Article

Prevalence of Erectile Dysfunction Among Young Adults: Results of a Large-scale Survey

Sexual Rehabilitation Clinic, Reuth Medical Center, Tel Aviv and Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Journal of Sexual Medicine (Impact Factor: 3.15). 12/2004; 1(3):284-91. DOI: 10.1111/j.1743-6109.04041.x
Source: PubMed

ABSTRACT Erectile dysfunction (ED) can be an early and first sign of an underlying systemic disease. A screening program is offered by the Medical services of the Israel Defense Force for career servicemen at the Staff Periodic Examination Center (SPEC) aimed at early detection of morbidity. The Sexual Human Inventory for Males (SHIM) questionnaire was introduced to these men in order to identify ED, to offer men with ED suitable treatment options, and to investigate underlying systemic diseases.
To provide epidemiological data regarding the prevalence of ED among a large-scale young adult population.
Subjects aged 25-50 years are undergoing a routine check-up at SPEC. Blood samples, physiological measures, demographic variables, information on health status and smoking habits are recorded and documented. The SHIM self-administrated questionnaire was used to characterize ED.
During 2001-2003, 11,914 males reported to SPEC (average age 34.8 +/- 7.1 years). Five thousand eight hundred thirty-six of them chose to answer the SHIM questionnaire (compliance of 48.9%). According to the SHIM scores, at least one out of three men (26.9%) suffered from ED (19%, 7%, and 1% had mild, moderate, and severe ED, respectively). ED was prevalent also among young adults: 22.1% of males under-40 had low SHIM scores (<21). Severity of ED correlated with age and diabetes mellitus.
In light of these results, we conclude that ED is a major health concern among young men as well. Incorporating questions regarding sexual health in a routine check-up may encourage more men to seek treatment, not only for ED, but also for underlying diseases.

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    • "In many surveys, the prevalence of erectile dysfunction in the over 18 age group was found to be 4-14.7% (Laumann et al. 1999, Ventegodt 1998, Parazzini et al. 2000, Heruti et al. 2004, Fugl-meyer and Sjögren Fugl- Meyer 1999). In all the surveys, erectile dysfunction rates increase with age, in studies over age group 40 the prevalence of both moderate and severe erectile dysfunction is between 12% and 36% (Colson et al.. 2006, Lauman et al. 2005, Shirai et al. 1999, Feldman et al. 1994, Kongkanad et al. 2000, Akkus et al. 2002, Green et al. 2001, Blanker et al. 2001). "
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    • "ED, however, is not only an age-dependent phenomenon. In younger men, too, there are various diseases and risk factors impairing erectile function: In a cross-section survey of members of the Israeli army 22% of men aged below 40 complained of erectile dysfunction (Heruti et al. 2004). In western societies common morbidities such as lipid disorders, diabetes mellitus, hypertension and coronary artery disease are known risk factors of ED (Kaiser et al. 1988; Lee et al. 1994; Nicolosi et al. 2003). "
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