Active inflammatory bowel disease (IBD) is associated with impaired sexual function, according to a new study published online ahead of print in the Journal of Sexual Medicine. The study, led by Stephanie Both, PhD, of Leiden University Medical Centre in The Netherlands, included 168 female and 119 male IBD patients and a control group without IBD. The investigators assessed sexual function using the Female Sexual Function Index (FSFI) for women and the International Index of Erectile Function (IIEF) for men. Overall, IBD patients did not differ significantly from controls in the prevalence of sexual dysfunction, but IBD patients with active disease had significantly lower scores on the FSFI and IIEF than the IBD patients in remission and controls, “indicating impaired sexual function during disease activity,” the researchers reported. Results showed that depression is the most important determinant for impaired sexual function in IBD.
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Erectile dysfunction is not commonly thought of as a diet-related condition, but rather an unfortunate – albeit inevitable – medical phenomenon related to either age or prostate disease. This assumption is bolstered by the fact that most men with the condition are treated with a little blue pill and sent on their merry way without further conversation about the benefit of dietary or lifestyle change. In many cases, however, erectile dysfunction is very much the result of dietary patterns, and can be an early warning signal of more serious health risks. In addition to seeking medical treatment, men with erectile dysfunction or at risk for the condition should adopt a healthier lifestyle, reminds Tamara Duker Freuman, a registered dietitian and blogger for U.S. News & World Report. Erectile Dysfunction may signal underlying cardiovascular disease (both can result from inflamed and diseased blood vessels), so it makes sense that heart healthy eating and exercise could benefit patients with both conditions. Some recommendations doctors might share with their patients: Adopt a Mediterranean diet rich in fruits, vegetables, legumes, whole grains, nuts, olive oil and fish (and skip fatty meats and dairy foods and excess sugar and sodium). Plenty of studies over the years have confirmed the benefits of a Mediterranean style of eating, including anti-inflammatory effects and healthier blood pressure. Exercise at least 30 minutes a day. Making a habit of exercising may boost HDL cholesterol levels and lower the risk of erectile dysfunction. It may also increase nitric oxide levels, thereby easing blood pressure. Drink beet juice a few hours before having sexual intercourse. Beets are a naturally rich source of nitrates, which relax blood vessels and help control blood pressure. As beet juice may interact with medications, such as PDE-5 inhibitors (sildenafil citrate, tadalafil and vardenafil, marketed as Viagra, Cialis and Levitra), this tip may not be appropriate for everyone. Doctors need to assess the potential benefits and harms for each patient. |
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