The incident rate for erectile dysfunction is 25-30 cases per thousand person years and increases with age. Sexual dysfunction seems to increase with age, with 40-45% of women experiencing it and 20-30% of men manifesting sexual dysfunction.
According to the Journal of Sexual Medicine there should be new standards definitions of male and female sexual dysfunction.
- Sexual interest/desire dysfunctions – are diminished or absent feelings of sexual interest or desire. The first area of sexual dysfunction seems to be more common women ain terms of genital arousal and sexual excitment.
- Orgasm dysfunction – in men and women is lack of orgasm or diminished senations of marked delay of orgams.
- Anejaculation – in men is the absence of ejaculation during orgasm.
- Dyspareunia – persistent or recurrent pain with attempted or complete vaginal entry or penile vaginal intercouse.
It seems that the risk factors of sexual dysfunction medications need further elaborations.
- general health status of the idividual
- presence of diabetes mellitus
- presence of cardiovascular disease
- other genitourinary disease
- psychiatric/psychological disorders
- chrone diseases
- social demographic conditions.
For erectile dysfunction, smoking and hormonal factors is a well defined risk factor.
In Men’s medical news – erectile dysfunction can be associated with low testosterone, a common symptom that occurs in elderly men. The good news is that with advances in hormone replacement therapy, low testosterone treatment is available.