Talk:Erectile dysfunction/Archive 2

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Archive 1

Archive 2

De Win

Hi, Zefr. De Win's opinion is relevant because of Jacobs, Tim; Geysemans, Björn; Van Hal, Guido; Glazemakers, Inge; Fog-Poulsen, Kristian; Vermandel, Alexandra; De Wachter, Stefan; De Win, Gunter (31 July 2021). "Is online pornography consumption linked to offline sexual dysfunction in young men? A multivariate analysis based on an international web-based survey. (Preprint)". JMIR Public Health and Surveillance. JMIR Publications Inc. doi:10.2196/32542. ISSN 2369-2960.{{cite journal}}: CS1 maint: unflagged free DOI (link) That is passed as evidence for PIED by NoFap and similar groups. Conclusions: This prevalence of ED in young men is alarmingly high and the results of presented study suggest a significant association with PPC.

My reasoning: before establishing what it does say we have to establish what it doesn't say. What it does not say: higher porn consumption produces ED. What it does say: the idea of being porn addicted is correlated with ED. Anyway, I used WP:ATTRIBUTEPOV since it is a WP:PRIMARY study. tgeorgescu (talk) 20:35, 2 October 2021 (UTC)

Seems too preliminary, unencyclopedic, and not yet WP:MEDRS-reviewed, in my opinion. Zefr (talk) 20:39, 2 October 2021 (UTC)

@Zefr: If it gets deleted, it gets deleted, I can live with that. However, it is a N=huge study and it won't be easy to ignore it. So, unless there are big methodological flaws and unless nofappers colluded to skew this study, it will become the gold standard in respect of PIED. People like Donald J. Hilton have an axe to grind against porn, produce amateurish research about it and are seen as outsiders. De Win is none of those three, generally speaking Belgian universities have high academic standards. tgeorgescu (talk) 00:13, 3 October 2021 (UTC)

A quite straightforward explanation is that pornography addiction is in reality the nocebo effect. tgeorgescu (talk) 16:44, 9 October 2021 (UTC)

Relation to Andropause

I was suprised that there was no discussion of erectile dysfunction as having significant statistical correlation with age.

Then I realized that there's a whole article called andropause that discusses this aspect in great detail. There should definitely be prominent links between this ED page and the andropause page.

Searching around various websites, I found phrases like the following: http://familydoctor.org/109.xml Erectile dysfunction doesn't have to be a part of getting older. It's true that as you get older, you may need more stimulation (such as stroking and touching) to get an erection. You might also need more time between erections. But older men should still be able to get an erection and enjoy sex.

This kind of statement is clearly POV, and in my opinion doesn't belong on a website called "familydoctor.org", although this sort of POV should of course be mentioned as it is in the article. However, I feel that the conspicuous absence of statistical data on this page actually supports the kind of statement shown above, making this page a comprehensive Consumer's Reports for meatstick drugs, rather than a discussion of erectile dysfunction.

I don't know how to manage the licensing, know what info is copyrighted, etc., but we need a section on statistics and a link to andropause.

Some relevant links below.

Aug. 4, 2003: A new study shows that as men age they eventually will come face to face with erectile dysfunction (ED), commonly known as impotence. http://www.webmd.com/content/article/72/81524.htm

By age 45, most men have experienced erectile dysfunction at least some of the time. According to the Massachusetts Male Aging Study, complete impotence increases from 5% among men 40 years of age to 15% among men 70 years and older. Population studies conducted in the Netherlands found that some degree of erectile dysfunction occurred in 20% of men between ages 50 to 54, and in 50% of men between ages 70 to 78. http://www.medicinenet.com/impotence_ed/article.htm

Semi-protected edit request on 30 December 2021

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According to Gunter de Win, a Belgian professor and sex researcher, "Put simply, respondents who watch 60 minutes a week and think they're addicted were more likely to report sexual dysfunction than those who watch a care-free 160 minutes weekly."

There was almost identical research a month before this one, with almost the same results. Add it to the paragraph.

https://pubmed.ncbi.nlm.nih.gov/34400111/

There was no evidence for an association between internet pornography use with erectile dysfunction, premature ejaculation, or sexual satisfaction. However, there were small to moderate positive correlations between self-perceived internet pornography addiction and erectile dysfunction, premature ejaculation or sexual dissatisfaction.

There was also one published 2 years before, also with the same results. Should also be added to the paragraph.

https://pubmed.ncbi.nlm.nih.gov/30621919/

Across all 3 samples, there was evidence of a positive, cross-sectional association between self-reported problematic use and ED, but no consistent association between mere use itself and ED.

85.174.204.173 (talk) 08:54, 30 December 2021 (UTC)

Not done: Current paragraph already makes it clear and additions seem repetitive. But more importantly the text is a very close paraphrase of copyrighted text and can't be included in the article. --Hemanthah (talk) 12:06, 30 December 2021 (UTC)

I mean - add citations, to make it clear that there are several research works with the same results, I think it's important. Text is for understanding the essence. — Preceding unsigned comment added by 85.174.204.173 (talk) 18:55, 30 December 2021 (UTC)

Done Thanks! --Hemanthah (talk) 15:51, 30 December 2021 (UTC)

Semi-protected edit request on 1 January 2022

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Add to the "Causes" or "Signs and symptoms".

Not done for now: please establish a consensus for this alteration before using the {{edit semi-protected}} template. ScottishFinnishRadish (talk) 19:04, 3 January 2022 (UTC)

Where have you found alteration? Alteration means change. I do not suggest any changes in existing information, I offer new information from the reliable source. Anyway I made a section below for discussion.

On first sexual experience

According to DSM-5 about 20% of men fear of erectile problems on their first sexual experience, whereas approximately 8% experienced erectile problems that hindered penetration during first sexual experience. Such erectile failure is related to having sex with a previously unknown partner, concomitant use of drugs or alcohol, not wanting to have sex, and peer pressure. Evidence regarding the persistence of such problems after the first sex attempt is minimal. Most of these problems remit without professional help, but some men may continue to have episodic problems.^[1] 37.78.124.109 (talk) 16:47, 1 January 2022 (UTC)

Not done: Causes listed currently - stress, perf. anxiety - cover it already. Also DSM seems a bit too general a source for this particular page. --Hemantha (talk) 05:07, 3 January 2022 (UTC)

It's about statistics. So it does not matter if something another is already listed and DSM is a good source for statistics. I think it's important to know such information. Could be added to "epidemiology", but it (epidemiology) is in the section "treatment", so decide.

Infobox expansion

I think the infobox could be expanded to include better information covering erectile function. We could use the article's content to find more information fit for there. Qwertyxp2000 (talk | contribs) 03:41, 7 June 2022 (UTC)

Did more expansions of infobox, but unsure about how the expansions went and whether they were steady and didn't break existing formatting. I tried fixing some references, but I am not very familiar with article structuring of medical articles. Qwertyxp2000 (talk | contribs) 00:54, 13 June 2022 (UTC)

Erectile dysfunction image

I'm not against removing this image (diagram of flaccid penis) from the article, since it does not directly display actual dysfunction about the penis, but is there an unambiguous image out there that would better portray erectile dysfunction? Qwertyxp2000 (talk | contribs) 05:28, 25 September 2022 (UTC)

Uncited material

Tommi is a friends of me. His mothers father has a dog and the dog did the dirty with Tommis frien nuolija now nuolija has erectile dysfunction. — Preceding unsigned comment added by 62.197.164.18 (talk) 08:01, 21 August 2023 (UTC) This page is a mess. Eight of the first 10 sentences make significant statements of "fact" with absolutely no citations:

"A penile erection is the hydraulic effect of blood entering and being retained in sponge-like bodies within the penis. The process is often initiated as a result of sexual arousal, when signals are transmitted from the brain to nerves in the penis. Erectile dysfunction is indicated when an erection is difficult to produce. There are various circulatory causes. The most important organic causes are cardiovascular disease and diabetes, neurological problems (for example, trauma from prostatectomy surgery), hormonal insufficiencies (hypogonadism) and drug side effects. Psychological impotence is where erection or penetration fails due to thoughts or feelings (psychological reasons) rather than physical impossibility; this is somewhat less frequent but often can be helped. Notably in psychological impotence, there is a strong response to placebo treatment. Erectile dysfunction, tied closely as it is about ideas of physical well being, can have severe psychological consequences."

Recommend you unlock so people can actually fix this page.— Preceding unsigned comment added by WatchGinsu (talk • contribs) 06:25, January 2, 2013

Epidemiology

There has to be a section "Epidemiology", below is an information for that section.

There is an information about epidemiology in section "Treatment" (why there) with a ref to the research of 2016 (https://pubmed.ncbi.nlm.nih.gov/28032424/).

In a study published in 2016, based on US health insurance claims data, out of 19,833,939 US males aged ≥18 years, only 1,108,842 (5.6%), were medically diagnosed with erectile dysfunction or on a PDE5I prescription (μ age 55.2 years, σ 11.2 years). Prevalence of diagnosis or prescription was the highest for age group 60–69 at 11.5%, lowest for age group 18–29 at 0.4%, and 2.1% for 30–39, 5.7% for 40–49, 10% for 50–59, 11% for 70–79, 4.6% for 80–89, 0.9% for ≥90, respectively.^[2]

There is another research of 2018 with different patient bases and almost the same results (https://pubmed.ncbi.nlm.nih.gov/29569323/)

Another study with data for 48 millions men from different bases has the same results. Of the 9,839,578 who met the inclusion criteria, 573,313 (6%) were ED patients and 9,266,265 (94%) were non-ED patients. ED diagnosis increased decade to decade from 18-29 years to 50-59 years but decreased from 60-69 years to 90 years.^[3]

There is also an information from DSM-5 about erectile problems on first sexual experience:

According to DSM-5 about 20% of men fear of erectile problems on their first sexual experience, whereas approximately 8% experienced erectile problems that hindered penetration during first sexual experience. Such erectile failure is related to having sex with a previously unknown partner, concomitant use of drugs or alcohol, not wanting to have sex, and peer pressure. Evidence regarding the persistence of such problems after the first sex attempt is minimal. Most of these problems remit without professional help, but some men may continue to have episodic problems.^[1]

85.174.199.220 (talk) 06:36, 4 January 2022 (UTC)

References

[1]
DSM-5, Page 427
[2]
Mulhall JP, Luo X, Zou KH, Stecher V, Galaznik A (December 2016). "Relationship between age and erectile dysfunction diagnosis or treatment using real-world observational data in the USA". International Journal of Clinical Practice. 70 (12): 1012–1018. doi:10.1111/ijcp.12908. PMC 5540144. PMID 28032424.
[3]
Irwin Goldstein, Richard Chambers, WingYu Tang, Vera Stecher, Tarek Hassan (April 2018). "Real-world observational results from a database of 48 million men in the United States: Relationship of cardiovascular disease, diabetes mellitus and depression with age and erectile dysfunction". International Journal of Clinical Practice. 72 (4). doi:10.1111/ijcp.13078. PMID 29569323. {{cite journal}}: Vancouver style error: name in name 1 (help)