Male sexual dysfunction among applicants for vasectomy

Male sexual dysfunction among applicants for vasectomy

B. Dilbaz, E. Caliskan, H. Cengiz, S. Gungor, S. Dilbaz,

A. Haberal

Ministery of Health Ankara Etlik Maternity and Women’s Health

Teaching and Research Hospital, Department of Family Planning, Ankara, Turkey,

and Kocaeli University Department of Obstetrics & Gynaecology, Kocaeli,


Objective Florida Sexual Health Questionnaire (FSHQ)

Turkish version is used to evaluate the male sexual dysfunction among men who

applied to a metropolitan family planning center (FPC) for vasectomy.

Design and methods Forty-nine men who applied to a FPC

for vasectomy between September and December 2005 and accepted to fill in the

questionnaire were taken as the study grorup.The demographic characteristics

including age, educational level, marital status (duration of marriage, age at

marriage), occupational status, income level (lower, moderate, high) were

assesed. A FSHQ score of = 95 was considered as male sexual dysfunction (MSD)

and the prevalance of sexual dysfunction is detected. Also the scores of domains

that constitute the FSHQ; sexual desire, sexual development, intercourse

dysfunction, erectile and ejaculation and satisfaction problem were evaluated

and the relationship between the possible risk factors and MSD is analyzed

statistically using SPSS.

Results The median age of the patient group was 39.4±5

and the avarage duration of marriage was 15.5 ±4, tha age at marriage was

22.7±4. Forty-five percent of the men were primary, 34.5% were secondary school

graduates. All of the patients had a job. Whilst 46.8% had a lower income, 53.2%

declared a moderate income. Median FSHQ score was found to be 82.7±6. All the

patients had a score below 95. When the domains were investigated 20.4% had

sexual desire problem, 32.7% had intercourse dysfunction, 73.5% had sexual

development problem. Whilst all had erectile dysfunction, 95.9% had ejaculation

dysfunction and 89.9% had satisfaction problem. There was no statistically

significant relationship between the risk factors and MSD. (p>0.005 for all


Conclusion Sexual dysfunction has long been a hidden

problem due to various restrictions such as culture, religion or social

factors.The findings of the presented study highlight the importance of

encouraging male applicants of family planning clinics speaking out their

problems about their sexual health that constitutes a major part of reproductive


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