FREQUENCY AND RISK FACTORS OF ERECTILE DYSFUNCTION IN PATIENTS WITH DIABETES MELLITUS

Objective: To determine the frequency, severity and risk factors of erectile dysfunction in patients with diabetes mellitus.
Materials and methods: In this descriptive cross sectional study male patient with type II diabetes mellitus were included
(age 25 to 75 years) visiting Department of Medicine Lady Reading Hospital Peshawar. Participants completed
a self-reported questionnaire on demographic, socioeconomic, lifestyle characteristics and on erectile function, using
the IIEF-15 (International Index of Erectile Function). Information on duration of diabetes, smoking, type of treatment,
dyslipidemia, coronary artery disease, kidney disease and blood pressure were also obtained.
Results: The study included 146 diabetic male patients. Their age ranged between 25 and 75 with a mean of 52.75 and
standard deviation of 10.367 years. The overall frequency of ED was 65.1%. Among the 95 patients with ED, it was mild
in 10 (6.8 %), moderate in 15 (10.3%), moderate in 38 (26 %) and severe 32 (21.9 %) patients. Only 51 patients (34.9
%) have no erectile function. Patient`s age, DM duration, hypertension, hyperlipidemia, smoking, history of coronary
artery and kidney disease were independently associated with ED among diabetic patients (p <0.05).
Conclusion: Erectile dysfunction is a common condition in diabetic men and the severity increases with age and
duration of diabetes. This study provides a quantitative estimate of the frequency of erectile dysfunction and its main
risk factors in diabetic patient and therefore should routinely be inquired by the clinicians.
KEY WORDS: Diabetes mellitus, erectile dysfunction, severity.