Prevalence and Factors Associated with Hypoactive Sexual Desire in Quindío Men

Abstract

Introduction: Hypoactive sexual desire describes the low interest in sexual activity in general, characterizing the little or no motivation to have erotic relationships, with a decrease or absence of sexual thoughts or fantasies. Objective: To determine the sexual dysfunctions and to evaluate the prevalence and associated factors, to the hypoactive sexual desire in men of Quindío. Methods: Observational study. The population consisted of 171 men who attended an outpatient clinic at a university clinic in the city of Armenia, Colombia, in 2019. Men under 18 years of age, residents outside of Quindío, psychopathological or social situation that made understanding difficult, were excluded of the instrument and those who did not consent to participate in the study. The Massachusetts General Hospital-Sexual Functioning Questionnaire (MGH-SFQ) was applied as an instrument. Socio-demographic characteristics, lifestyles, sexual and reproductive health, background and sexual behavior were evaluated. Descriptive analysis was done. Results: The average age was 41.79 ± 11.46 years (variation:-81). The prevalence of sexual dysfunctions in the study group was 21.63%. The MGH-SFQ score was 14.61 ± 4.23 points (range between 7.26-19.26). There were difficulties with sexual interest (15.78%), sexual arousal (6.43%), orgasm (8.77%), erection (21.63%) and overall sexual satisfaction (12.28%). The median sexual dysfunction per man was 2, which was present in 27.48%%. The multivariate analysis (logistic regression) showed that the factors associated with hypoactive sexual desire were low testosterone (OR: 5.59; 95% CI 1.82-18.37), anxiety / depression (OR: 5.53; 95% CI 1.72-18.43), cohabitation in a couple older than 10 years (OR: 5.19; 95% CI: 2.71-11.71), performance anxiety (OR: 4.62; 95% CI 1.95-10.56), increase in age (OR: 3.42; 95% CI: 1.26-9.36), fatigue / stress (OR: 2.58; 95% CI: 1.08-3, 28), sleep disorders (OR: 1.89; 95% CI: 1.35-2.58), couple conflicts (OR: 1.53; 95% CI: 1.02-2.37) and a history of sexual dysfunctions (OR: 1.47; 95% CI: 0.99-2.22); while, the use of sex toys (OR: 0.78; 95% CI: 0.72-0.96; p = 0.021), vitamin D consumption (2000 IU / daily) (OR: 0.64; 95% CI: 0.42-0.96) or of phosphodiesterase-5 inhibitors (OR: 0.78; 95% CI: 0.63-0.93) constituted protective factors. Conclusions: In the present study, 21.63% of men had sexual dysfunction. Disorders of erection (21.63%) and sexual interest (15.78%) were the most affected. Low testosterone, anxiety / depression and coexistence in a couple older than 10 years, lead the main factors associated with hypoactive sexual desire. Low testosterone, anxiety / depression and coexistence in couples older than 10 years, are the main factors associated with hypoactive sexual desire. Doing activities together (OR: 0.44, 95% CI: 0.34-0.68), respect for being different people (OR: 0.53, 95% CI: 0.41-0.71), maintaining harmony in the couple (OR: 0.61; 95% CI: 0.47-0.79) and the expression of feelings toward the couple (OR: 0.68; 95% CI: 0.46-0.95) constitute a protection line to improve prevention strategies for sexual disorders in this population.