Factors associated with low sexual desire in 45-year-old men: findings from the German male sex-study

Introduction - Although low sexual desire is 1 of the most common sexual dysfunctions in men, there is a lack of studies investigating associated factors in large, population-based samples of middle-aged men. - Aim - To survey the prevalence of low sexual desire in a population-based sample of 45-ye...

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Hauptverfasser: Meissner, Valentin H. (VerfasserIn) , Hadaschik, Boris (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: July 2019
In: The journal of sexual medicine
Year: 2019, Jahrgang: 16, Heft: 7, Pages: 981-991
ISSN:1743-6109
DOI:10.1016/j.jsxm.2019.04.018
Online-Zugang:Verlag, Volltext: https://doi.org/10.1016/j.jsxm.2019.04.018
Verlag, Volltext: http://www.sciencedirect.com/science/article/pii/S1743609519311622
Volltext
Verfasserangaben:Valentin H. Meissner, Lukas Schroeter, Frank-Michael Köhn, Martina Kron, Michael Zitzmann, Christian Arsov, Florian Imkamp, Boris Hadaschik, Jürgen E. Gschwend, Kathleen Herkommer

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520 |a Introduction - Although low sexual desire is 1 of the most common sexual dysfunctions in men, there is a lack of studies investigating associated factors in large, population-based samples of middle-aged men. - Aim - To survey the prevalence of low sexual desire in a population-based sample of 45-year-old German men and to evaluate associations with a broad set of factors. - Methods - Data were collected between April 2014-April 2016 within the German Male Sex-Study. Participants were asked to fill out questionnaires about 6 sociodemographic, 5 lifestyle, and 8 psychosocial factors, as well as 6 comorbidities and 4 factors of sexual behavior. Simple and multiple logistic regressions were used to assess potential explanatory factors. - Main Outcome Measures - We found a notable prevalence of low sexual desire in middle-aged men and detected associations with various factors. - Results - 12,646 men were included in the analysis, and prevalence of low sexual desire was 4.7%. In the multiple logistic regression with backward elimination, 8 of 29 factors were left in the final model. Men having ≥2 children, higher frequency of solo-masturbation, perceived importance of sexuality, and higher sexual self-esteem were less likely to have low sexual desire. Premature ejaculation, erectile dysfunction, and lower urinary tract symptoms were associated with low sexual desire. - Clinical Implications - Low sexual desire is common in middle-aged men, and associating factors that can potentially be modified should be considered during assessment and treatment of sexual desire disorders. - Strengths & Limitations - The strength of our study is the large, population-based sample of middle-aged men and the broad set of assessed factors. However, because of being part of a prostate cancer screening trial, a recruiting bias is arguable. - Conclusion - Our study revealed that low sexual desire among 45-year-old men is a common sexual dysfunction, with a prevalence of nearly 5% and might be affected by various factors, including sociodemographic and lifestyle factors, as well as comorbidities and sexual behavior. Meissner VH, Schroeter L, Köhn F-M, et al. Factors Associated with Low Sexual Desire in 45-Year-Old Men: Findings from the German Male Sex-Study. J Sex Med 2019;16:981-991. 
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