Sexual Dysfunction in Iranian Men with Diabetes; a Sys-tematic Review and Meta-Analysis

The typical sexual function involves the integrity and harmonious interaction of psychological,endocrine, vascular, and nervous systems. We aimed to determine the prevalence of sexual dysfunction (SD),more specifically erectile dysfunction in Iranian men with diabetes.

Using keywords including: “sexualfunction,” “erectile dysfunction,” “diabetes,” and “Iran”, an electronic search was done on national and inter-national databases. All cross-sectional or baseline data in cohort studies were included. The prevalence of SDand its related risk factors were extracted and summarized. The random effect model was used for estimatingthe pooled prevalence.

Ultimately, 16 studies were included in the qualitative synthesis, amongst which6 were included for quantitative synthesis. The pooled prevalence of SD across included studies was 50.7%.with a total sample size of 1513. Two main correlated factors with SD were advanced age and depression.

Our analysis showed that more than half of the Iranian men with diabetes suffer from SD. Apart fromadvanced age, the most important attributes for comorbidity of diabetes and SD in these patients were found tobe chronic uncontrolled high blood sugar and depression. More advanced epidemiological studies are neededto assess the temporality of the relationship between SD and its related comorbidities and to develop properpreventive programs.