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An Evaluation of the Frequency and Severity of Erectile Dysfunction in Hypertensive Married Men Compared with Normotensive Married Men

Received: 22 April 2020     Accepted: 21 May 2020     Published: 9 June 2020
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Abstract

Background: Erectile dysfunction (ED) exerts a major burden on the quality of life of the patients and their sexual partners. It has been identified as an independent risk factor for cardiovascular disease. Hypertension is a well-established risk factor for ED. Both hypertension and erectile dysfunction has age dependent relationship. Objective: To evaluate the frequency and severity of erectile dysfunction in hypertensive married men compared with normotensive married men of similar demographic characteristics attending a tertiary care hospital of Bangladesh during the period from June 2017 to March, 2018. Methodology: This cross-sectional comparative study includes 75 hypertensive and 75 normotensive young and middle-aged married men (31–59 years) those visited our outpatient clinic. From them, 75 patients had hypertension and 75 were normotensive. Erectile dysfunction was evaluated with pre validated Bengali version of the International Index of Erectile Function (IIEF-5) questionnaire. Results: Erectile dysfunction (ED) was found in 61.3% of patients with hypertension compared with 37.3% of normotensive subjects. ED is more common and more severe among hypertensive patients than normotensive counterparts. Hypertension duration, hypertension severity and age were found positively correlated with erectile dysfunction. Taking regular medication and control of BP gave positive influence upon erectile status. No association was found between ED and smoking but a weak negative correlation of increased body mass index (BMI) and decreased ED was found in both hypertensive and normotensive group. Conclusion: Hypertensive patients present with erectile dysfunction more frequently than age matched normotensive individuals. As erectile dysfunction is a matter of embarrassment, doctors should be motivated to discuss such issue. Control of blood pressure seems to confer good influence upon the prevalence of erectile status. We need further studies to authenticate such observation and to unveil other risk factors of ED in our country and to go for appropriate management.

Published in Cardiology and Cardiovascular Research (Volume 4, Issue 3)
DOI 10.11648/j.ccr.20200403.12
Page(s) 85-91
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Erectile Dysfunction (ED), Cardiovascular, Hypertension, Body Mass Index (BMI)

References
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    Kabirul Hasan Bin Rakib, Afroja Alam, Md. Atikur Rahman, Nazim Al Azad, Akm Habibullah Bahar, et al. (2020). An Evaluation of the Frequency and Severity of Erectile Dysfunction in Hypertensive Married Men Compared with Normotensive Married Men. Cardiology and Cardiovascular Research, 4(3), 85-91. https://doi.org/10.11648/j.ccr.20200403.12

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    Kabirul Hasan Bin Rakib; Afroja Alam; Md. Atikur Rahman; Nazim Al Azad; Akm Habibullah Bahar, et al. An Evaluation of the Frequency and Severity of Erectile Dysfunction in Hypertensive Married Men Compared with Normotensive Married Men. Cardiol. Cardiovasc. Res. 2020, 4(3), 85-91. doi: 10.11648/j.ccr.20200403.12

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    AMA Style

    Kabirul Hasan Bin Rakib, Afroja Alam, Md. Atikur Rahman, Nazim Al Azad, Akm Habibullah Bahar, et al. An Evaluation of the Frequency and Severity of Erectile Dysfunction in Hypertensive Married Men Compared with Normotensive Married Men. Cardiol Cardiovasc Res. 2020;4(3):85-91. doi: 10.11648/j.ccr.20200403.12

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  • @article{10.11648/j.ccr.20200403.12,
      author = {Kabirul Hasan Bin Rakib and Afroja Alam and Md. Atikur Rahman and Nazim Al Azad and Akm Habibullah Bahar and Nazmul Hoque Munna and Rabeya Bosri and Shaheen Lipika Quayum and Md. Abul Kalam Azad},
      title = {An Evaluation of the Frequency and Severity of Erectile Dysfunction in Hypertensive Married Men Compared with Normotensive Married Men},
      journal = {Cardiology and Cardiovascular Research},
      volume = {4},
      number = {3},
      pages = {85-91},
      doi = {10.11648/j.ccr.20200403.12},
      url = {https://doi.org/10.11648/j.ccr.20200403.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20200403.12},
      abstract = {Background: Erectile dysfunction (ED) exerts a major burden on the quality of life of the patients and their sexual partners. It has been identified as an independent risk factor for cardiovascular disease. Hypertension is a well-established risk factor for ED. Both hypertension and erectile dysfunction has age dependent relationship. Objective: To evaluate the frequency and severity of erectile dysfunction in hypertensive married men compared with normotensive married men of similar demographic characteristics attending a tertiary care hospital of Bangladesh during the period from June 2017 to March, 2018. Methodology: This cross-sectional comparative study includes 75 hypertensive and 75 normotensive young and middle-aged married men (31–59 years) those visited our outpatient clinic. From them, 75 patients had hypertension and 75 were normotensive. Erectile dysfunction was evaluated with pre validated Bengali version of the International Index of Erectile Function (IIEF-5) questionnaire. Results: Erectile dysfunction (ED) was found in 61.3% of patients with hypertension compared with 37.3% of normotensive subjects. ED is more common and more severe among hypertensive patients than normotensive counterparts. Hypertension duration, hypertension severity and age were found positively correlated with erectile dysfunction. Taking regular medication and control of BP gave positive influence upon erectile status. No association was found between ED and smoking but a weak negative correlation of increased body mass index (BMI) and decreased ED was found in both hypertensive and normotensive group. Conclusion: Hypertensive patients present with erectile dysfunction more frequently than age matched normotensive individuals. As erectile dysfunction is a matter of embarrassment, doctors should be motivated to discuss such issue. Control of blood pressure seems to confer good influence upon the prevalence of erectile status. We need further studies to authenticate such observation and to unveil other risk factors of ED in our country and to go for appropriate management.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - An Evaluation of the Frequency and Severity of Erectile Dysfunction in Hypertensive Married Men Compared with Normotensive Married Men
    AU  - Kabirul Hasan Bin Rakib
    AU  - Afroja Alam
    AU  - Md. Atikur Rahman
    AU  - Nazim Al Azad
    AU  - Akm Habibullah Bahar
    AU  - Nazmul Hoque Munna
    AU  - Rabeya Bosri
    AU  - Shaheen Lipika Quayum
    AU  - Md. Abul Kalam Azad
    Y1  - 2020/06/09
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ccr.20200403.12
    DO  - 10.11648/j.ccr.20200403.12
    T2  - Cardiology and Cardiovascular Research
    JF  - Cardiology and Cardiovascular Research
    JO  - Cardiology and Cardiovascular Research
    SP  - 85
    EP  - 91
    PB  - Science Publishing Group
    SN  - 2578-8914
    UR  - https://doi.org/10.11648/j.ccr.20200403.12
    AB  - Background: Erectile dysfunction (ED) exerts a major burden on the quality of life of the patients and their sexual partners. It has been identified as an independent risk factor for cardiovascular disease. Hypertension is a well-established risk factor for ED. Both hypertension and erectile dysfunction has age dependent relationship. Objective: To evaluate the frequency and severity of erectile dysfunction in hypertensive married men compared with normotensive married men of similar demographic characteristics attending a tertiary care hospital of Bangladesh during the period from June 2017 to March, 2018. Methodology: This cross-sectional comparative study includes 75 hypertensive and 75 normotensive young and middle-aged married men (31–59 years) those visited our outpatient clinic. From them, 75 patients had hypertension and 75 were normotensive. Erectile dysfunction was evaluated with pre validated Bengali version of the International Index of Erectile Function (IIEF-5) questionnaire. Results: Erectile dysfunction (ED) was found in 61.3% of patients with hypertension compared with 37.3% of normotensive subjects. ED is more common and more severe among hypertensive patients than normotensive counterparts. Hypertension duration, hypertension severity and age were found positively correlated with erectile dysfunction. Taking regular medication and control of BP gave positive influence upon erectile status. No association was found between ED and smoking but a weak negative correlation of increased body mass index (BMI) and decreased ED was found in both hypertensive and normotensive group. Conclusion: Hypertensive patients present with erectile dysfunction more frequently than age matched normotensive individuals. As erectile dysfunction is a matter of embarrassment, doctors should be motivated to discuss such issue. Control of blood pressure seems to confer good influence upon the prevalence of erectile status. We need further studies to authenticate such observation and to unveil other risk factors of ED in our country and to go for appropriate management.
    VL  - 4
    IS  - 3
    ER  - 

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Author Information
  • Department of Medicine, Mugda Medical College Hospital, Mugda, Dhaka, Bangladesh

  • Department of Medicine, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh

  • OSD-Directorate General of Health Services (DGHS), Mohakhali, Dhaka, Bangladesh

  • Department of Internal Medicine, Mugda Medical College Hospital, Mugda, Dhaka, Bangladesh

  • Department of Medicine, 250 Bedded General Hospital, Tangail, Bangladesh

  • Department of Neurology, Mugda Medical College Hospital, Mugda, Dhaka, Bangladesh

  • Department of Gynae & Obs., Mugda Medical College Hospital, Dhaka, Bangladesh

  • Department of Pharmacology, Popular Medical College, Dhaka, Bangladesh

  • Department of Internal Medicine, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh

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