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2016, Number 3

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Rev Cuba Endoc 2016; 27 (3)

Changes in older adult penile erection, its association with serum testosterone and other factors

Monteagudo PG, Lastres CL, Ledón LL, Gómez AM, Ovies CG, Álvarez SE, Robles TE, López RY

Language: Spanish
References: 32
Page: 4-16
PDF size: 155.22 Kb.


ABSTRACT

Introduction: changes in penile erection associated to aging are frequently understood according to wrong concepts.
Objective: to describe the changes in penile erection of older men and their association with the level of satisfaction with their current erections, serum testosterone and other factors.
Methods: cross-sectional correlational study on a probabilistic sample of 510 older male adults from Plaza de la Revolucion municipality. A self-administered questionnaire was used, the level of testosterone was estimated and summary statistics, Chi-square test and multivariable logistic regression were used as methods.
Results: the average age was 70 years (range of 60 to 93). In this group, 92.86 % of participants admitted that they had experienced changes in penile erection in comparison to early ages; erections in the morning (71.16 % reduction/absence); sexual relations (44.8 % reduction, 14.29 % absence and 3.17 % increase) and refractory period (55.02 % increase). There was no statistically significant association between changes and serum testosterone (p › 0.05). The reduction or absence of penile erection was positively associated with older age, drug consumption and self-perception of unsatisfactory psychological state and negatively associated with short period of time without a couple (p ‹ 0.05). There was no association of penile erection with presence of a sexual partner, length of time of the relationship, marital status, schooling, occupation, religious beliefs, diseases, smoking, alcohol consumption, exercising or not, privacy, socializing activities, sadness, low self-esteem, sexual education, importance attached to sexuality or attitude towards it.
Conclusions: erection changes with aging; mainly it lowers but not always disappears. There are serum testosterone-independent changes related to older age, drug consumption, self-perception of unsatisfactory psychological condition and length of time without a couple. Reduction/absence of penile erection is associated to dissatisfaction.


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