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Retrograde ejaculation and sexual dysfunction in men with diabetes mellitus: a prospective, controlled study
Summary Retrograde ejaculation (RE) and erectile dysfunction may be caused by diabetes mellitus (DM), but the prevalence of RE among DM patients is unknown. A prospective, blinded case–control study comparing men with DM with matched controls according to RE and erectile dysfunction was performed. T...
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| Published in: | Andrology (Oxford) 2013-07, Vol.1 (4), p.602-606 |
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| creator | Fedder, J. Kaspersen, M. D. Brandslund, I. Højgaard, A. |
| description | Summary
Retrograde ejaculation (RE) and erectile dysfunction may be caused by diabetes mellitus (DM), but the prevalence of RE among DM patients is unknown. A prospective, blinded case–control study comparing men with DM with matched controls according to RE and erectile dysfunction was performed. Twenty‐seven men with DM matched the inclusion criteria and agreed to participate in the study, and of these 26 delivered an ejaculate. We were able to recruit 18 matching controls, and of these 16 delivered an ejaculate.
Nine of 26 men with DM who delivered an ejaculate had RE, whereas none of 16 controls had RE (p |
| doi_str_mv | 10.1111/j.2047-2927.2013.00083.x |
| format | article |
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Retrograde ejaculation (RE) and erectile dysfunction may be caused by diabetes mellitus (DM), but the prevalence of RE among DM patients is unknown. A prospective, blinded case–control study comparing men with DM with matched controls according to RE and erectile dysfunction was performed. Twenty‐seven men with DM matched the inclusion criteria and agreed to participate in the study, and of these 26 delivered an ejaculate. We were able to recruit 18 matching controls, and of these 16 delivered an ejaculate.
Nine of 26 men with DM who delivered an ejaculate had RE, whereas none of 16 controls had RE (p < 0.01). The mean duration of DM was longer for DM patients with RE (20 years) compared with DM patients in whom RE could not be demonstrated (13 years), but the difference was not statistically significant. RE could not be associated with BMI, waist circumference, blood pressure, Haemoglobin A1c (HgbA1c), high‐density lipoprotein HDL cholesterol, triglycerides, fasting glucose, or s‐testosterone. Diabetics suffering from RE more frequently exhibited erectile dysfunction compared with non‐diabetics and diabetics without RE, and the last‐mentioned group again more frequently than controls. These findings could not be explained by use of antihypertensive drugs.
Whereas none of the included control participants showed signs of abnormal ejaculation, every third man with DM exhibited retrograde ejaculation. It is important to be aware of this association, and that post‐ejaculatory urine is routinely analysed from aspermic fertility clinic attendants and diabetics with low ejaculate volumes.</description><identifier>ISSN: 2047-2919</identifier><identifier>EISSN: 2047-2927</identifier><identifier>DOI: 10.1111/j.2047-2927.2013.00083.x</identifier><identifier>PMID: 23606485</identifier><language>eng</language><publisher>Schaumburg, IL: American Society of Andrology</publisher><subject>Adult ; aspermia ; azoospermia ; Biological and medical sciences ; Biomarkers - blood ; Birth control ; Case-Control Studies ; Denmark - epidemiology ; Diabetes Mellitus, Type 1 - blood ; Diabetes Mellitus, Type 1 - epidemiology ; Diabetes Mellitus, Type 1 - physiopathology ; Diabetes Mellitus, Type 2 - blood ; Diabetes Mellitus, Type 2 - epidemiology ; Diabetes Mellitus, Type 2 - physiopathology ; Ejaculation ; Erectile Dysfunction - blood ; Erectile Dysfunction - epidemiology ; Erectile Dysfunction - physiopathology ; Fundamental and applied biological sciences. Psychology ; Gynecology. Andrology. Obstetrics ; Humans ; Male ; Male genital diseases ; Mammalian male genital system ; Medical sciences ; Middle Aged ; Penile Erection ; Prevalence ; Prospective Studies ; retrograde ejaculation ; Risk Factors ; sexual dysfunction ; Sexual Dysfunction, Physiological - blood ; Sexual Dysfunction, Physiological - epidemiology ; Sexual Dysfunction, Physiological - physiopathology ; Sterility. Assisted procreation ; Surveys and Questionnaires ; Time Factors ; Vertebrates: reproduction</subject><ispartof>Andrology (Oxford), 2013-07, Vol.1 (4), p.602-606</ispartof><rights>2013 American Society of Andrology and European Academy of Andrology</rights><rights>2014 INIST-CNRS</rights><rights>2013 American Society of Andrology and European Academy of Andrology.</rights><rights>Andrology©2013 American Society of Andrology and European Academy of Andrology</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4763-ee919938b72a00bd6e8a451110f82f6afe59a4a3de1548a10f2e0e6ac161daac3</citedby><cites>FETCH-LOGICAL-c4763-ee919938b72a00bd6e8a451110f82f6afe59a4a3de1548a10f2e0e6ac161daac3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27457346$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23606485$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fedder, J.</creatorcontrib><creatorcontrib>Kaspersen, M. D.</creatorcontrib><creatorcontrib>Brandslund, I.</creatorcontrib><creatorcontrib>Højgaard, A.</creatorcontrib><title>Retrograde ejaculation and sexual dysfunction in men with diabetes mellitus: a prospective, controlled study</title><title>Andrology (Oxford)</title><addtitle>Andrology</addtitle><description>Summary
Retrograde ejaculation (RE) and erectile dysfunction may be caused by diabetes mellitus (DM), but the prevalence of RE among DM patients is unknown. A prospective, blinded case–control study comparing men with DM with matched controls according to RE and erectile dysfunction was performed. Twenty‐seven men with DM matched the inclusion criteria and agreed to participate in the study, and of these 26 delivered an ejaculate. We were able to recruit 18 matching controls, and of these 16 delivered an ejaculate.
Nine of 26 men with DM who delivered an ejaculate had RE, whereas none of 16 controls had RE (p < 0.01). The mean duration of DM was longer for DM patients with RE (20 years) compared with DM patients in whom RE could not be demonstrated (13 years), but the difference was not statistically significant. RE could not be associated with BMI, waist circumference, blood pressure, Haemoglobin A1c (HgbA1c), high‐density lipoprotein HDL cholesterol, triglycerides, fasting glucose, or s‐testosterone. Diabetics suffering from RE more frequently exhibited erectile dysfunction compared with non‐diabetics and diabetics without RE, and the last‐mentioned group again more frequently than controls. These findings could not be explained by use of antihypertensive drugs.
Whereas none of the included control participants showed signs of abnormal ejaculation, every third man with DM exhibited retrograde ejaculation. It is important to be aware of this association, and that post‐ejaculatory urine is routinely analysed from aspermic fertility clinic attendants and diabetics with low ejaculate volumes.</description><subject>Adult</subject><subject>aspermia</subject><subject>azoospermia</subject><subject>Biological and medical sciences</subject><subject>Biomarkers - blood</subject><subject>Birth control</subject><subject>Case-Control Studies</subject><subject>Denmark - epidemiology</subject><subject>Diabetes Mellitus, Type 1 - blood</subject><subject>Diabetes Mellitus, Type 1 - epidemiology</subject><subject>Diabetes Mellitus, Type 1 - physiopathology</subject><subject>Diabetes Mellitus, Type 2 - blood</subject><subject>Diabetes Mellitus, Type 2 - epidemiology</subject><subject>Diabetes Mellitus, Type 2 - physiopathology</subject><subject>Ejaculation</subject><subject>Erectile Dysfunction - blood</subject><subject>Erectile Dysfunction - epidemiology</subject><subject>Erectile Dysfunction - physiopathology</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Male</subject><subject>Male genital diseases</subject><subject>Mammalian male genital system</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Penile Erection</subject><subject>Prevalence</subject><subject>Prospective Studies</subject><subject>retrograde ejaculation</subject><subject>Risk Factors</subject><subject>sexual dysfunction</subject><subject>Sexual Dysfunction, Physiological - blood</subject><subject>Sexual Dysfunction, Physiological - epidemiology</subject><subject>Sexual Dysfunction, Physiological - physiopathology</subject><subject>Sterility. Assisted procreation</subject><subject>Surveys and Questionnaires</subject><subject>Time Factors</subject><subject>Vertebrates: reproduction</subject><issn>2047-2919</issn><issn>2047-2927</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><recordid>eNqNkduKFDEQhoMo7rLuK0hABC-cMYfuJCPeLOsRFoVFr0NNUq1pMumx03Fn3t70zjiCV4ZAispXlb_yE0I5W_K6XvVLwRq9ECuha8TlkjFm5HL3gJyfLh6eYr46I5c592ym5i0ekzMhFVONac9JvMVpHL6P4JFiD65EmMKQKCRPM-4KROr3uSvJ3adDohtM9C5MP6gPsMYJc83EGKaSX1Og23HIW6zwL3xJ3ZBq8xix9pqK3z8hjzqIGS-P5wX59v7d1-uPi5svHz5dX90sXKOVXCBW1Stp1loAY2uv0EDT1tFZZ0SnoMN2BQ1Ij7xtDNS0QIYKHFfcAzh5QV4c-lY1PwvmyW5CdlUlJBxKtlxqpqTUylT02T9oP5QxVXWWK2kEN1rrSpkD5ep4ecTObsewgXFvObOzKba383_b-e_tbIq9N8XuaunT4wNlvUF_KvxjQQWeHwHIDmI3QnIh_-V002rZqMq9OXB3IeL-vwXYq89vb42UvwGgQqg8</recordid><startdate>201307</startdate><enddate>201307</enddate><creator>Fedder, J.</creator><creator>Kaspersen, M. D.</creator><creator>Brandslund, I.</creator><creator>Højgaard, A.</creator><general>American Society of Andrology</general><general>Wiley Subscription Services, Inc</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201307</creationdate><title>Retrograde ejaculation and sexual dysfunction in men with diabetes mellitus: a prospective, controlled study</title><author>Fedder, J. ; Kaspersen, M. D. ; Brandslund, I. ; Højgaard, A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4763-ee919938b72a00bd6e8a451110f82f6afe59a4a3de1548a10f2e0e6ac161daac3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>aspermia</topic><topic>azoospermia</topic><topic>Biological and medical sciences</topic><topic>Biomarkers - blood</topic><topic>Birth control</topic><topic>Case-Control Studies</topic><topic>Denmark - epidemiology</topic><topic>Diabetes Mellitus, Type 1 - blood</topic><topic>Diabetes Mellitus, Type 1 - epidemiology</topic><topic>Diabetes Mellitus, Type 1 - physiopathology</topic><topic>Diabetes Mellitus, Type 2 - blood</topic><topic>Diabetes Mellitus, Type 2 - epidemiology</topic><topic>Diabetes Mellitus, Type 2 - physiopathology</topic><topic>Ejaculation</topic><topic>Erectile Dysfunction - blood</topic><topic>Erectile Dysfunction - epidemiology</topic><topic>Erectile Dysfunction - physiopathology</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Male</topic><topic>Male genital diseases</topic><topic>Mammalian male genital system</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Penile Erection</topic><topic>Prevalence</topic><topic>Prospective Studies</topic><topic>retrograde ejaculation</topic><topic>Risk Factors</topic><topic>sexual dysfunction</topic><topic>Sexual Dysfunction, Physiological - blood</topic><topic>Sexual Dysfunction, Physiological - epidemiology</topic><topic>Sexual Dysfunction, Physiological - physiopathology</topic><topic>Sterility. Assisted procreation</topic><topic>Surveys and Questionnaires</topic><topic>Time Factors</topic><topic>Vertebrates: reproduction</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fedder, J.</creatorcontrib><creatorcontrib>Kaspersen, M. D.</creatorcontrib><creatorcontrib>Brandslund, I.</creatorcontrib><creatorcontrib>Højgaard, A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Andrology (Oxford)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fedder, J.</au><au>Kaspersen, M. D.</au><au>Brandslund, I.</au><au>Højgaard, A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Retrograde ejaculation and sexual dysfunction in men with diabetes mellitus: a prospective, controlled study</atitle><jtitle>Andrology (Oxford)</jtitle><addtitle>Andrology</addtitle><date>2013-07</date><risdate>2013</risdate><volume>1</volume><issue>4</issue><spage>602</spage><epage>606</epage><pages>602-606</pages><issn>2047-2919</issn><eissn>2047-2927</eissn><abstract>Summary
Retrograde ejaculation (RE) and erectile dysfunction may be caused by diabetes mellitus (DM), but the prevalence of RE among DM patients is unknown. A prospective, blinded case–control study comparing men with DM with matched controls according to RE and erectile dysfunction was performed. Twenty‐seven men with DM matched the inclusion criteria and agreed to participate in the study, and of these 26 delivered an ejaculate. We were able to recruit 18 matching controls, and of these 16 delivered an ejaculate.
Nine of 26 men with DM who delivered an ejaculate had RE, whereas none of 16 controls had RE (p < 0.01). The mean duration of DM was longer for DM patients with RE (20 years) compared with DM patients in whom RE could not be demonstrated (13 years), but the difference was not statistically significant. RE could not be associated with BMI, waist circumference, blood pressure, Haemoglobin A1c (HgbA1c), high‐density lipoprotein HDL cholesterol, triglycerides, fasting glucose, or s‐testosterone. Diabetics suffering from RE more frequently exhibited erectile dysfunction compared with non‐diabetics and diabetics without RE, and the last‐mentioned group again more frequently than controls. These findings could not be explained by use of antihypertensive drugs.
Whereas none of the included control participants showed signs of abnormal ejaculation, every third man with DM exhibited retrograde ejaculation. It is important to be aware of this association, and that post‐ejaculatory urine is routinely analysed from aspermic fertility clinic attendants and diabetics with low ejaculate volumes.</abstract><cop>Schaumburg, IL</cop><pub>American Society of Andrology</pub><pmid>23606485</pmid><doi>10.1111/j.2047-2927.2013.00083.x</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult aspermia azoospermia Biological and medical sciences Biomarkers - blood Birth control Case-Control Studies Denmark - epidemiology Diabetes Mellitus, Type 1 - blood Diabetes Mellitus, Type 1 - epidemiology Diabetes Mellitus, Type 1 - physiopathology Diabetes Mellitus, Type 2 - blood Diabetes Mellitus, Type 2 - epidemiology Diabetes Mellitus, Type 2 - physiopathology Ejaculation Erectile Dysfunction - blood Erectile Dysfunction - epidemiology Erectile Dysfunction - physiopathology Fundamental and applied biological sciences. Psychology Gynecology. Andrology. Obstetrics Humans Male Male genital diseases Mammalian male genital system Medical sciences Middle Aged Penile Erection Prevalence Prospective Studies retrograde ejaculation Risk Factors sexual dysfunction Sexual Dysfunction, Physiological - blood Sexual Dysfunction, Physiological - epidemiology Sexual Dysfunction, Physiological - physiopathology Sterility. Assisted procreation Surveys and Questionnaires Time Factors Vertebrates: reproduction |
| title | Retrograde ejaculation and sexual dysfunction in men with diabetes mellitus: a prospective, controlled study |
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