Trends of Erectile Dysfunction in Type 2 Diabetic Subjects at a Tertiary Care Unit of Karachi Pakistan

Objective: To compare the occurrence of erectile dysfunction (ED) in male type 2 diabetic subjects with healthy control using IIEF questionnaire at a tertiary care unit of Karachi Pakistan.

Methods: It was a single centered case control study with cross sectional study design. A total of 325 subjects comprising of 75 healthy non-diabetic and 250 diabetic males were selected for the study. Male type 2 diabetics of age 18-55 years without hypertension and hormonal problem, smoking, psychological disorder & alcohol habits were included as cases in this study. ED was assessed by using IIEF-5 questionnaire. SPSS-20 was used for analysis.

Results: Diabetics are 3.6 times more prone to develop ED than non-diabetic subjects. Severe ED category was more prevalent in diabetic group (17.2%) as compared to non-diabetic group. (P-value=0.003). IIEF scores of diabetic subjects showed inversely correlation with age, testosterone, duration of diabetes and fasting blood sugar at p<0.05.

Conclusion: Occurrence of ED is high amongst type 2 diabetes subjects at older age. Further larger scale community based studies are required to ascertain the findings of this study.