Abstract Body

Background/Purpose: Depression and its pharmacological treatment are associated with decreased libido and erectile dysfunction (ED). However, the comorbidity between ED and depression is probably bidirectional. The aim is to characterize depression and its treatment in men with ED in a Family Health Unit (FHU).

Methods: Retrospective, observational and descriptive study, carried out in a FHU in men with ED (Y07-Impotence; ICPC-2 classification) until April 2020. Data collected in August 2020 using SClinico® and MIM@uf. Analysis performed in Excel®.

Results: 127 men with ED with an average age of 62.5 ± 11.7 years were identified. 32.4% have depression, of those 36.6% also have anxiety disorder and 2 attempted suicide. The diagnosis of depression was made before the ED in 63.4%, after in 21% and simultaneously in 14.6% of men. 21% use antidepressants (77.8% Selective Serotonin Reuptake Inhibitor (SSRI) and 11.1% tricyclic) and 7% use antipsychotics.

Conclusions: There is a high prevalence of depression in this group. Despite the ages’ dispersion, most men with depression are younger – agreeing with psychogenic ED being mainly associated with young ages. Most depressive patients use antidepressants (more commonly SSRIs and tricyclics) or antipsychotics, having ED as a relevant side effect. In most, depression’s diagnosis was previous/simultaneous to the diagnosis of ED, which can be explained by depression’s natural history or by introduction of its treatment. Family Doctor has a privileged role in the diagnosis and intervention of both sexual and psychiatric symptoms - its correct approach and treatment can improve men's life quality.