Erectile Dysfunction and Premature Ejaculation in a Cohort of Homosexual and Bisexual Men from Five Ibero-American Countries

Abstract

 There is limited information about the behaviour of erectile dysfunction and premature ejaculation in homosexual and bisexual men. Our objective is to evaluate the clinical and sexual characteristics of the homosexual and bisexual population that consults for sexual dysfunctions in five Ibero-American countries. We reviewed the clinical records of homosexual and bisexual patients over 18 years of age who consulted a specialized institution during 2018. Of 26,650 consultations, 41 patients reported a bisexual sexual orientation (0.15%), and 256 were homosexual (0.96%). The mean age was 42.7 years (+/-13.5). The mean evolution time for premature ejaculation was 7.6 years, and for erectile dysfunction, it was 5.7 years (+/- 6 months). 46.9% patients reported that these pathologies deteriorated their relationship, and 81.8% reported that they affected self-esteem and confidence. A differential attention should be considered in the sexual health consultation for this population group.