Changes in sexual inhibition and excitation during PDE5I therapy
Abstract
The aim of this longitudinal study was to assess possible changes in sexual inhibition and excitation (measured using the Sexual Inhibition and Sexual Excitation Scales (SIS/SES)) in men being treated with PDE5 inhibitors (PDE5I) for ED. Established PDE5I users diagnosed with psychogenic ED completed the SES/SIS questionnaire at recruitment and 3 months later. On the basis of International Index of Erectile Function scores at recruitment, subjects were divided into two groups - mildly affected (M) and mild-to-moderately affected (MM). SES scores were significantly lower, and SIS1 scores were significantly higher in Group MM at recruitment and at 3 months (P<0.001). In Group M, SES scores increased (P<0.005) and SIS1 (P<0.001) and SIS2 (P=0.01) scores decreased over the 3 months of the study. In Group MM, ongoing decreases in SES and increases in SIS1 scores were observed (P<0.001). The results of multiple linear regression showed that SIS/SES variables were of little value in predicting erectile function (EF) at recruitment, or changes in EF during the study period. The results for Group M showed that men whose EF scores increased were more likely to experience increased SIS2 and decreased SES scores.
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Medical treatment is not only indicated for organic ED; PDE5 inhibitors can be used for psychologic ED to reduce failure anxiety and increase self-confidence.
“Medical treatment is, however, not only indicated in case of organic ED. PDE5 inhibitors, for example, can be used in case of psychologic ED as well to reduce failure anxiety and increase self-confidence as a first step to regain control over their erectile function.113,114”
From A Psychosocial Approach to Erectile Dysfunction: Position Statements from the European Society of Sexual Medicine (ESSM) (2021) · cites this paper as [113]
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- Authors
- Louizos, C. C. J., McCann, B., & Knight, P. K.
- Affiliations
- The University of Sydney (AU)
- Corresponding author
- Knight, P K
- ORCID
- Knight, P K
- Venue
- International Journal of Impotence Research
- Published
- 2014-01-23
- Volume
- 26
- Issue
- 4
- Pages
- 146-150
- ISSN
- 0955-9930 (ISSN-L)
- 1476-5489
- OpenAlex
- W2060621122
- Cited by
- 9
- References
- 25
- Citations by year
- 2026: 1 · 2023: 1 · 2022: 1 · 2021: 3 · 2020: 1 · 2017: 1 · 2015: 1
- FWCI
- 0.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Impotence Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Eli Lilly Australia
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
- Health Sciences › Medicine › Urology › Urological Disorders and Treatments
- Keywords
- sexual inhibition, sexual excitation, phosphodiesterase-5 inhibitors, erectile dysfunction, psychogenic erectile dysfunction, erectile function, International Index of Erectile Function
- MeSH terms
- Adult, Dose-Response Relationship, Drug, Humans, Erectile Dysfunction, Longitudinal Studies, Male, Middle Aged, Penile Erection, Surveys and Questionnaires, Sexual Behavior, Sexual Dysfunctions, Psychological, Phosphodiesterase 5 Inhibitors
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