BEHAVIORAL RISK FACTORS ASSOCIATED WITH SEXUAL DYSFUNCTION IN MEN

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Introduction. Sexual health is a fundamental part of everyone's physical, mental and social well-being. Despite the considerable interest of scientists in studying the impact of behavioral risk factors on sexual dysfunctions, most of them are fragmented and address specific aspects of the problem. However, comprehensive research on this issue is still lacking. Aim. To analyze the impact of behavioral factors on the sexual dysfunctions in men. Materials and methods. An analytical retrospective epidemiological study of 402 men with sexual dysfunctions and 200 men in the control group was conducted at private health care facilities. The diagnosis of sexual dysfunctions was carried out using standardized questionnaires: International Index of Erectile Function and Premature Ejaculation Diagnostic Tool. Lifestyle factors were studied according to the original author's program. The main group consisted of 232 men (57.7%) with erectile dysfunction, 89 (22.1%) with premature ejaculation, 61 (15.2%) with hypoactive sexual desire disorder and 20 (5.0%) with orgasmic dysfunction. Among the men with erectile dysfunction, 65 (28.0%) had mild, 130 (55.9%) had moderate, and 37 (16.1%) had severe dysfunction. Results. The sexual dysfunctions in men were associated with high-risk alcohol consumption in both frequency (2-4 times per month) and quantity (2-3 standard doses per episode): OR=25.50 (95%CI=13.75-47.27) and 3.34 (2.22-5.02), respectively. The odds of sexual dysfunction significantly increased with harmful alcohol use (2-3 times per week and 4-6 standard doses per episode) to OR=70.83 (95%CI=4.36-1151.73) and 26.45 (6.43-108.79). The sexual dysfunctions were also accompanied with high odds of drug use (52.30; 3.21-853.30), tobacco smoking (10.38; 6.75-15.98), in particular, for more than 5 years (11.73; 6.79-20.27) and more than 10 cigarettes per day (5.96; 2.69-13.19), as well as with physical inactivity (9.39; 6.34-13.91) and irregular eating (4.22; 2.13-8.36) against the background of insufficient (up to 1.5 liters per day) fluid intake (4.30; 3.00-6.16). Conclusions. Preventive counseling and care aimed at correcting individual lifestyles should be a mandatory component of sexual dysfunction management.

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