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Subject Area

Radiology and Imaging Sciences

Article Type

Original Study

Abstract

Objectives The aim of the study was to investigate the relationship between metabolic syndrome (MetS) with its components and acquired premature ejaculation (APE). Background PE has recently received considerable attention. It adversely affects the quality of life of both partners. PE represents the most common sexual dysfunction in sexually active men. Studies proved higher incidence of erectile dysfunction among patients with MetS, but the relation of the latter to APE has not receive much attention yet. Patients and methods Our case–control study included 50 individuals who were classified into two groups, with 25 individuals each: MetS group and control group. Both groups are age matched (30–60 years old). All men in both groups were in continuous stable marriage with no marital conflict. They are free of diseases, taking no drugs, did not have operations before, and did not have congenital anomaly that might affect their sexual function (except the manifestations of MetS in the case group). All the participants underwent the intravaginal ejaculatory latency time (IELT) assessment and did MetS component measurements. Results The results of our study showed significantly lower IELT in the MetS group compared with the control (2.80 ± 1.384 vs. 4.52 ± 1.782 min, respectively, P = 0.0001). Arabic index of premature ejaculation score was found to be significantly lower in cases (18.32 ± 7.663) compared with controls (30.32 ± 6.46), confirming the presence of APE caused by MetS. IELT was found to be negatively correlated with BMI, fasting blood sugar, and triglycerides, but not high-density lipoprotein. Conclusion MetS can be considered as an independent predisposing factor for development of APE. Effective prevention and treatment of MetS could be important for APE prevention.

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