The physician’s gender influences the results of the diagnostic workup for erectile dysfunction
Open accessAbstract
BACKGROUND: Despite the well-known influence of psychological and situational factors on erectile dysfunction, the influence of the physician's gender on the andrological workup has never been investigated so far. OBJECTIVES: To investigate physician's gender influence on the erectile dysfunction diagnostic workup. MATERIALS AND METHODS: Cross-sectional study with retrospective data collection. We evaluate a consecutive series of erectile dysfunction patients: 95 at the University of Modena and Reggio Emilia (UNIMORE) and 1808 at the University of Florence (UNIFI). In the UNIMORE cohort (Cohort 1), intracavernousal injection test was performed in case of suspected vascular pathogenic component. In the UNIFI cohort (Cohort 2), patients were evaluated by structured interview on erectile dysfunction and ANDROTEST. Both cohorts were divided into two groups according to the gender of the physician who performed the intracavernousal injection test or the structured interview. RESULTS: In Cohort 1, patients who had the intracavernousal injection test performed by a female physician had a significantly higher probability of obtaining a better intracavernousal injection test response. In Cohort 2, patients interviewed by female physician more frequently reported to have a conflictual couple relationship and a reduced frequency of climax in their partners. However, they reported less difficulties in achieving and maintaining erection, higher frequency of autoeroticism, lower occurrence of erectile dysfunction during masturbation and lower impairment in morning erections. CONCLUSIONS: Physician's gender affects the results obtained during the erectile dysfunction diagnostic workup. Men interviewed by a female physician describe a less severe erectile dysfunction probably as attempt to defend their own virility. On the other hand, the presence of a male physician during intracavernousal injection test is associated to a worse response suggesting a possible unconscious competition.
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Health care professionals' gender and communication style affect men's disclosure about ED.
“Moreover, health care professionals’ gender and communication style seem to have an effect on men's disclosure about ED.98”
From A Psychosocial Approach to Erectile Dysfunction: Position Statements from the European Society of Sexual Medicine (ESSM) (2021) · cites this paper as [98]
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“Moreover, health care professionals’ gender and communication style seem to have an effect on men’s disclosure about ED.(98) Indicators for seeking treatment, on the other hand, are desire to have sex, duration of the condition, partner insistence, awareness of treatment options, and affordability of treatment.”
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Geschlecht des Arztes beeinflusst Testergebnis
Schmidt, J. (2020) · MMW - Fortschritte der Medizin · doi:10.1007/s15006-020-0185-5
- Authors
- Rastrelli, G., Cipriani, S., Craparo, A., De Vincentis, S., Granata, A. R. M., Spaggiari, G., Simoni, M., Maggi, M., & Santi, D.
- Affiliations
- University of Florence (IT)
- University of Modena and Reggio Emilia (IT)
- Unit of Endocrinology Department of Biomedical, Metabolic and Neural Sciences University of Modena and Reggio Emilia Modena Italy
- Azienda Ospedaliero-Universitaria di Modena (IT)
- Corresponding author
- Santi, Daniele
- Venue
- Andrology
- Publisher
- Wiley
- Published
- 2020-01-29
- Volume
- 8
- Issue
- 3
- Pages
- 671-679
- ISSN
- 2047-2919 (ISSN-L)
- 2047-2927
- OpenAlex
- W2999858080
- Cited by
- 8
- References
- 21
- Citations by year
- 2024: 2 · 2023: 1 · 2022: 2 · 2021: 1 · 2020: 2
- FWCI
- 1.09
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Andrology (publishedVersion)
- PubMed (publishedVersion)
- Florence Research (University of Florence) (submittedVersion, other-oa)
- IRIS UNIMORE (University of Modena and Reggio Emilia) (submittedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Health Sciences › Medicine › Urology › Urological Disorders and Treatments
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
- Keywords
- erectile dysfunction, physician gender, diagnostic workup, sexual function assessment, couple relationships, sexual behavior, male physicians, female physicians, virility
- MeSH terms
- Adult, Cross-Sectional Studies, Female, Humans, Erectile Dysfunction, Male, Middle Aged, Physicians, Retrospective Studies, Sex Factors
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