Sexual Function in Men Living With a Fontan Circulation

Introduction: It is unknown if the Fontan circulation has an impact on sexual health in men. This study assessed self-reported sexual health and fertility in men with a Fontan circulation.Aims: In this prospective, cross-sectional study, Australian men ≥18 years enrolled in the Fontan Registry of Au...

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Main Authors: Imants Rubenis (Author), Derek Tran (Author), Andrew Bullock (Author), Vishva Wijesekera (Author), David Baker (Author), Yves d'Udekem (Author), Karin du Plessis (Author), Darren Katz (Author), Michael Lowy (Author), Dominica Zentner (Author), David Celermajer (Author), Rachael Cordina (Author)
Format: Book
Published: Frontiers Media S.A., 2021-11-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Imants Rubenis  |e author 
700 1 0 |a Imants Rubenis  |e author 
700 1 0 |a Derek Tran  |e author 
700 1 0 |a Derek Tran  |e author 
700 1 0 |a Andrew Bullock  |e author 
700 1 0 |a Vishva Wijesekera  |e author 
700 1 0 |a David Baker  |e author 
700 1 0 |a David Baker  |e author 
700 1 0 |a Yves d'Udekem  |e author 
700 1 0 |a Yves d'Udekem  |e author 
700 1 0 |a Karin du Plessis  |e author 
700 1 0 |a Darren Katz  |e author 
700 1 0 |a Darren Katz  |e author 
700 1 0 |a Michael Lowy  |e author 
700 1 0 |a Dominica Zentner  |e author 
700 1 0 |a Dominica Zentner  |e author 
700 1 0 |a David Celermajer  |e author 
700 1 0 |a David Celermajer  |e author 
700 1 0 |a David Celermajer  |e author 
700 1 0 |a Rachael Cordina  |e author 
700 1 0 |a Rachael Cordina  |e author 
700 1 0 |a Rachael Cordina  |e author 
245 0 0 |a Sexual Function in Men Living With a Fontan Circulation 
260 |b Frontiers Media S.A.,   |c 2021-11-01T00:00:00Z. 
500 |a 2296-2360 
500 |a 10.3389/fped.2021.765380 
520 |a Introduction: It is unknown if the Fontan circulation has an impact on sexual health in men. This study assessed self-reported sexual health and fertility in men with a Fontan circulation.Aims: In this prospective, cross-sectional study, Australian men ≥18 years enrolled in the Fontan Registry of Australia and New Zealand were invited to complete the International Index of Erectile Function (IIEF), alongside questions assessing fertility. These data were compared to historical, age-matched controls.Results: Of 227 eligible men, 54 completed the survey; of those 37 were sexually active and included in the final analysis. Mean age was 28 ± 3 years, age at Fontan was 5 ± 3 years. Fontan type was extra-cardiac conduit in 15 (41%), lateral tunnel in 12 (32%), and atriopulmonary connection (APC) in 10 (27%). Ventricular function was normal in 24 (83%), and all were New York Heart Association Class I (23 patients, 79%) and II (six patients, 21%). Nine participants (24%) had erectile dysfunction (IIEF-EF score ≤25). The severity was mild (IIEF 22-24) in six (16%), mild-moderate (IIEF 17-21) in two (5%), and moderate (IIEF 11-16) in one (3%). Baseline characteristics and current medication usage were similar in those with and without erectile dysfunction. Compared with historical control values, erectile function was not significantly impaired in the Fontan population (p =0.76). Men with a Fontan circulation had decreased levels of sexual desire and overall satisfaction (p < 0.001). There was no correlation between the presence of erectile dysfunction and any assessed parameter. Eleven (30%) of the cohort reported a pregnancy with a prior partner.Conclusion: In our cohort, overall erectile function was comparable between men with a Fontan circulation and historical controls, however sexual desire and overall satisfaction were reduced. There was no correlation between study parameters and the presence of erectile dysfunction. The proportion of the cohort who had a prior pregnancy was congruent with population data. 
546 |a EN 
690 |a congenital heart disease 
690 |a Fontan 
690 |a sexual health 
690 |a fertility 
690 |a erectile dysfunction 
690 |a Pediatrics 
690 |a RJ1-570 
655 7 |a article  |2 local 
786 0 |n Frontiers in Pediatrics, Vol 9 (2021) 
787 0 |n https://www.frontiersin.org/articles/10.3389/fped.2021.765380/full 
787 0 |n https://doaj.org/toc/2296-2360 
856 4 1 |u https://doaj.org/article/c1ed93cd255c40f29cf53910abf29ca8  |z Connect to this object online.