dysphoria worries about sexual performance, penis size, masculinity, or adequacy; vanity, body image issues.
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Sexual trauma difficulties with intimacy due to past history of rape or childhood sexual abuse. While sexual complications are commonplace, they definitely do create a backdrop of unpleasantness and concern. The causative factors are typically either medical or psychological in nature. Medical causes could include side-effects to medication, underlying organic issues that might require diagnostic testing, complications resulting from health problems like diabetes, or they could be the function of a sexually-transmitted disease.
Psychological causes to sexual disorders could include the negative effects of stress, anxiety, depression, relationship issues and dynamics, guilt, a history of trauma, among others. The above sexual concerns listed can afflict men of all sexual orientations— straight, gay, and all those in-between. Being gay can bring a whole host of other possible causative factors to explain why problems in the bedroom might originate.
For example, someone who is questioning his sexual identity might have difficulties with intimacy. Internalized homophobia is another erotica-killer as layers of shame and self-loathing over the social stigma associated with being gay overshadows any pleasure that could be derived from man-to-man sensuality. Perhaps you and your partner are questioning issues surrounding monogamy or managing an open relationship.
And then there are the universal possibilities of being too busy and too tired or relationship issues such as mistrust or poor communication getting expressed through a sexual dysfunction. More often than not, sexual issues diminish once the underlying symptoms have been targeted and intervened upon. This should be your first step before anything else! This does not mean that anything is wrong and merely calls to your attention to find creative solutions to re-ignite a whole new level of passion. Commitment and true intimacy can overcome most obstacles if you set your mind to it.
Many sexual problems are the result of not being fully present in the moment with your partner and instead thinking too much in your brain. Worry, frustration, and fear of failure will almost always kill the mood.