Social environmental impact of COVID-19 and erectile dysfunction: an explorative review

Pizzol, D.; Shin, J. I.; Trott, M.; Ilie, P.-C.; Ippoliti, S.; Carrie, A. M.; Ghayda, R. A.; Lozano, J. M. O.; Muyor, J. M.; Butler, L.; McDermott, D. T.; Barnett, Y.; Markovic, L.; Grabovac, Igor; Koyanagi, A.; Soysal, P.; Tully, M. A.; Veronese, N.; Smith, L.

BACKGROUND: To date, no attempt has been made to collate literature on the relationship between the social environmental impact of COVID-19 and erectile dysfunction. The aim of this explorative review was to assess and compare the prevalence of erectile dysfunction (ED) in male healthcare workers and males during the COVID-19 pandemic. METHODS: A systematic review of major databases from inception to February 2021 was conducted. Prevalence data were extracted, and a random-effects meta-analysis was undertaken. OUTCOMES: The pooled prevalence of ED amongst healthcare workers working in COVID-19 specific environments, and non-healthcare during the COVID-19 pandemic. RESULTS: Of 52 initial studies, six were included for the final analysis. The pooled prevalence of ED in healthcare workers working in a COVID-19 environment was 63.6% (95% CI 20.3–92.3%), and in non-healthcare workers during the COVID-19 pandemic was 31.9% (95% CI 19.5–47.6%). CONCLUSION: The prevalence of ED in healthcare workers working in COVID-19 environments was higher than representative samples and is of concern. Sexual health (and by extension, overall health), should be a priority when considering ways to care for this population. Considering the social environmental impact of COVID-19 on sexual health and in particular on ED, it is important to provide adequate psychological support systems and to promote quality of life with particular attention to sexual health. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s40618-021-01679-1.