Psoriasis – a risk factor for erectile dysfunction

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In patients with psoriasis, erectile dysfunction can be regarded as an early marker of the risk of developing cardiovascular diseases.

In Portugal, an observational cross-sectional study was conducted to investigate the prevalence and causes of erectile dysfunction in psoriasis patients. To this end, the anonymous questionnaires of the Dermatological Quality of Life Index (DLQI) and the 5th edition of the International Erectile Function Index were consistently collected, filled out by 135 adult men suffering from psoriasis and 201 men with other skin diseases.

The results of the study showed that patients with psoriasis had a higher prevalence, as well as an increased risk of developing more severe forms of erectile dysfunction (many of the patients actively took viagra or cialis), than in the control group (61.5% vs. 43.8%, respectively, p=0.001). At the same time, the localization of rashes on the skin of the genitals and the duration of the dermatological disease were not associated with disorders of the sexual sphere. When analyzing multivariate logistic regression, data were obtained that allow us to consider psoriasis and diabetes mellitus as risk factors for erectile dysfunction with an estimated ratio of 2.28 (CI 95%, 1.40-3.27) and 3.49 (CI 95%, 1.40-8.66), respectively.

psoriasis

The results of the study suggest that psoriasis is an independent risk factor for erectile dysfunction. At the same time, atherosclerosis is a likely cause of the development of sexual disorders in men, along with the negative influence of psychological factors in these patients. In addition, it has been shown that the occurrence of erectile dysfunction may precede the early onset of cardiovascular disease and may be regarded as an early marker of the risk of cardiovascular disease in men with psoriasis.

It is known that patients with psoriasis are at high risk for the development of metabolic and cardiovascular diseases. Therefore, physical activity in these patients is considered as a vital component of the prevention and treatment of somatic diseases. Based on some observations, it was suggested that a sporty lifestyle can also have a positive effect on the course of psoriasis.

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