title: Sexual dysfunction in men suffering from genital warts.
abstract: BACKGROUND
  Human papillomavirus (HPV) infection can present clinically as genital warts (GWs) in both males and females. Much less is known about the psychosexual consequences of GW, and the studies on patients in this group are still quite limited.
  
  
  OBJECTIVE
  The aim of this study was to test two hypotheses: (i) sexual dysfunction (SD) is likely to occur in male patients suffering from GWs; (ii) if male SD exists, it may be associated with depression or anxiety.
  
  
  METHODS
  This was a pilot study with a prospective cross-sectional design. Male patients with GW (N for patient group = 116) were compared with male control cases (N for control group = 71) using the Arizona Sexual Experience Scale (ASEX), Beck Depression Inventory (BDI), and Beck Anxiety Inventory (BAI). The participants were evaluated by a dermatologist and a psychiatrist, respectively.
  
  
  METHODS
  The associations between sexual dysfunction, depression, and anxiety among the participants were examined.
  
  
  RESULTS
  There was no difference between the groups in terms of sociodemographic changes. Sexual dysfunction was found to be significantly more common in the patients than controls (P = 0.000 < 0.001). When the subscores of ASEX were evaluated, they were found to be statistically significant between the two groups (P = 0.000 < 0.001). BDI and BAI scores were statistically higher in the patient group than in controls, and there was a positive correlation between BDI and BAI scores with ASEX total and subscores (P = 0.000 < 0.001).
  
  
  CONCLUSIONS
  Male patients with GW have higher rates of sexual dysfunction, depression, and anxiety when compared with the normal population. Men suffering from GW should be evaluated for possible sexual problems, besides depression and anxiety.
authors.affiliation: Dermatology and Venereology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey. aslikucukunal@hotmail.com
authors.forename: Asli
authors.initials: A
authors.lastname: Kucukunal
authors.forename: Ilknur Kivanc
authors.initials: IK
authors.lastname: Altunay
authors.forename: Sibel
authors.initials: S
authors.lastname: Mercan
mesh_terms: D000328:Adult; D001007:Anxiety / Q000209:etiology; D016022:Case-Control Studies; D003218:Condylomata Acuminata / Q000150:complications* / Q000175:diagnosis / Q000523:psychology; D003430:Cross-Sectional Studies; D003863:Depression / Q000209:etiology; D006801:Humans; D008297:Male; D030361:Papillomavirus Infections / Q000150:complications* / Q000175:diagnosis / Q000523:psychology; D010865:Pilot Projects; D011446:Prospective Studies; D012307:Risk Factors; D012737:Sex Factors; D012725:Sexual Behavior; D020018:Sexual Dysfunctions, Psychological / Q000175:diagnosis / Q000209:etiology*; D011795:Surveys and Questionnaires; D055815:Young Adult