To investigate the frequency and risk factors of sexual dysfunction (SD) in male with type 1 Diabetes Mellitus (t1DM)
We concluded patients with t1DM. The International Index of Erectile Function (IIEF) self-completed questionnaire was used to detect SD, while patients with a low score (<26 of 30) in questions regarding erectile function were considered to have erectile dysfunction (ED). Depressive symptoms were evaluated with the Zung Self-rating Depression Scale (ZDRS).The Hamilton Anxiety Rating Scale (HAM-A) was used to evaluate the severity of anxiety and the Sexual Quality of Life Questionnaire (SQOL-M) to assess the quality of sexual life. All patients had a 24-hour ambulatory blood pressure monitoring (ABPM) performed and average Blood Pressure (aBP), average Heart rate (aHR) and nighttime BP dipping (%) measured.
Thirty-eight male patients 42.7+11.7 years old and with 15.6+10.4 years DM duration were included. ED was detected in 26.3% of the patients. Mean IIF score was 56.4+18.9. Depressive symptoms were found in 21% and anxiety in 47.3% of the patients. There was correlation between IIEF score with DM duration (p<0.005, r=-0.73), the co-existence of hypertension (p=0.018, r=-0.61), the co-existence of retinopathy (p<0.005, r=-0.79) and the absence of nighttime BP dipping (p=0.041, r=0.81). Although, there was strong correlation of ED with SQOL score (p<0.005, r=0.85) there was no statistical significant correlation with depressive symptoms or anxiety.
SD seems to be frequent among male patients with t1DM and affects negatively the quality of their sexual life. Abnormal nighttime dipping status seems to be associated with ED