Taha Numan YIKILMAZ, Serdar TOKSÖZ

Erektil disfonsiyon ve depresyon

Erektil disfonksiyon ED hasta ve cinsel partnerinin yaşam kalitesini etkileyen yaygın bir şikayettir. Erektil disfonksiyon ile ilgili değişkenler yaş ve eşlik eden medikal hastalıklardır. Erektil disfonksiyon ED nedenleri fizyolojik ve psikolojik olarak ikiye ayrılır. Psikojenik ve organik nedenler çoğu kez iç içe olabilmekte ve ayırıcı tanıda zorluklar yaratabilmektedir. Depresyon psikiyatrik nedenler arasında en sık görülen etken iken özellikle cinsel ilgi ve istek kaybına neden olmaktadır. Epidemiyolojik ve klinik çalışmalarda depresyonun, tedavi edilmeyen hastalarda cinsel işlev ve doyum bozukluğu ile ilişkili olduğu gösterilmiştir. Depresyon sık görülen, uzun süreli atakları olan, tekrarlama gösteren, ciddi fiziksel ve psikososyal yeti kaybına neden olan son derece yıkıcı bir bozukluktur. Tüm erişkin erkek popülasyonun %10-20’sinde görülmektedir, 40-70 yaşları arasındaki erkeklerde %52 oranında görülmektedir. Cinsel işlev bozukluğu ve depresyon arasındaki ilişki karmaşık, çift yönlü ve nedensel olmakla birlikte belirsizdir. Cinsel işlev bozukluğu ve psikososyal stres depresyona eşlik edebilirken depresyon da cinsel fonksiyon bozukluğuna sebep olabilir. Depresyon ve ED’nun patofizyolojik ilişkileri ile ilgili öne sürülen tezler olmasının yanı sıra klinik olarak birbiri ile olan bağlantıları açıktır. Psikolojik kaynaklı ED’nun ürolog ve psikiyatr tarafından multidisipliner bir şekilde araştırılması tanı ve tedavi basamaklarında hastaya daha fazla fayda sağlayacaktır. Bu yazının amacı depresyon ile cinsel işlev bozukluğu arasındaki ilişkiyi gözden geçirmek ve güncel durumun tartışılmasıdır

Anahtar Kelimeler:

Cinsellik, cinsel işlev bozukluğu, depresyon, antidepresanlar

Erectile dysfunction and depression

Erectile dysfunction ED is a common complaint that affects the quality of life in both patient and sexual partner. Variables related to ED include age and comorbid medical illnesses. The causes of erectile dysfunction ED are divided into physical and psychological. Psychogenic and organic causes may be often intertwined and in the differential diagnosis may lead to difficulties. While depression is the most frequent reason for psychiatric causes, especially among the causes loss of sexual interest and desire. Epidemiological and clinical studies show that depression is associated with impairments of sexual function and satisfaction, even in untreated patients. Depression is frequent episodes of long-term, repeating, indicating a serious physical and psychiatric disabilities have a devastating disorder. It is seen in 10-20% of the all male population and seen in %52 of 40-70 years. The relationship between Sexual dysfunction and depression is the complex, bi-directional and uncertain, but the causal. sexual dysfunction and psychosocial stress can also accompanied by depression and it causes sexual dysfunction. Depression and ED as well as arguments put forward regarding pathophysiologic relationships with each other, which is clinically obvious connections. Psychological ED induced by a urologist and psychiatrist in multidisciplinary research will more benefit the patient diagnosis and treatment stages. The aim of this paper was to review the relationship between depression and sexual dysfunction and discussed the current status

Keywords:

Sexuality, sexual dysfunctions, depression, antidepressants,

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