title: The prevalence of sexual dysfunction before myocardial infarction in population of Polish men: a retrospective pilot study.
abstract: OBJECTIVE
  To assess the frequency of sexual dysfunction in men before myocardial infarction (MI).
  
  
  METHODS
  Sixty-two men with cardiovascular disease risk factors who were admitted to the hospital because of a first MI, were asked to fill the IIEF-15 questionnaire to assess sexual dysfunction before MI.
  
  
  RESULTS
  Erectile dysfunction (ED), decreased orgasmic function, decreased sexual desire, decreased intercourse satisfaction, and decreased overall satisfaction were reported by 51.6%, 14.5%, 50%, 69.4%, and 48.4% of men, respectively. Men with ED had significantly higher serum C-reactive protein (CRP) levels than men without ED (5.8 mg/L, 95% confidence interval [CI] 8.3-21.7) vs. 4.6 mg/L, 95% CI 3.0-11.3; p = 0.01). Men with decreased orgasmic function had significantly higher serum triglyceride levels (259.5 mg/dL, 95% CI 176.9-362.1 vs. 150 mg/dL, 95% CI 146.8-187.4; p = 0.01), and men with normal sexual desire had significantly higher serum high-density lipoprotein (HDL) cholesterol levels than men with decreased sexual desire (41 mg/dL, 95% CI 39.9-47.8 vs. 36 mg/dL, 95% CI 34.1-40.5; p = 0.01). Men with decreased sexual desire had significantly higher serum CRP levels (7 mg/L, 95% CI 7.7-21.4 vs. 5 mg/L, 95% CI 3.6-12.1; p = 0.03).
  
  
  CONCLUSIONS
  1. ED was present in more than half of men before MI and it may be the first symptom of coronary artery disease. 2. Men with ED and decreased sexual desire have higher serum CRP levels in the acute peri-infarction period. 3. Serum triglyceride level is a factor that significantly affects orgasmic function, and serum HDL cholesterol level is a factor that significantly affects sexual desire.
authors.affiliation: 1st Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, Poland. bartosz-puchalski@wp.pl.
authors.forename: Bartosz
authors.initials: B
authors.lastname: Puchalski
authors.forename: Filip M
authors.initials: FM
authors.lastname: Szymański
authors.forename: Robert
authors.initials: R
authors.lastname: Kowalik
authors.forename: Krzysztof J
authors.initials: KJ
authors.lastname: Filipiak
authors.forename: Grzegorz
authors.initials: G
authors.lastname: Opolski
mesh_terms: D002097:C-Reactive Protein / Q000032:analysis*; D008076:Cholesterol, HDL / Q000097:blood; D015897:Comorbidity; D007172:Erectile Dysfunction / Q000097:blood* / Q000453:epidemiology*; D006801:Humans; D015994:Incidence; D008075:Lipoproteins, HDL / Q000097:blood*; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000453:epidemiology*; D010865:Pilot Projects; D011044:Poland / Q000453:epidemiology; D015995:Prevalence; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D014280:Triglycerides / Q000097:blood
chemical_list: D008076:Cholesterol, HDL; D008075:Lipoproteins, HDL; D014280:Triglycerides; D002097:C-Reactive Protein