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Published in: Reproductive Biology and Endocrinology 1/2010

Open Access 01-12-2010 | Research

Sexual dysfunction among Ghanaian men presenting with various medical conditions

Authors: Nafiu Amidu, William KBA Owiredu, Eric Woode, Roselyn Appiah, Lawrence Quaye, Christian K Gyasi-Sarpong

Published in: Reproductive Biology and Endocrinology | Issue 1/2010

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Abstract

Background

Several medical conditions can affect and disrupt human sexuality. The alteration of sexuality in these medical conditions often hinder effective communication and empathy between the patients and their sexual partners because of cultural attitudes, social norms and negative feelings such as anxiety and guilt. Validated and standardized sexual inventories might therefore help resolve this problem. The objective of this cross-sectional study was to obtain data on the prevalence of male sexual dysfunction (SD) among Ghanaians with various medical conditions residing in Kumasi.

Methods

The Golombok Rust Inventory of Sexual Satisfaction (GRISS) was administered to 150 Ghanaian men with various medical conditions between 19 and 66 years old (mean ± standard deviation: 40.01 ± 12.32 years) domiciled in the Kumasi metropolis.

Results

Out of the total 150 questionnaires administered, 105 (70.0%) men returned the questionnaires. Questionnaires from 3 men were incomplete, leaving 102 complete and evaluable questionnaires, indicating a 68.0% response rate. Of the remaining 102 men, 88.2% were married, 70.6% had attained higher education, 88.2% were non-smokers. Whereas 54.9% were engaged in exercise, 61.8% indulged in alcoholic beverages. The prevalence of the various medical conditions include: diabetes (18%), hypertension (24.5%), migraine (11.8%), ulcer (7.8%), surgery (6.9%), STD (3.9) and others (26.5%). The prevalence of SD among the respondents in the study was 59.8%. The highest prevalence of SD was seen among ulcer patients (100%), followed by patients who have undergone surgery (75%), diabetes (70%), hypertension (50%), STD (50%) and the lowest was seen among migraine patients (41.7%).

Conclusions

SD rate is high among Ghanaian men with medical conditions (about 60%) and vary according to the condition and age.
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Literature
1.
go back to reference Althof SE: Quality of life and erectile dysfunction. Urology. 2002, 59 (6): 803-810. 10.1016/S0090-4295(02)01606-0.CrossRefPubMed Althof SE: Quality of life and erectile dysfunction. Urology. 2002, 59 (6): 803-810. 10.1016/S0090-4295(02)01606-0.CrossRefPubMed
2.
go back to reference Wagner G, Fugl-Meyer KS, Fugl-Meyer AR: Impact of erectile dysfunction on quality of life: patient and partner perspectives. Int J Impot Res. 2000, 12 (Suppl 4): S144-146. 10.1038/sj.ijir.3900594.CrossRefPubMed Wagner G, Fugl-Meyer KS, Fugl-Meyer AR: Impact of erectile dysfunction on quality of life: patient and partner perspectives. Int J Impot Res. 2000, 12 (Suppl 4): S144-146. 10.1038/sj.ijir.3900594.CrossRefPubMed
3.
go back to reference Ayta IA, McKinlay JB, Krane RJ: The likely worldwide increase in erectile dysfunction between 1995 and 2025 and some possible policy consequences. BJU Int. 1999, 84 (1): 50-56. 10.1046/j.1464-410x.1999.00142.x.CrossRefPubMed Ayta IA, McKinlay JB, Krane RJ: The likely worldwide increase in erectile dysfunction between 1995 and 2025 and some possible policy consequences. BJU Int. 1999, 84 (1): 50-56. 10.1046/j.1464-410x.1999.00142.x.CrossRefPubMed
4.
go back to reference Laumann EO, Paik A, Rosen RC: Sexual dysfunction in the United States: prevalence and predictors. JAMA. 1999, 281 (6): 537-544. 10.1001/jama.281.6.537.CrossRefPubMed Laumann EO, Paik A, Rosen RC: Sexual dysfunction in the United States: prevalence and predictors. JAMA. 1999, 281 (6): 537-544. 10.1001/jama.281.6.537.CrossRefPubMed
5.
go back to reference Rosen RC, Fisher WA, Eardley I, Niederberger C, Nadel A, Sand M: The multinational Men's Attitudes to Life Events and Sexuality (MALES) study: I. Prevalence of erectile dysfunction and related health concerns in the general population. Curr Med Res Opin. 2004, 20 (5): 607-617. 10.1185/030079904125003467.CrossRefPubMed Rosen RC, Fisher WA, Eardley I, Niederberger C, Nadel A, Sand M: The multinational Men's Attitudes to Life Events and Sexuality (MALES) study: I. Prevalence of erectile dysfunction and related health concerns in the general population. Curr Med Res Opin. 2004, 20 (5): 607-617. 10.1185/030079904125003467.CrossRefPubMed
6.
go back to reference Shiri R, Koskimaki J, Hakkinen J, Tammela TL, Huhtala H, Hakama M, Auvinen A: Effects of age, comorbidity and lifestyle factors on erectile function: Tampere Ageing Male Urological Study (TAMUS). Eur Urol. 2004, 45 (5): 628-633. 10.1016/j.eururo.2003.11.020.CrossRefPubMed Shiri R, Koskimaki J, Hakkinen J, Tammela TL, Huhtala H, Hakama M, Auvinen A: Effects of age, comorbidity and lifestyle factors on erectile function: Tampere Ageing Male Urological Study (TAMUS). Eur Urol. 2004, 45 (5): 628-633. 10.1016/j.eururo.2003.11.020.CrossRefPubMed
7.
go back to reference Nicolosi A, Moreira ED, Shirai M, Bin Mohd Tambi MI, Glasser DB: Epidemiology of erectile dysfunction in four countries: cross-national study of the prevalence and correlates of erectile dysfunction. Urology. 2003, 61 (1): 201-206. 10.1016/S0090-4295(02)02102-7.CrossRefPubMed Nicolosi A, Moreira ED, Shirai M, Bin Mohd Tambi MI, Glasser DB: Epidemiology of erectile dysfunction in four countries: cross-national study of the prevalence and correlates of erectile dysfunction. Urology. 2003, 61 (1): 201-206. 10.1016/S0090-4295(02)02102-7.CrossRefPubMed
8.
go back to reference Bacon CG, Mittleman MA, Kawachi I, Giovannucci E, Glasser DB, Rimm EB: Sexual function in men older than 50 years of age: results from the health professionals follow-up study. Ann Intern Med. 2003, 139 (3): 161-168.CrossRefPubMed Bacon CG, Mittleman MA, Kawachi I, Giovannucci E, Glasser DB, Rimm EB: Sexual function in men older than 50 years of age: results from the health professionals follow-up study. Ann Intern Med. 2003, 139 (3): 161-168.CrossRefPubMed
9.
go back to reference Johannes CB, Araujo AB, Feldman HA, Derby CA, Kleinman KP, McKinlay JB: Incidence of erectile dysfunction in men 40 to 69 years old: longitudinal results from the Massachusetts male aging study. J Urol. 2000, 163 (2): 460-463. 10.1016/S0022-5347(05)67900-1.CrossRefPubMed Johannes CB, Araujo AB, Feldman HA, Derby CA, Kleinman KP, McKinlay JB: Incidence of erectile dysfunction in men 40 to 69 years old: longitudinal results from the Massachusetts male aging study. J Urol. 2000, 163 (2): 460-463. 10.1016/S0022-5347(05)67900-1.CrossRefPubMed
10.
11.
go back to reference Amidu N, Owiredu WKBA, Woode E, Addai-Mensah O, Gyasi-Sarpong KC, Alhassan A: Prevalence of male sexual dysfunction among Ghanaian populace: myth or reality?. Int J Impot Res. 2010 Amidu N, Owiredu WKBA, Woode E, Addai-Mensah O, Gyasi-Sarpong KC, Alhassan A: Prevalence of male sexual dysfunction among Ghanaian populace: myth or reality?. Int J Impot Res. 2010
12.
go back to reference Feldman HA, Goldstein I, Hatzichristou DG, Krane RJ, McKinlay JB: Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study. J Urol. 1994, 151 (1): 54-61.PubMed Feldman HA, Goldstein I, Hatzichristou DG, Krane RJ, McKinlay JB: Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study. J Urol. 1994, 151 (1): 54-61.PubMed
13.
go back to reference Martin-Morales A, Sanchez-Cruz JJ, Saenz de Tejada I, Rodriguez-Vela L, Jimenez-Cruz JF, Burgos-Rodriguez R: Prevalence and independent risk factors for erectile dysfunction in Spain: results of the Epidemiologia de la Disfuncion Erectil Masculina Study. J Urol. 2001, 166 (2): 569-574. 10.1016/S0022-5347(05)65986-1. discussion 574-565CrossRefPubMed Martin-Morales A, Sanchez-Cruz JJ, Saenz de Tejada I, Rodriguez-Vela L, Jimenez-Cruz JF, Burgos-Rodriguez R: Prevalence and independent risk factors for erectile dysfunction in Spain: results of the Epidemiologia de la Disfuncion Erectil Masculina Study. J Urol. 2001, 166 (2): 569-574. 10.1016/S0022-5347(05)65986-1. discussion 574-565CrossRefPubMed
14.
go back to reference Nehra A, Kulaksizoglu H: Global perspectives and controversies in the epidemiology of male erectile dysfunction. Curr Opin Urol. 2002, 12 (6): 493-496. 10.1097/00042307-200211000-00009.CrossRefPubMed Nehra A, Kulaksizoglu H: Global perspectives and controversies in the epidemiology of male erectile dysfunction. Curr Opin Urol. 2002, 12 (6): 493-496. 10.1097/00042307-200211000-00009.CrossRefPubMed
15.
go back to reference Rodriguez MA, Kumar SK, De Caro M: Hypertensive Crisis. Cardiology in Review. 18 (2): 102-107. 10.1097/CRD.0b013e3181c307b7. Rodriguez MA, Kumar SK, De Caro M: Hypertensive Crisis. Cardiology in Review. 18 (2): 102-107. 10.1097/CRD.0b013e3181c307b7.
16.
go back to reference Virag R, Bouilly P, Frydman D: Is impotence an arterial disorder? A study of arterial risk factors in 440 impotent men. Lancet. 1985, 1 (8422): 181-184. 10.1016/S0140-6736(85)92023-9.CrossRefPubMed Virag R, Bouilly P, Frydman D: Is impotence an arterial disorder? A study of arterial risk factors in 440 impotent men. Lancet. 1985, 1 (8422): 181-184. 10.1016/S0140-6736(85)92023-9.CrossRefPubMed
17.
go back to reference Shabsigh R, Fishman IJ, Schum C, Dunn JK: Cigarette smoking and other vascular risk factors in vasculogenic impotence. Urology. 1991, 38 (3): 227-231. 10.1016/S0090-4295(91)80350-G.CrossRefPubMed Shabsigh R, Fishman IJ, Schum C, Dunn JK: Cigarette smoking and other vascular risk factors in vasculogenic impotence. Urology. 1991, 38 (3): 227-231. 10.1016/S0090-4295(91)80350-G.CrossRefPubMed
18.
go back to reference Jaffe A, Chen Y, Kisch ES, Fischel B, Alon M, Stern N: Erectile dysfunction in hypertensive subjects. Assessment of potential determinants. Hypertension. 1996, 28 (5): 859-862.CrossRefPubMed Jaffe A, Chen Y, Kisch ES, Fischel B, Alon M, Stern N: Erectile dysfunction in hypertensive subjects. Assessment of potential determinants. Hypertension. 1996, 28 (5): 859-862.CrossRefPubMed
19.
go back to reference Rust J, Golombok S: The GRISS: a psychometric instrument for the assessment of sexual dysfunction. Arch Sex Behav. 1986, 15 (2): 157-165. 10.1007/BF01542223.CrossRefPubMed Rust J, Golombok S: The GRISS: a psychometric instrument for the assessment of sexual dysfunction. Arch Sex Behav. 1986, 15 (2): 157-165. 10.1007/BF01542223.CrossRefPubMed
20.
go back to reference Rust J, Golombok S: the Golombok Rust Inventory of Sexual Satisfaction (GRISS) [manual]. 1986, Windsor, England: NFER: Nelson Rust J, Golombok S: the Golombok Rust Inventory of Sexual Satisfaction (GRISS) [manual]. 1986, Windsor, England: NFER: Nelson
21.
go back to reference Rust J, Golombok S: The Golombok-Rust Inventory of Sexual Satisfaction (GRISS). Br J Clin Psychol. 1985, 24 (Pt 1): 63-64.CrossRefPubMed Rust J, Golombok S: The Golombok-Rust Inventory of Sexual Satisfaction (GRISS). Br J Clin Psychol. 1985, 24 (Pt 1): 63-64.CrossRefPubMed
23.
go back to reference Spector IP, Carey MP: Incidence and prevalence of the sexual dysfunctions: a critical review of the empirical literature. Arch Sex Behav. 1990, 19 (4): 389-408. 10.1007/BF01541933.CrossRefPubMed Spector IP, Carey MP: Incidence and prevalence of the sexual dysfunctions: a critical review of the empirical literature. Arch Sex Behav. 1990, 19 (4): 389-408. 10.1007/BF01541933.CrossRefPubMed
24.
go back to reference Morokqff PJ, Gillilland R: Stress, sexual functioning, and marital satisfaction. Journal of Sex Research. 1993, 30 (1): 43-53. 10.1080/00224499309551677.CrossRef Morokqff PJ, Gillilland R: Stress, sexual functioning, and marital satisfaction. Journal of Sex Research. 1993, 30 (1): 43-53. 10.1080/00224499309551677.CrossRef
25.
go back to reference Fugl-Meyer AR, Lodnert G, Branholm IB, Fugl-Meyer KS: On life satisfaction in male erectile dysfunction. Int J Impot Res. 1997, 9 (3): 141-148. 10.1038/sj.ijir.3900269.CrossRefPubMed Fugl-Meyer AR, Lodnert G, Branholm IB, Fugl-Meyer KS: On life satisfaction in male erectile dysfunction. Int J Impot Res. 1997, 9 (3): 141-148. 10.1038/sj.ijir.3900269.CrossRefPubMed
26.
go back to reference Frank E, Anderson C, Rubinstein D: Frequency of sexual dysfunction in "normal" couples. N Engl J Med. 1978, 299 (3): 111-115. 10.1056/NEJM197807202990302.CrossRefPubMed Frank E, Anderson C, Rubinstein D: Frequency of sexual dysfunction in "normal" couples. N Engl J Med. 1978, 299 (3): 111-115. 10.1056/NEJM197807202990302.CrossRefPubMed
27.
go back to reference Krucoff C, Krucoff M: Peak performance. American Fitness. 2000, 19: 32-36. Krucoff C, Krucoff M: Peak performance. American Fitness. 2000, 19: 32-36.
28.
go back to reference Stanten N, Yeager S: Four workouts to improve your love life. Prevention. 2003, 55: 76-78. Stanten N, Yeager S: Four workouts to improve your love life. Prevention. 2003, 55: 76-78.
29.
go back to reference Furlow WL: Prevalence of impotence in United States. Medical Aspects of Human Sexuality. 1985, 19: 13-16. Furlow WL: Prevalence of impotence in United States. Medical Aspects of Human Sexuality. 1985, 19: 13-16.
30.
go back to reference Tsitouras PD, Martin CE, Harman SM: Relationship of serum testosterone to sexual activity in healthy elderly men. J Gerontol. 1982, 37 (3): 288-293.CrossRefPubMed Tsitouras PD, Martin CE, Harman SM: Relationship of serum testosterone to sexual activity in healthy elderly men. J Gerontol. 1982, 37 (3): 288-293.CrossRefPubMed
31.
go back to reference Morley JE, Tariq SH: Sexuality and disease. Clin Geriatr Med. 2003, 19 (3): 563-573. 10.1016/S0749-0690(02)00100-3.CrossRefPubMed Morley JE, Tariq SH: Sexuality and disease. Clin Geriatr Med. 2003, 19 (3): 563-573. 10.1016/S0749-0690(02)00100-3.CrossRefPubMed
32.
go back to reference Enzlin P, Mathieu C, Van Den Bruel A, Vanderschueren D, Demyttenaere K: Prevalence and predictors of sexual dysfunction in patients with type 1 diabetes. Diabetes Care. 2003, 26 (2): 409-414. 10.2337/diacare.26.2.409.CrossRefPubMed Enzlin P, Mathieu C, Van Den Bruel A, Vanderschueren D, Demyttenaere K: Prevalence and predictors of sexual dysfunction in patients with type 1 diabetes. Diabetes Care. 2003, 26 (2): 409-414. 10.2337/diacare.26.2.409.CrossRefPubMed
33.
go back to reference McCulloch DK, Campbell IW, Wu FC, Prescott RJ, Clarke BF: The prevalence of diabetic impotence. Diabetologia. 1980, 18 (4): 279-283. 10.1007/BF00251005.CrossRefPubMed McCulloch DK, Campbell IW, Wu FC, Prescott RJ, Clarke BF: The prevalence of diabetic impotence. Diabetologia. 1980, 18 (4): 279-283. 10.1007/BF00251005.CrossRefPubMed
34.
go back to reference Burchardt M, Burchardt T, Baer L, Kiss AJ, Pawar RV, Shabsigh A, de la Taille A, Hayek OR, Shabsigh R: Hypertension is associated with severe erectile dysfunction. J Urol. 2000, 164 (4): 1188-1191. 10.1016/S0022-5347(05)67138-8.CrossRefPubMed Burchardt M, Burchardt T, Baer L, Kiss AJ, Pawar RV, Shabsigh A, de la Taille A, Hayek OR, Shabsigh R: Hypertension is associated with severe erectile dysfunction. J Urol. 2000, 164 (4): 1188-1191. 10.1016/S0022-5347(05)67138-8.CrossRefPubMed
35.
go back to reference Llisterri JL, Lozano Vidal JV, Aznar Vicente J, Argaya Roca M, Pol Bravo C, Sanchez Zamorano MA, Ferrario CM: Sexual dysfunction in hypertensive patients treated with losartan. Am J Med Sci. 2001, 321 (5): 336-341. 10.1097/00000441-200105000-00006.CrossRefPubMed Llisterri JL, Lozano Vidal JV, Aznar Vicente J, Argaya Roca M, Pol Bravo C, Sanchez Zamorano MA, Ferrario CM: Sexual dysfunction in hypertensive patients treated with losartan. Am J Med Sci. 2001, 321 (5): 336-341. 10.1097/00000441-200105000-00006.CrossRefPubMed
36.
go back to reference Jensen J, Lendorf A, Stimpel H, Frost J, Ibsen H, Rosenkilde P: The prevalence and etiology of impotence in 101 male hypertensive outpatients. Am J Hypertens. 1999, 12 (3): 271-275. 10.1016/S0895-7061(98)00225-8.CrossRefPubMed Jensen J, Lendorf A, Stimpel H, Frost J, Ibsen H, Rosenkilde P: The prevalence and etiology of impotence in 101 male hypertensive outpatients. Am J Hypertens. 1999, 12 (3): 271-275. 10.1016/S0895-7061(98)00225-8.CrossRefPubMed
37.
go back to reference Houle TT, Dhingra LK, Remble TA, Rokicki LA, Penzien DB: Not tonight, I have a headache?. Headache. 2006, 46 (6): 983-990. 10.1111/j.1526-4610.2006.00470.x.CrossRefPubMed Houle TT, Dhingra LK, Remble TA, Rokicki LA, Penzien DB: Not tonight, I have a headache?. Headache. 2006, 46 (6): 983-990. 10.1111/j.1526-4610.2006.00470.x.CrossRefPubMed
38.
go back to reference Mocciola A, Marchione P, Nappi G, Giacomini P: T05-O-13 Is sexual behaviour related to analgesic addiction in migraine? A psychobiological perspective. Sexologies. 2008, 17 (Supplement 1): S86-S86. 10.1016/S1158-1360(08)72749-X.CrossRef Mocciola A, Marchione P, Nappi G, Giacomini P: T05-O-13 Is sexual behaviour related to analgesic addiction in migraine? A psychobiological perspective. Sexologies. 2008, 17 (Supplement 1): S86-S86. 10.1016/S1158-1360(08)72749-X.CrossRef
39.
go back to reference Frese A, Eikermann A, Frese K, Schwaag S, Husstedt IW, Evers S: Headache associated with sexual activity: demography, clinical features, and comorbidity. Neurology. 2003, 61 (6): 796-800.CrossRefPubMed Frese A, Eikermann A, Frese K, Schwaag S, Husstedt IW, Evers S: Headache associated with sexual activity: demography, clinical features, and comorbidity. Neurology. 2003, 61 (6): 796-800.CrossRefPubMed
40.
go back to reference Hendren SK, O'Connor BI, Liu M, Asano T, Cohen Z, Swallow CJ, Macrae HM, Gryfe R, McLeod RS: Prevalence of male and female sexual dysfunction is high following surgery for rectal cancer. Ann Surg. 2005, 242 (2): 212-223. 10.1097/01.sla.0000171299.43954.ce.PubMedCentralCrossRefPubMed Hendren SK, O'Connor BI, Liu M, Asano T, Cohen Z, Swallow CJ, Macrae HM, Gryfe R, McLeod RS: Prevalence of male and female sexual dysfunction is high following surgery for rectal cancer. Ann Surg. 2005, 242 (2): 212-223. 10.1097/01.sla.0000171299.43954.ce.PubMedCentralCrossRefPubMed
41.
go back to reference Shindel A, Quayle S, Yan Y, Husain A, Naughton C: Sexual dysfunction in female partners of men who have undergone radical prostatectomy correlates with sexual dysfunction of the male partner. J Sex Med. 2005, 2 (6): 833-841. 10.1111/j.1743-6109.2005.00148.x. discussion 841CrossRefPubMed Shindel A, Quayle S, Yan Y, Husain A, Naughton C: Sexual dysfunction in female partners of men who have undergone radical prostatectomy correlates with sexual dysfunction of the male partner. J Sex Med. 2005, 2 (6): 833-841. 10.1111/j.1743-6109.2005.00148.x. discussion 841CrossRefPubMed
42.
go back to reference Filiberti A, Audisio RA, Gangeri L, Baldini MT, Tamburini M, Belli F, Parc R, Leo E: Prevalence of sexual dysfunction in male cancer patients treated with rectal excision and coloanal anastomosis. Eur J Surg Oncol. 1994, 20 (1): 43-46.PubMed Filiberti A, Audisio RA, Gangeri L, Baldini MT, Tamburini M, Belli F, Parc R, Leo E: Prevalence of sexual dysfunction in male cancer patients treated with rectal excision and coloanal anastomosis. Eur J Surg Oncol. 1994, 20 (1): 43-46.PubMed
43.
go back to reference Fass R, Fullerton S, Naliboff B, Hirsh T, Mayer EA: Sexual dysfunction in patients with irritable bowel syndrome and non-ulcer dyspepsia. Digestion. 1998, 59 (1): 79-85. 10.1159/000007471.CrossRefPubMed Fass R, Fullerton S, Naliboff B, Hirsh T, Mayer EA: Sexual dysfunction in patients with irritable bowel syndrome and non-ulcer dyspepsia. Digestion. 1998, 59 (1): 79-85. 10.1159/000007471.CrossRefPubMed
Metadata
Title
Sexual dysfunction among Ghanaian men presenting with various medical conditions
Authors
Nafiu Amidu
William KBA Owiredu
Eric Woode
Roselyn Appiah
Lawrence Quaye
Christian K Gyasi-Sarpong
Publication date
01-12-2010
Publisher
BioMed Central
Published in
Reproductive Biology and Endocrinology / Issue 1/2010
Electronic ISSN: 1477-7827
DOI
https://doi.org/10.1186/1477-7827-8-118

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