Prevalence and associations of erectile dysfunction and premature ejaculation among Nigerian men: an online survey

Abstract

Background: Erectile dysfunction (ED) and premature ejaculation (PE) are standard forms of male sexual dysfunction caused by varied factors,  including psychosocial stress. This study assessed the prevalence and associations of erectile dysfunction and premature ejaculation among  Nigerian men.

Method: This was a cross-sectional descriptive online survey of sexually active Nigerian men aged 18 years and above between August and  December 2020. The International Index of Erectile Function (IIEF-5) and the Premature Ejaculation Diagnostic Tool (PEDT) were used to assess ED  and PE. Respondents with IIEF-5 scores between 5-21 had ED, and PEDT scores ≥9 had PE. The authors received ethics approval before the survey.

Result: Of the 392 men that completed the online survey, majority were married (297, 71.2%), aged 30-39 years (140, 35.7) and resided in urban  areas (329, 83.9). The frequency of hypertension and diabetes mellitus was 17.3% (68) and 5.4% (21), respectively. The overall prevalence of male  sexual dysfunction was 60.5%. The prevalence of erectile dysfunction and premature ejaculation was 45.7% and 36.7%, respectively. Majority (142,  79.3%) of the respondent had mild ED. Sixtynine (47.9%) respondents had borderline PE. Unlike PE, ED was significantly associated with  hypertension (χ² = 15.146, p = 0.001), Diabetes (χ² = 8.470, p = 0.014), antihypertensive (χ² = 9.285, p = 0.010) and antidiabetic (χ² = 10.542, p =  0.005) medications.

Conclusion: The prevalence of ED and PE were high in this study. Erectile dysfunction but not premature ejaculation was  significantly associated with hypertension, diabetes mellitus and antihypertensive and antidiabetic medications in this study.