Department of Urology, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Andrology Research Center, Yazd Reproductive Science Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Am J Mens Health. 2023 Jul-Aug;17(4):15579883231193913. doi: 10.1177/15579883231193913.
In December 2019, severe acute respiratory syndrome COVID-19 was found in China. This virus can affect different organs depending on the coronavirus receptors on the cell surface, which allows the organ to be attacked by the coronavirus. Psychological distress and impaired pulmonary hemodynamics seem to be the cause of decreasing libido or sexual dysfunction after contracting COVID-19. This study was performed to assess the effect of coronavirus on the sexual activity of men. We enrolled 200 men with COVID-19, confirmed by an oropharyngeal sample, who had recovered from the coronavirus for 3 months. These men filled out the International Index of Erectile Function 5 (IIEF-5) questionnaire for their current and previous sexual status. Then, according to their IIEF-5 score, sexual activity before and after corona infection was compared. The mean age of the participants was 31.5 ±3.2 years. This study showed a significant difference between the IIEF-5 mean scores before and after COVID-19, which were 20.4 and 18.6, respectively ( = .000). The condition of 56.1% of the patients did not change; however, coronavirus did have a negative effect on 39.6% of the patients. 4.1% of patients reported improvement in sexual performance. 45% of the patients reported no erectile dysfunction (ED) before contracting the coronavirus; while only 27.7% reported no ED after getting COVID-19. Our findings show that COVID-19 could influence the sexual activity of infected men, who also showed a higher ED prevalence after COVID-19 infection; however, hormonal assessment should be observed in the follow-up.
2019 年 12 月,中国发现了严重急性呼吸综合征 COVID-19。这种病毒可以根据细胞表面的冠状病毒受体影响不同的器官,从而使器官受到冠状病毒的攻击。心理困扰和肺血液动力学受损似乎是感染 COVID-19 后性欲下降或性功能障碍的原因。这项研究旨在评估冠状病毒对男性性行为的影响。我们招募了 200 名经口咽样本确诊的 COVID-19 男性患者,他们已经从冠状病毒中康复了 3 个月。这些男性填写了国际勃起功能指数 5(IIEF-5)问卷,以了解他们当前和之前的性状况。然后,根据他们的 IIEF-5 评分,比较了冠状感染前后的性行为。参与者的平均年龄为 31.5±3.2 岁。这项研究表明,IIEF-5 的平均评分在 COVID-19 前后有显著差异,分别为 20.4 和 18.6(=0.000)。56.1%的患者病情没有变化;然而,冠状病毒确实对 39.6%的患者产生了负面影响。4.1%的患者报告说性功能有所改善。45%的患者在感染冠状病毒之前没有勃起功能障碍(ED);而只有 27.7%的患者在感染 COVID-19 后没有 ED。我们的研究结果表明,COVID-19 可能会影响感染男性的性行为,他们在感染 COVID-19 后也表现出更高的 ED 患病率;然而,应该在随访中观察激素评估。