Impotence and Its Medical and Psychosocial Correlates: Results of the Massachusetts Male Aging Study
Abstract
We provide current, normative data on the prevalence of impotence, and its physiological and psychosocial correlates in a general population using results from the Massachusetts Male Aging Study. The Massachusetts Male Aging Study was a community based, random sample observational survey of noninstitutionalized men 40 to 70 years old conducted from 1987 to 1989 in cities and towns near Boston, Massachusetts. Blood samples, physiological measures, socio-demographic variables, psychological indexes, and information on health status, medications, smoking and lifestyle were collected by trained interviewers in the subject's home. A self-administered sexual activity questionnaire was used to characterize erectile potency. The combined prevalence of minimal, moderate and complete impotence was 52%. The prevalence of complete impotence tripled from 5 to 15% between subject ages 40 and 70 years. Subject age was the variable most strongly associated with impotence. After adjustment for age, a higher probability of impotence was directly correlated with heart disease, hypertension, diabetes, associated medications, and indexes of anger and depression, and inversely correlated with serum dehydroepiandrosterone, high density lipoprotein cholesterol and an index of dominant personality. Cigarette smoking was associated with a greater probability of complete impotence in men with heart disease and hypertension. We conclude that impotence is a major health concern in light of the high preva…
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In some cases yohimbine can improve sexual performance.
“Indications are that in some cases yohimbine can improve sexual performance [45].”
From Erectile dysfunction and its pharmacology: An overview (2017) · cites this paper as [45]
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Background
- Authors
- Feldman, H. A., Goldstein, I., Hatzichristou, D. G., Krane, R. J., & McKinlay, J. B.
- Affiliations
- Boston University (US)
- Venue
- Journal of Urology
- Published
- 1994-01
- Volume
- 151
- Issue
- 1
- Pages
- 54-61
- ISSN
- 0022-5347 (ISSN-L)
- 1527-3792
- OpenAlex
- W2297358297
- Cited by
- 5,074
- References
- 1
- Citations by year
- 2026: 81 · 2025: 109 · 2024: 146 · 2023: 163 · 2022: 156 · 2021: 164 · 2020: 139 · 2019: 167 · 2018: 161 · 2017: 152 · 2016: 170 · 2015: 145 · 2014: 147 · 2013: 204 · 2012: 173
- FWCI
- 31.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Urology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
- Health Sciences › Medicine › Urology › Urological Disorders and Treatments
- Keywords
- erectile dysfunction, Massachusetts Male Aging Study, age-related decline, cardiovascular disease, hypertension, diabetes mellitus, smoking, dehydroepiandrosterone, HDL cholesterol, depression, anger, personality, sexual activity, men's health
- MeSH terms
- Adult, Age Factors, Aged, Cross-Sectional Studies, Hormones, Humans, Erectile Dysfunction, Life Style, Lipids, Male, Massachusetts, Middle Aged, Surveys and Questionnaires, Risk Factors, Sampling Studies, Smoking, Socioeconomic Factors, Prevalence, Multivariate Analysis, Linear Models
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