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Men who suffer from obstructive sleep apnea (OSA) are seeing another potential benefit from continuous positive airway pressure therapy, or CPAP: improved sexual function and satisfaction in non-diabetic men under age 60.

A study out of Walter Reed National Military Medical Center in Bethesda, Md., assessed the erectile function and libido of 92 men who were newly diagnosed with OSA and starting CPAP therapy. Erectile dysfunction (ED) is common in OSA patients, and nearly half of the men in the Walter Reed study reported the presence of ED. Patients were assessed again after one, three and six months of CPAP therapy.

The results show that CPAP improved the sexual function and satisfaction in the majority of men in the study regardless of their level of erectile function reported at the very start. Those with ED had more robust improvements and even many without ED reported improved sexual function and satisfaction.

“We were surprised at how prevalent ED is in a relatively young population of men with sleep apnea. The average age was 45,” said Joseph Dombrowsky, MD, the study’s primary investigator. “But we were similarly surprised at how robust a clinically significant response the men had with CPAP therapy.”

The abstract “The prevalence of erectile dysfunction and impact of CPAP therapy: a prospective analysis” is being presented today at SLEEP 2012, the 26th annual meeting of the Associated Professional Sleep Societies (APSS) in Boston.

Source: American Academy of Sleep Medicine

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A growing body of research has also found that sleep apnoea can be a drain on intimacy, causing erectile dysfunction in men and loss of libido in women.

Scientists suspect this may have to do with sex hormones like testosterone, which rise with sleep and fall when there is a lack of it. Because it causes intermittent waking and chronic sleep deprivation, apnea may directly drive down levels of these hormones, causing sexual dysfunction.

In the most recent study, published last month in The Journal of Sexual Medicine, scientists compared 80 women with obstructive sleep apnoea between the ages of 28 and 64 with 240 women without the condition. They found that the apnea patients had significantly higher rates of sexual dysfunction. Their findings echoed those of earlier studies on women and apnea.

In a study in 2009, researchers looked for signs of sexual problems in 401 men who showed up at a clinic for suspected sleep apnea. Of those who received the diagnosis, about 70 percent also had erectile dysfunction, compared with 34 percent in those without sleep apnea.

But on the bright side, treatment can make a difference. Patients who undergo surgery to correct facial abnormalities that contribute to apnea see improvements in intimacy, and those who start using masks at night that administer continuous positive airway pressure also report benefits in their sexual relationships.

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