Advertisement

Regular Intercourse Protects Against Erectile Dysfunction: Tampere Aging Male Urologic Study

      Abstract

      Background

      Erectile dysfunction is common among men aged more than 60 years. Its cause involves both physiologic and psychosocial factors.

      Methods

      To evaluate the effects of coital frequency on subsequent risk of erectile dysfunction, data were analyzed from a population-based 5-year follow-up study that was conducted in Pirkanmaa, Finland, using postal questionnaires. Assessment was based on the 5-item version of the validated International Index of Erectile Function. Men with erectile dysfunction at entry were excluded from the analysis. The study sample consisted of 989 men aged 55 to 75 years (mean 59.2 years). The most common comorbidities were hypertension (32%), heart disease (12%), depression (7%), diabetes (4%,) and cerebrovascular disorder (4%).

      Results

      The overall incidence of moderate or complete erectile dysfunction was 32 cases per 1000 person-years (95% confidence interval [CI], 27-38). After adjustment for comorbidity and other major risk factors, men reporting intercourse less than once per week at baseline had twice the incidence of erectile dysfunction compared with those reporting intercourse once per week (79 vs 33/1000, incidence rate ratio 2.2, 95% CI, 1.3-3.8). The risk of erectile dysfunction was inversely related to the frequency of intercourse. No relationship between morning erections and incidence of moderate or severe erectile dysfunction was found.

      Conclusion

      Regular intercourse protects against the development of erectile dysfunction among men aged 55 to 75 years. This may have an impact on general health and quality of life; therefore, doctors should support patients' sexual activity.

      Keywords

      To read this article in full you will need to make a payment

      References

        • Camacho M.E.
        • Reyes-Ortiz C.A.
        Sexual dysfunction in the elderly: age or disease?.
        Int J Impot Res. 2005; 17: S52-S56
        • Foresta C.
        • Caretta N.
        • Garolla A.
        • Rossato M.
        Erectile function in elderly: role of androgens.
        J Endocrinol Invest. 2003; 26: 77-81
        • Araujo A.B.
        • Mohr B.A.
        • McKinlay J.B.
        Changes in sexual function in middle-aged and older men: longitudinal data from Massachusetts Male Ageing Study.
        J Am Geriatr Soc. 2004; 52: 1502-1509
        • Koskimäki J.
        • Hakama M.
        • Huhtala H.
        • Tammela T.L.J.
        Effect of erectile dysfunction on frequency of intercourse: a population-based prevalence study in Finland.
        J Urol. 2000; 164: 367-370
        • Johannes C.B.
        • Araujo A.B.
        • Feldman H.A.
        Incidence of erectile dysfunction in men aged 40 to 69 years old: longitudinal results from the Massachusetts Male Ageing Study.
        J Urol. 2000; 163: 460-463
        • Moreira Jr, E.D.
        • Lobo C.F.
        • Diament A.
        Incidence of erectile dysfunction in men aged 40 to 69 years old: results from a population-based cohort study in Brazil.
        Urology. 2003; 61: 431-436
        • Shiri R.
        • Koskimäki J.
        • Hakama M.
        • et al.
        Effect of chronic diseases on incidence of erectile dysfunction.
        Urology. 2003; 62: 1097-1102
        • Riley A.
        • Beardsworth A.
        • Kontodimas S.
        • et al.
        Sexual intercourse frequency in men presenting for treatment of erectile dysfunction: results from the Pan-European Erectile Dysfunction Observational Study.
        J Sex Marital Ther. 2007; 33: 3-18
        • Chen K.-K.
        • Chiang H.-S.
        • Jiann B.-P.
        • et al.
        Prevalence of erectile dysfunction and impacts on sexual activity and self-reported intercourse satisfaction in men older than 40 years in Taiwan.
        Int J Impot Res. 2004; 16: 249-255
      1. Available at: http://www.vaestorekisterikeskus.fi/vrk/home.nsf/pages/index_eng

        • Rosen R.C.
        • Cappelleri J.C.
        • Smith M.D.
        • et al.
        Development and evaluation of an abridged, 5-item version of the International Index of Erectile Function (IIEF-5) as a diagnostic tool for erectile dysfunction.
        Int J Impot Res. 1999; 11: 319-326
        • McMahon C.G.
        • Touma K.
        Predictive value of patient history and correlation of nocturnal penile tumescence, colour duplex Doppler ultrasonography and dynamic cavernosometry and cavernosography in the evaluation of erectile dysfunction.
        Int J Impot Res. 1999; 11: 47-51
        • Schiavi R.C.
        • White D.
        • Mandeli J.
        • Levine A.C.
        Effect of testosterone administration on sexual behavior and mood in men with erectile dysfunction.
        Arch Sex Behav. 1997; 26: 231-241
        • Deslypee J.P.
        • Vermeulen A.
        Leydig cell function in normal men: effect of age, lifestyle, residence, diet, and activity.
        J Clin Endocrinol Metab. 1984; 59: 955-962
        • Kwan M.
        • Greenleaf W.J.
        • Mann J.
        • et al.
        The nature of androgen action on male sexuality: a combined laboratory-self-report study on hypogonadal men.
        J Clin Endocrinol Metab. 1983; 57: 557-562
        • Kupelian V.
        • Shabsigh R.
        • Travison T.G.
        • et al.
        Is there a relationship between sex hormones and erectile dysfunction?.
        J Urol. 2006; 176: 2584-2588