Overview of Sexual Dysfunction among Diabetes Mellitus Patients at Dr. Soedono Hospital

Abstract

Diabetes mellitus (DM) is a chronic metabolic disorder that can lead to various complications, including sexual dysfunction, particularly erectile dysfunction (ED), which may significantly impair patients' quality of life. This study aimed to describe sexual dysfunction among male patients with diabetes mellitus at Dr. Soedono Regional Hospital, Madiun. A descriptive quantitative study with a cross-sectional design was conducted from February to March 2025 involving 30 male patients selected using purposive sampling. Data were collected using the International Index of Erectile Function-5 (IIEF-5) questionnaire and analyzed descriptively using frequency and percentage distributions. The results showed that most respondents were aged 61–70 years (30%), had completed senior high school (40%), were self-employed (27%), had lived with diabetes mellitus for 1–5 years (73%), and underwent regular treatment (63%). Severe erectile dysfunction was found in 30% of respondents, followed by moderate erectile dysfunction in 27%. All patients with a duration of diabetes of 6–10 years experienced severe erectile dysfunction. Severe ED was more common among older patients and those who did not receive regular treatment. In conclusion, sexual dysfunction, particularly severe erectile dysfunction, is common among male patients with diabetes mellitus. Older age, longer disease duration, and inadequate treatment adherence may contribute to greater severity of erectile dysfunction. Therefore, routine screening and early management of sexual dysfunction should be integrated into diabetes care to improve patients' quality of life.