Sexual behavior in men during COVID-19

COVID-19

BOLETIM RAMB

Número 38

23 de novembro de 2020

Sexual behavior

in men during

COVID-19

Fernando Nestor Facio Junior

Maria Fernanda Warick Facio

Ana Clara Nagle Spessoto

Luis Cesar Fava Spessoto

BOLETIM RAMB COVID-19 • NÚMERO 38 > > > 2

Em um momento em que há uma emergência mundial de

saúde pública, é fundamental que o conhecimento científico

ge-rado durante a pandemia chegue rapidamente à classe médica

classe médica.

Dentro desta dinâmica a Revista da Associação Médica

Brasi-leira (Ramb) está adotando uma série de medidas a fim de acelerar

o processo editorial para publicação de artigos sobre a Covid-19.

A partir de hoje (14/04/2020), a AMB publicará o Boletim Ramb

Covid-19, que antecipará os artigos científicos selecionados pelos

editores da Ramb sobre o tema.

“Os artigos foram escritos por especialistas e selecionados

den-tro dos critérios da Ramb para esclarecer temas fisiopatológicos,

assim como oferecer orientações de prevenção e tratamento da

doença. Dessa forma, esperamos colaborar com os médicos para

o melhor atendimento aos seus pacientes, com a disponibilidade

mais ágil desses artigos, antes de sua publicação na Ramb”,

co-menta Carlos Serrano Jr., editor-chefe da Ramb.

Para o diretor científico da AMB, Antonio Carlos Palandri

Cha-gas, “neste momento ímpar vivido no mundo por conta da

pan-demia de Covid-19, a AMB cumpre seu papel de estar levando

à comunidade científica brasileira os recentes artigos sobre os

mecanismos fisiopatológicos e aspectos clínicos relevantes dessa

situação que assola a saúde pública”.

Antonio Carlos Palandri Chagas

Carlos Serrano Jr.

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BOLETIM RAMB COVID-19 • NÚMERO 38 > > > 5

Sexual behavior in men during COVID-19

Fernando Nestor Facio Junior

Maria Fernanda Warick Facio

Ana Clara Nagle Spessoto

Luis Cesar Fava Spessoto

1. Professor de Urologia, Departamento de Urologia. Faculdade de Medicina de São José do Rio Preto (FAMERP/FUNFARME), São José do Rio Preto, SP, Brasil. 2. Médica, Faculdade de Medicina (FACERES), São José do Rio Preto, SP, Brasil.

3. Graduanda, Faculdade de Medicina de Catanduva (UNIFIPA), Catanduva, SP, Brasil.

The rapid changes that have

occurred during this pandemic have

influenced people in various ways,

affecting stress levels, finances, and

health. As the world faces this

situ-ation, it is adjusting to a new reality

involving the need for social

distanc-ing and a change in habits

_{. We do not}

know what the lasting effects of the

COVID-19 pandemic will be on

pat-terns of sexual behavior. Social

dis-tancing affects all aspects of daily life

and it is not clear whether it affects

the sexual habits of married partners.

As the period of quarantine is

prolonged, understanding changes

in sexual behavior may provide

information regarding potentially

unhealthy sexual attitudes. This

crisis is contributing to the

experi-mentation of addictive sexual

behav-iors, such as those practiced via the

internet

_{. A pornography sharing}

website observed an increase in the

use of free pornography during the

quarantine, especially in Spain (61%)

and Italy (57%). Similar patterns have

been observed in the United States

and regions of Asia, especially with

regard to morning viewing

_{. Besides}

the consumption of this content by

the adult population, the pandemic

is exerting a negative impact on the

physical, intellectual, emotional,

and sexual activities of adolescents.

When emotions are high and

ado-lescents are more socially isolated,

there can be an increase in the use

of online pornography, the effects of

which have implications in terms of

emotional and relational problems in

this generation

_{. Online content is}

active and portable, enabling fast and

easy access through a variety of

elec-tronic devices, in which it is difficult

for parents to monitor online media

_.

Although the majority of

adoles-cents in the cognitive and volitional

age may not experience

conse-quences, some cases could generate

a reduction in desire, an increase

in masturbatory practices, and a

reduced interest in real sex due to

the gap between what is possible and

what is being fantasized, which could

lead to potential health problems in

terms of dependence, paraphilias, and

sexual disorders

_.

Another vulnerable population in

this pandemic is composed of men

older than 60 years of age, 66.2% of

whom could develop more severe

forms of the disease

_{. Androgen}

defi-ciency in this age group can exert a

negative impact on multiple organs

and quality of life

_{. Therefore, the}

maintenance of testosterone therapy

is necessary. Low levels of this

hor-mone may play a physiopathological

role associated with SARS-CoV-2, as

the worsening of hypogonadism with

androgen depletion can contribute to

the severe course of the disease and

even death

_.

Besides these complications

amidst the pandemic, low levels of

testosterone in men older than 60

years of age can further aggravate the

lack of libido and low energy,

gener-ating profound suffering due to the

negative impact on sexual behavior.

Thus, specialized, multidisciplinary

care is needed, with online medical

appointments aimed at the

continua-tion of hormone replacement therapy.

Considering the relationship between

mental and sexual health, these

patients need close follow-up, as they

may be at greater risk of manifesting

preexisting sexual dsyfunctions

_.

Conflicts of interest

The authors have nothing to disclose

Funding

None.

Author’s Contribution

All authors have contributed equally

to the work.

KEYWORDS:

Coronavirus; pornography; testosterone.

Submitted Date: 12-Jul-2020

Accepted Date: 08-Aug-2020

corresponding author:

F

ernando Nestor Facio Junior

Av. Fernando Correa Pires, 3600,

Departa-mento de Urologia, Faculdade de Medicina

(FAMERP/FUNFARME),

S. José do Rio Preto, SP, Brasil

Tel: +55 17 98164-5376 /

Fax: +55 17 3232-0199

E-mail: fnfacio@yahoo.com.br

BOLETIM RAMB COVID-19 • NÚMERO 38 > > > 6

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