(265) PSYCHOLOGICAL FACTORS RESULTING FROM SEXUAL DYSFUNCTION IN MEN IN BRAZIL: HOW DEEP DOES THIS GO?
Authors: Machado De Oliveira F , Di Biase Filho F , Melo De Almeida L , Guaman Del Aguila M , Wagner De Arruda Cunha A , Rocha Junior A , Atoui M , Hayoshi Choji C , Bruzarrosco M , Fernandes Dos Santos T , Itiro Kobayashi D , Khaled Rahal A , Salomão Sarnoski S , Youssef Atwi A , De Moraes Ruas R , Tetsuo Hayoshi Choji C , Sant Ana Pereira Castro W , Stuqui Lopes Da Silva R , Andreolli J , Andreolli A 
Published: December 2024

Abstract

Introduction
Men’s sexual health in Brazil faces challenges, especially due to the psychological impact of sexual dysfunctions. Historically, sexual function has been pivotal in men’s lives, both biologically and in terms of psychological well-being. However, there is still a reluctance to seek help for sexual health issues, evidenced by the lower frequency of male medical consultations compared to female’s. This context underscores the need to understand the impact of these dysfunctions on the mental quality of life of Brazilian men.

Objective
This study aims to comprehend the impact of male sexual dysfunctions on the mental quality of life of men in Brazil, utilizing a multidisciplinary approach that incorporates local statistical data and a review of Brazilian articles on the subject. Additionally, it seeks to provide insights for healthcare professionals working in this field, aiming to improve both the physical and mental treatment of men with sexual dysfunctions.

Methods
The methodology employed was literature research, using recognized databases such as the Virtual Health Library, Scientific Electronic Library Online (SCIELO), Latin American and Caribbean Literature in Health Sciences (LILACS), BIREME, and Google Scholar. Specific descriptors related to male sexual dysfunctions, such as “erectile dysfunction” and “premature ejaculation,” were used. Inclusion criteria were applied, considering the relevance of articles to the topic at hand, and ethical criteria were observed throughout the review process.

Results
The results of this review reveal a range of Brazilian studies on male sexual dysfunctions, addressing both the physical and psychological aspects of these conditions. Most studies focus on specific dysfunctions such as erectile dysfunction and premature ejaculation, highlighting the interconnection between these issues and concerns such as anxiety, depression, and self-esteem. Additionally, research gaps were identified, emphasizing the need for more studies exploring integrated therapeutic interventions and addressing the needs of specific populations of Brazilian men.

Conclusions
The Brazilian Sexual Behavior Study (ECOS), conducted with the Brazilian population, revealed that 46.2% of men in the country face erection difficulties at different levels, with the incidence of complete erectile dysfunction tending to increase with age. Research indicates that men with sexual dysfunction exhibit high levels of anxiety, tension, and negative feelings, anticipating unsatisfactory sexual performance. On the other hand, individuals with sexual dysfunction direct their attention to concerns related to performance and negative past sexual experiences, which hinders their ability to focus on erotic stimuli and decreases their sexual response. This study emphasized the importance of an integrative approach in understanding and treating male sexual dysfunctions in Brazil. In conclusion, the findings highlighted the need for greater awareness of male sexual health and public policies that promote equitable access to sexual health services. Additionally, it is suggested that future research focus on developing more effective therapeutic interventions and addressing the mental health needs of Brazilian men. It is understood that this study has contributed to advancing knowledge about male sexual health and highlighted key areas for future investigation and intervention.

Disclosure
No.