Sexual Dysfunction and Its Predictors amongMale Patients with Epilepsy Attending PublicHospitals, East Ethiopia: A Cross-Sectional Study

Introduction: Sexual dysfunction is common Comorbid conditions in patients with epilepsy; however, its causes are complex and multifactorial. Nearly five fold increased risk compared to the general population. However, there is limited study that examined prevalence and determinants of sexual dysfunction among male epileptic patients. Objective: To determine prevalence of Sexual Dysfunction and its predictors among male epileptic patient attending public hospitals, East Ethiopia. Methods: An institutional-based cross-sectional study was conducted between May 15 - June 15, 2019 among 581 participants, who were selected using a systematic random sampling technique. A sexual dysfunction was measured by the Change in Sexual Functioning Questionnaires (CSFQ-M-C) Clinical Version. The association between outcome and independent variables was identified by bi-variable and multivariate logistic regression. Finally, variables with P-value less than 0.05 were considered statistically significant at 95% CI. Results: The prevalence of global sexual dysfunction was 59.4 % with 95% CI - 57.6, 64.9. Factors like, age ≥ 45 years (AOR - 5.43; 95% CI - 1.22, 7.18), uncontrolled seizure (AOR - 3.11; 95% CI-1.8, 5.29), current khatuse (AOR - 3.66, 95% CI - 2.21, 6.04) and psychological distress (AOR - 2.01; 95% CI - 1.19, 3.38) were significant predictors. Conclusion: The question of sexual activity should be raised by health-care professionals as a routine part of the management of patients with epilepsy and needs to refer to psychiatry clinic accordingly.