ECE2014 Poster Presentations Diabetes (epidemiology, pathophysiology) (63 abstracts)
Sexual function of 26–36-year-old men with type 1 diabetes
Valentinas Matulevicius 1 , Rytas Ostrauskas 1 , Indre Matuleviciute 1 , Ilona Banisauskaite 1 , Justina Jureviciute 1 , Silvijus Abramavicius 1 , Rasa Verkauskiene 1 & Vaidotas Urbanavicius 2
1Lithuanian University of Health Sciences Institute of Endocrinology, Kaunas, Lithuania; 2Vilnius University, Vilnius, Lithuania.
Sexual dysfunction of type 1 diabetic (T1D) men is an area that has been rarely investigated until now. Investigation of reproductive health of young men was performed in Nordic and Baltic countries in 2003/2004 (‘The Reproductive function of Estonian, Latvian and Lithuanian young men’ (ELLY)) but analysis of sexual function was out of the target of the study. In this study we invited those presumably healthy men to participate as controls for investigation of T1D men sexual function.
We investigated the structure of sexuality of 26–36-year-old T1D men comparing them with the same age healthy men from ELLY.
One hundred and twenty-two T1D and 80 ELLY men filled the European male ageing study-sexual function questionnaire (EMAS-SFQ) and 4 domains of sexual function were calculated according to EMAS: overall sexual functioning (OSF), masturbation score (MS), sexual-function-related distress (SFD), change in sexual functioning during 1 year (CSF).
MS is lower in T1D men (1.29±1.62 vs 2.27±1.94 (T1D vs ELLY, M±SD)). Difference of SFD appears when disease duration is 5–9 years (3.68±3.77 vs 1.42±1.93) and extremely increases later while difference of OSF manifests when T1D duration is 10–19 years (19.24±5.34 vs 21.20±5.62). CSF does not appear in any group. SFD is the only domain that differs and is higher in patients with proliferative retinopathy in comparison with non-proliferative retinopathy (5.18±4.93 vs 1.20±1.76).
Decrease of MS in T1D from the beginning of the disease cause a doubt if it is a real complication in contrast to slowly increasing SFD and decreasing OSF when the duration of T1D increases.
Majority of ELLY and T1D men had permanent sexual partners so increase of MS in healthy men cannot be attributed to the lack of sexual partner. Contrary may be truth: they have the only partner for long time and masturbation satisfies their unmet sexual needs (‘price for fidelity’).
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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