title: Sexual dysfunction among subjects with hypertension in a Nigerian teaching hospital.
abstract: BACKGROUND
  In Africa, few studies highlight associations between sexual dysfunction and other medical conditions. It is important to know the experiences of these patients, how it affects their subsequent compliance with medications prescribed and also identify relevant factors that may be useful in planning for their care hence this study.
  
  
  OBJECTIVE
  The study is to examine the patterns of sexual dysfunction among stable hypertensive out patients.
  
  
  METHODS
  In a cross sectional descriptive study, 186 patients were enrolled. The Arizona Sexual Experiences scale (ASEX) and the General Health Questionnaire Version 12 (GHQ-12) were used.
  
  
  RESULTS
  One hundred and eleven 56.7% had sexual dysfunctions, of these (33.3%) males and (66.6%) females. The mean sexual dysfunction score (on ASEX) for the hypertensive group was 14.51 (SD +/- 4.32), this was significantly higher than the figure obtained for the control group. Overall, female hypertensives experienced sexual dysfunction more than males. Males had mostly libido problems and most women had orgasmic problems.
  
  
  CONCLUSIONS
  The study showed that sexual dysfunction is highly prevalent among stable patients with hypertension. Erectile dysfunction and orgasmic problems were the most common sexual dysfunctions experienced among male and female hypertensives respectively. It is recommended that monotherapy be encouraged and interventions planned for patients at higher risk.
authors.affiliation: Department of Psychiatry, College of Medicine, University of Lagos, Lagos, Nigeria. yewyoshodi@yahoo.co.uk
authors.forename: O Y
authors.initials: OY
authors.lastname: Oshodi
authors.forename: J D
authors.initials: JD
authors.lastname: Adeyemi
authors.forename: D A
authors.initials: DA
authors.lastname: Oke
authors.forename: S
authors.initials: S
authors.lastname: Seedat
mesh_terms: D000328:Adult; D000959:Antihypertensive Agents / Q000627:therapeutic use; D044383:Black People; D016022:Case-Control Studies; D015897:Comorbidity; D003430:Cross-Sectional Studies; D005260:Female; D006784:Hospitals, Teaching; D006801:Humans; D006973:Hypertension / Q000150:complications* / Q000188:drug therapy / Q000453:epidemiology; D007989:Libido / Q000187:drug effects; D008297:Male; D008875:Middle Aged; D009549:Nigeria / Q000453:epidemiology; D015995:Prevalence; D011569:Psychiatric Status Rating Scales; D012735:Sexual Dysfunction, Physiological / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology*; D020018:Sexual Dysfunctions, Psychological / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology* / Q000523:psychology; D011795:Surveys and Questionnaires
chemical_list: D000959:Antihypertensive Agents