Obstructive sleep apnea affects the sexual function of the male patient
JIANG Kang-lun
QIAN Wei
LIN Zhi-qiang
ZHAO Lin
SHAO Shu
Muhammad Asad Iqbal
Abstract：Objective:To explore the factors influencing the sexual function of the male patients with obstructive sleep apnea (OSA).Methods:Using Arizona Sexual Experience Scale (ASEX) and Epworth Sleepiness Scale (ESS),we conducted a questionnaire investigation among 81 male patients with OSA aged 40.5 ± 8.6 years and 35 healthy volunteers aged 38.8 ± 10 years.According to the sex drive (SD) score in ASEX,we divided the OSA patients into an SD reduction group (SD score =4,n =32) and a non-SD reduction group (SD score ＜ 4,n =49),compared the clinical data and polysomnographic (PSG) indexes,and analyzed the factors influencing SD by evaluating the association of the PSG indexes with the SD score.Results:The OSA patients scored significantly higher than the healthy controls in ESS (8 ± 5 vs 5 ± 4,P ＜ 0.05) and ASEX (15 ± 4 vs 10 ± 2,P ＜ 0.05),and so did the patients of the SD reduction group than those of the non-SD reduction group in ESS (9 ± 5 vs 6 ± 5,P ＜ 0.05) and saturation impair time below 90％ (SIT90) (41.01 ± 26.95 vs 21.87 ± 19.03,P ＜ 0.05).Multivariate regression analysis revealed that the SD score was significantly correlated with age (β =0.25,P ＜0.001) and SIT90 (β =0.4,P ＜0.001) in the OSA patients.Conclusion:OSA affects various aspects of the sexual function,particularly SD,of the patient.The duration of hypoxia and age of the patient are independent risk factors for SD reduction,which can be considered as a main clinical symptom of OSA.
Keywords：sexual driveobstructive sleep apneaArizona Sexual Experience Scalesyndrome
Publication Date：2017-10-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 883-888 )