Relationship Between Presenting Complaint and Clinical Diagnosis in Outpatients Applying to the Sexual Dysfunction Clinic

Yildirim E. A., Akyuz F., Hacioglu M., Essizoglu A., Cakmak A. C., Cakmak E., ...More

NOROPSIKIYATRI ARSIVI-ARCHIVES OF NEUROPSYCHIATRY, vol.48, pp.24-30, 2011 (SCI-Expanded) identifier

  • Publication Type: Article / Article
  • Volume: 48
  • Publication Date: 2011
  • Doi Number: 10.4274/npa.y6080
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.24-30
  • Eskisehir Osmangazi University Affiliated: Yes


The data on the relationship between presenting complaint and diagnosis of sexual dysfunction (SD) in diagnostic evaluation of patients who apply with sexual problems are limited. In this study, we investigated the diagnosis of patients who apply to the SD clinic and the relationship between presenting complaint and clinical diagnosis. All outpatients who applied to the SD clinic of Bakirkoy Research and Training Hospital for Psychiatry, Neurology and Neurosurgery between January 2006 and December 2007 were included in this study. The records of semi-structured case evaluation forms of outpatients diagnosed with SD according to the DSM-IV-TR criteria were analyzed retrospectively. The results were evaluated statistically in 95% confidence interval. 440 outpatients were included (242 men and 196 women) in this study. The mean age of women was 30.71 +/- 7.73 years and of men was 35.5 +/- 9.59 years. Vaginismus (in 41.0% of cases) and anorgasmia (in 17.0%) were the most common SD in females, while premature ejaculation (45.5%) and erectile dysfunction (27.7%) in males. We found significant relationship between present complaint and clinical diagnosis in male outpatients who applied alone (p < 0.001). For men who applied with their partners, this relationship showed negative significance (p < 0.001). For women, regardless of whether they applied alone or with their partners, significant and positive relationship was observed between complaints and clinical diagnosis (p < 0.001). There is a weak consistency between presenting complaint and clinical diagnosis in men who apply with their partners and in men whose clinical diagnosis is premature ejaculation. Detailed diagnostic interview should be done especially in men applying with their partners, even if a complaint is not stated. This condition in men may be related to false sexual beliefs in society which are mostly based on male sexuality, both in men and women. (Archives of Neuropsychiatry 2011; 48 Supplement 1:24-30)