High Prevalence of Male Sexual Dysfunction in a Prospective Multicenter VA Inflammatory Bowel Disease Population

Jill K J Gaidos; Katrina Naik; Jenny Dave; Michael Yao; Jason K Hou; Daisha J Cipher; Andrew D Smith; Linda A Feagins

doi:10.1093/crocol/otaa004

High Prevalence of Male Sexual Dysfunction in a Prospective Multicenter VA Inflammatory Bowel Disease Population

Crohns Colitis 360. 2020 Feb 13;2(1):otaa004. doi: 10.1093/crocol/otaa004. eCollection 2020 Jan.

Authors

Jill K J Gaidos¹, Katrina Naik², Jenny Dave³, Michael Yao⁴, Jason K Hou⁵, Daisha J Cipher⁶, Andrew D Smith⁷, Linda A Feagins⁸

Affiliations

¹ Division of Gastroenterology and Hepatology, McGuire VA Medical Center and Division of Gastroenterology, Hepatology and Nutrition, Virginia Commonwealth University, Richmond, Virginia, USA.
² School of Medicine, Virginia Commonwealth University, Richmond, Virginia, USA.
³ School of Medicine, George Washington University, Washington, District of Columbia, USA.
⁴ Division of Gastroenterology, Washington DC VA Medical Center, Washington, District of Columbia, USA.
⁵ Division of Gastroenterology, Michael E. DeBakey VA Medical Center and Baylor College of Medicine, Houston, Texas, USA.
⁶ College of Nursing and Health Innovation, University of Texas at Arlington, Arlington, Texas, USA.
⁷ Division of Gastroenterology, VA North Texas Health Care System, Dallas, Texas, USA.
⁸ Division of Gastroenterology and Hepatology, VA North Texas Health Care System and Dell Medical School, University of Texas at Austin, Austin, Texas, USA.

Abstract

Background: Aims of this study were to assess the prevalence of and risk factors for sexual dysfunction (SD) in male veterans with inflammatory bowel disease (IBD).

Methods: We collected IBD history, quality of life (QOL), and sexual function surveys.

Results: One hundred seventy-one men enrolled, mean age 50 years, 85% had SD, 92% had erectile dysfunction (ED). More severe ED (P = 0.0001), decreased sexual desire (P = 0.004), and decreased satisfaction (P = 0.001) were associated with poorer QOL. Biologic use was associated with increased SD; hypertension with a decrease in sexual desire.

Conclusions: SD and ED are highly prevalent and associated with poorer QOL.

Keywords: Crohn’s disease; erectile dysfunction; inflammatory bowel disease; sexual function; ulcerative colitis.

Published by Oxford University Press on behalf of Crohn’s & Colitis Foundation 2020.