Premature Ejaculation in Urban Malaysian Population: The Associations between Erectile Dysfunction(ED), Anxiety and Depression
- Author:
Shamini Arasalingam
;
Hatta Sidi
;
Marhani Midin
- Publication Type:Original Article
- Keywords:
Premature ejaculation, erectile dysfunction, Urban Malaysian population, anxiety
- From:
The International Medical Journal Malaysia
2016;15(1):89-96
- CountryMalaysia
- Language:English
-
Abstract:
Both premature ejaculation(PE) and erectile dysfunction(ED) are prevalent sexual health
disorders that have been inadequately investigated in Malaysia, a multiethnic and conservative nation.The
objective of the study was to study the relationship between PE and ED, and other common mental health
issues, i.e. anxiety and depression in Malaysian urban population. Methods: The diagnosis for PE was
established by clinical diagnosis using DSM-5 and ISSM definition criteria for PE, whereas a diagnosis of ED
was established by the International Index of Erectile Function (IIEF) questionnaire. Anxiety and depression
levels were detected from the Hospital Anxiety and Depression Scale (HADS). Results: Based on DSM-V and
ISSM clinical diagnosis for PE, the prevalence of PE was found to be 25%. Erectile dysfunction (p = 0.035, OR
= 3.315, 95% CI 1.088, 10.103) and severe anxiety (p = 0.020, OR = 7.656, 95% CI 1.383, 42.396) significantly
predicted presence of PE. Conclusion: There was a strong association between PE and ED and between PE
and anxiety. Routine examination for PE in male patients should address the issue and the management of
both ED and anxiety among PE patients, especially in an urban Malaysian clinical and medical care setting.
