Sexual dysfunction in gastroenterological patients: Do gastroenterologists care enough? A nationwide survey from the Italian Society of Gastroenterology (SIGE)



      Patients affected by gastrointestinal disorders often experience sexual dysfunction (SD). This creates stress and anxiety which impact on patients’ and/or their partners’ quality of life. A multidisciplinary approach to SD is often advisable in these patients. This survey assessed if gastroenterologists routinely discuss SD with their patients and the barriers toward discussing SD in clinical practice.


      A 29-item questionnaire was sent to members of the Italian Society of Gastroenterology and Digestive Endoscopy (SIGE). A descriptive analysis of responses was performed.


      Out of 714 eligible gastroenterologists, 426 (59.7%), responded.The majority (>70%) never/infrequently investigated SD with their patients and, similarly, most patients never discussed SD during the visit. The most reported reasons were lack of knowledge (58%), time (44%), and embarrassment (30%). However, more than 70% of respondents indicated that all specialists should be able to manage sexual problems, and more than 80% declared that it would be useful for gastroenterologists to attend courses dedicated to the problem of SD.


      Despite the high prevalence of SD, counselling was not routinely performed in gastroenterological care. Lack of education/knowledge appeared as the most important factor. Most of responders felt that attending a course on SD might increase the awareness of SD.



      Sexual dysfunction (SD), Gastrointestinal diseases (GID)
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        • Amidu N.
        • Owiredu W.K.B.A.
        • Woode E.
        Incidence of sexual dysfunction: a prospective survey in Ghanaian females.
        Reprod Biol Endocrinol RBE. 2010; 8: 106
        • Hatzichristou D.
        • Kirana P.S.
        • Banner L.
        Diagnosing sexual dysfunction in men and women: sexual history taking and the role of symptom scales and questionnaires.
        J Sex Med. 2016; 13: 1166-1182
        • Bouchoucha M.
        • Devroede G.
        • Mary F.
        Both men and women with functional gastrointestinal disorders suffer from a high incidence of sexual dysfunction.
        Clin Res Hepatol Gastroenterol. 2017; 41: e93-e96
        • Romano L.
        • Granata L.
        • Fusco F.
        Sexual dysfunction in patients with chronic gastrointestinal and liver diseases: a neglected issue.
        Sex Med Rev. 2021; (S2050-0521(21)00039-1)
        • Ghazi L.J.
        • Patil S.A.
        • Cross R.K.
        Sexual dysfunction in inflammatory bowel disease.
        Inflamm Bowel Dis. 2015; 21: 939-947
        • Chen L.
        • Shi G.R.
        • Huang D.D.
        • et al.
        Male sexual dysfunction: a review of literature on its pathological mechanisms, potential risk factors, and herbal drug intervention.
        Biomed Pharmacother Biomedecine Pharmacother. 2019; 112108585
        • Leenhardt R.
        • Rivière P.
        • Papazian P.
        • et al.
        Sexual health and fertility for individuals with inflammatory bowel disease.
        World J Gastroenterol. 2019; 25: 5423-5433
        • Karaivazoglou K.
        • Tsermpini E.E.
        • Assimakopoulos K.
        Sexual functioning in patients with chronic hepatitis C: a systematic review.
        Eur J Gastroenterol Hepatol. 2017; 29: 1197-1205
        • Traa M.J.
        • De Vries J.
        • Roukema J.A.
        Sexual (dys)function and the quality of sexual life in patients with colorectal cancer: a systematic review.
        Ann Oncol. 2012; 23: 19-27
        • Sörensson M.
        • Asplund D.
        • Matthiessen P.
        Self-reported sexual dysfunction in patients with rectal cancer.
        Colorectal Dis. 2020; 22: 500-512
        • Romano L.
        • Pellegrino R.
        • Sciorio C.
        • et al.
        Erectile and sexual dysfunction in male and female patients with celiac disease: a cross-sectional observational study.
        Andrology. 2022;
        • Eherer A.J.
        • Schwetz I.
        • Hammer H.F.
        • et al.
        Effect of sildenafil on oesophageal motor function in healthy subjects and patients with oesophageal motor disorders.
        Gut. 2002; 50: 758-764
        • Nicolai M.P.J.
        • Both S.
        • Liem S.S.
        Discussing sexual function in the cardiology practice.
        Clin Res Cardiol. 2013; 102: 329-336
        • Helland Y.
        • Kjeken I.
        • Steen E.
        Rheumatic diseases and sexuality: disease impact and self-management strategies.
        Arthritis Care Res. 2011; 63: 743-750
        • van Ek G.F.
        • Krouwel E.M.
        • Nicolai M.P.
        Discussing sexual dysfunction with chronic kidney disease patients: practice patterns in the office of the nephrologist.
        J Sex Med. 2015; 12: 2350-2363
        • Altmann P.
        • Leithner K.
        • Leutmezer F.
        • et al.
        Sexuality and multiple sclerosis: patient and doctor perspectives.
        J Sex Med. 2021; 18: 743-749
        • Sobecki J.N.
        • Curlin F.A.
        • Rasinski K.A.
        What we don't talk about when we don't talk about sex: results of a national survey of U.S. obstetrician/gynecologists.
        J Sex Med. 2012; 9: 1285-1294
        • Capogrosso P.
        • Boeri L.
        • Pozzi E.
        Is it compulsory to investigate for erectile dysfunction in patients presenting for low urinary tract symptoms?.
        Eur Urol Focus. 2021; 7: 172-177
        • Korse N.S.
        • Nicolai M.P.J.
        • Both S.
        Discussing sexual health in spinal care.
        Eur Spine J. 2016; 25: 766-773
        • Laldjising E.
        • Sekercan A.
        • Gadjradj P.S.
        Neurosurgeons’ opinions on discussing sexual health among brain tumor patients: room for improvement?.
        J Clin Neurosci. 2021; 94: 292-297
        • Millman A.L.
        • Rebullar K.
        • Millman R.D.
        Female sexual dysfunction - awareness and education among resident physicians.
        Urology. 2021; 150: 175-179
        • Tsimtsiou Z.
        • Hatzimouratidis K.
        • Nakopoulou E.
        Predictors of physicians’ involvement in addressing sexual health issues.
        J Sex Med. 2006; 3: 583-588
        • Shabsigh R.
        • Sadovsky R.
        • Rosen R.C.
        • et al.
        Impact of an educational initiative on applied knowledge and attitudes of physicians who treat sexual dysfunction.
        Int J Impot Res. 2009; 21: 74-81
        • Nicolai M.P.J.
        • Liem S.S.
        • Both S.
        • et al.
        A review of the positive and negative effects of cardiovascular drugs on sexual function: a proposed table for use in clinical practice.
        Neth Heart J. 2014; 22: 11-19
        • Huang Z.
        • Choong D.S.
        • Ganesan A.P.
        • et al.
        A Survey on the experience of Singaporean trainees in obstetrics/gynecology and family medicine of sexual problems and views on training in sexual medicine.
        Sex Med. 2020; 8: 107-113
        • Crocetto F.
        • Barone B.
        • Manfredi C.
        • et al.
        Are insulin resistance and NAFLD associated with Peyronie's disease? A pilot study.
        J Physiol Pharmacol. 2022; 73: 21-25