Nocturnal tumescence (NT ) has long been used as a diagnostic screening tool for a range of issues. Research supports that a lack, or lackluster, of NT is strongly associated with organogenic erectile dysfunction (ED) and weakly associated with psychogenic ED. Nevertheless, the use of self-report, as opposed to objective measurement, of NT is thought to over-estimate the rate of organogenic ED.
A recent (2012) study using endocrinological and urological investigation suggested around 30% of ED is organogenic. The current study aims to compare this rate to the rate of self-reported lack of NT in an Australian sample of men who have sex with men (MSM) with ED.
MSM from Australia (N = 473) attempted an online survey using the International Index of Erectile Function for MSM scale (IIEF-MSM) as part of another study. The six question abbreviated version of the scale (EF-6) was used to determine ED. A further question from the full IIEF-MSM assessed the perceived frequency of NT. Only those men who had attempted all forms of sexual activity in the past four weeks were included in the analysis. The percentage of those reporting no NT, who also met the cut off score for ED, was calculated. results: Of the 237 men included, 28.3% (N = 67) were assessed as meeting criteria (score < 16) for moderate or severe ED by the EF-6. Of this group, 42% (N = 28) reported no NT.
Our result appears to indicate a higher level of organogenic ED than a recent study, which used more thorough multifaceted diagnostic techniques. This supports the literature that suggests self-reported lack of NT over-estimates organic ED. Alternatively, MSM may experience higher rates of organogenic ED. Further research is indicated.
Conducting clinical audits in the context of continuous quality improvement (CQI) programs in Aboriginal Community Controlled Health Services (ACCHS) has provided valuable information regarding what factors facilitate or create challenges to improving outcomes in sexual health service delivery.
Homosexual men are at increased risk of anal cancer. Screening and treatment of the precursor, HSIL, has been advocated by some, but screening is not recommended in widely-accepted guidelines. We aimed to describe the prevalence, incidence, and clearance rates of anal HSIL, and association with human papillomavirus (HPV) status, in a community-recruited cohort of homosexual men.
Background: STI prevalence is changing. With society aging, life expectancy increasing and changes in sexual practices, STIs in senior citizens are of interest from economic, health related and social burden perspectives. Few studies on STIs in older men greater than 60 years of age exist, hence, a need to obtain further information about this subpopulation.
Since 2009, the Victorian syphilis enhanced surveillance system has been collecting HIV status and syphilis re-infection status for infectious syphilis cases. Baseline data from 2009 showed that 31% of the infectious syphilis cases were HIV positive and 18% reported were re-infections. This suggested that syphilis transmission among a pool of HIV positive MSM was making a considerable contribution to the syphilis epidemic in Victoria. We analysed the data from 2009 to 2012 to determine whether this pattern of transmission is continuing. Notification data for infectious syphilis between 2009 and 2012 were reviewed by HIV infection status, syphilis re-infection status and risk factor exposures.
HIV positive gay men have high rates of cigarette smoking. The risks of smoking in addition to the elevated risk of cardiovascular disease and some malignancies in people with HIV means smoking cessation interventions should be prioritised.
We investigated the association between chlamydia detection and stage in the menstrual cycle to investigate whether chlamydia detection was higher at different stages of the cycle. Electronic medical records for women attending Melbourne Sexual Health Centre March 2011 - 31st December 2012, who were tested for chlamydia by nucleic acid amplification of high vaginal, cervical, or urinary samples, and who recorded a date of last normal menstrual period (LNMP) between 0-28 days were included in the analysis. Logistic regression was used to calculate OR (95%CI) for the association of chlamydia with menstrual cycle adjusted by demographics and behavioural variables.