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Aging Male. 2016 Jun;19(2):96-101. doi: 10.3109/13685538.2015.1129400. Epub 2016 Jan 11.

Erectile dysfunction, loss of libido and low sexual frequency increase the risk of cardiovascular disease in men with low testosterone.

Ho CH1,2, Wu CC1,2, Chen KC1,2, Jaw FS3, Yu HJ4, Liu SP4.

Author information

1
a Department of Urology , Taipei Medical University-Shuang Ho Hospital , New Taipei City , Taiwan .
2
b Department of Urology , School of Medicine, College of Medicine, Taipei Medical University , Taipei , Taiwan .
3
c Institute of Biomedical Engineering, National Taiwan University , Taipei , Taiwan , and.
4
d Department of Urology , National Taiwan University Hospital and College of Medicine , Taipei , Taiwan.

Abstract

INTRODUCTION:

Testosterone deficiency increases the cardiovascular disease (CVD) risk.

AIM:

To evaluate the effect of erectile dysfunction (ED), sexual frequency and hypogonadal symptoms on CVD risk.

METHODS:

A total of 395 hypogonadal men aged 45-74 years were surveyed using the Androgen Deficiency in the Aging Male and the International Index of Erectile Function.

MAIN OUTCOME MEASURES:

The 10-year CVD risk was measured with the Framingham Risk Score. Logistic regression was performed to obtain the odds ratios of sexual function and hypogonadal symptoms for a 10-year CVD risk ≥20% (high risk).

RESULTS:

The mean age was 56.1 ± 6.7 years. The mean 10-year CVD risk of the whole cohort was 18.1% ± 11.4%, while 131 subjects (33.2%) were classified as high risk. Logistic regression revealed that ED severity was associated with CVD risk [OR = 2.37 (CI 1.24-4.51) for mild-to-moderate ED, OR = 4.39 (1.78-8.43) for moderate ED and OR = 12.81 (4.65-26.11) for severe ED]. Compared to sexual frequency <1 per month, sexual frequency ≥4 decreased the risk of high CVD risk [OR = 0.35 (0.23-0.780)]. Loss of libido [OR = 2.95 (1.91-4.12)] and less strong erection [OR = 3.87 (CI 2.11-4.95)] increased the risk of high CVD risk. All remained significant after adjustment for age and testosterone.

CONCLUSIONS:

ED, decreased sexual frequency and loss of libido predict a high 10-year CVD risk in hypogonadal men.

KEYWORDS:

Framingham Risk Score; Testosterone; cardiovascular disease; erectile dysfunction; hypogonadism; libido

PMID:
26755067
DOI:
10.3109/13685538.2015.1129400
[Indexed for MEDLINE]

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