Sexual Dysfunction in Male Patients with Prediabetes

INTRODUCTION: To investigate sexual dysfunction in male patients with prediabetes using the Golombok Rust Scale of Sexual Satisfaction (GRISS) and to analyze the relationship between sexual dysfunction and age, waist circumference, body mass index (BMI), alcohol, education and smoking.
METHODS: The study included 30 male patients aged 18-65 with prediabetes and 27 male controls without any known disease. The GRISS questionnaire was used to determine sexual dysfunction. Insulin resistance levels were calculated using the participants' BMI and Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) index.
RESULTS: Among all participants, the number of those with sexual dysfunction according to the survey was 54 (94.7%). 28 of them were in the prediabetic group (93.3%) and 26 were in the control group (96.3%). According to the subunit evaluation of the questionnaire, satisfaction and frequency subunits were found to be significantly higher in prediabetic cases compared to the control group (p<0.001, p: 0.002, respectively). In prediabetic participants, a statistically significant positive correlation was found between age and the total score of the Sexual Satisfaction Scale, and the standard scores of the non-sensuality, frequency and non-communication subunits. In prediabetics, a statistically significant positive correlation was found between fasting blood glucose and the standard scores of the Sexual Satisfaction Scale indicating premature ejaculation and satisfaction subunit disorders, and between triglyceride levels and the standard scores of the Sexual Satisfaction Scale indicating satisfaction and frequency subunit disorders.
DISCUSSION AND CONCLUSION: Although the frequency of sexual dysfunctions in prediabetic male patients increased, no significant difference was found between them in the general query when compared to the control group. A significant difference was found only in the frequency and satisfaction subgroups of the sexual dysfunction subgroups of the prediabetic group and the control group. It was found that these were negatively affected by the increased triglyceride levels. A relationship was also found between the increase in fasting blood sugar and premature ejaculation and lack of satisfaction. Treatment of prediabetes can improve sexual functions, especially satisfaction and frequency.