Research Article

Vitamin D and Male Sexual Function: A Transversal and Longitudinal Study

Table 1

Clinical, hormonal, and sexual characteristics of the studied sample at baseline and after vitamin D replacement therapy.

BaselineSubjects who underwent vitamin D supplementation
Total sample ()Before therapy ()After therapy ()

Clinical indicatorsBMI29.5 (26.1–31.3)28 (25.7–35)28.4 (25.4–34.9)NS
Hypogonadism (yes) (%)66 (57.8)34 (82.9)NC
Type 2 diabetes mellitus (yes) (%)60 (52.6)29 (70.7)NC
Dyslipidemia (yes) (%)53 (46.4)18 (43.9)NC
Hypertension (yes) (%)51 (44.7)16 (39)NC
Smoking habit (yes) (%)68 (59.6)34 (82.9)NC

Biochemical indicatorsFSH (IU/L)13.6 ± 0.7115.1 (9.3–22.9)15.5 (9.3–20.7)NS
LH (IU/L)12.1 (5.7–15.6)14.4 (11–16.7)10.9 (8.8–16.4)NS
Total testosterone (ng/mL)2.95 (2.77–4.60)2.78 (2.27–2.95)3.21 (2.64–3.41)<0.001
Free testosterone (pg/mL)59.4 (54.2–101)53.5 (44.3–59.3)63.6 (53–71.3)<0.001
SHBG (nmol/L)31.2 (29.3–32.6)32.2 (28.3–34.3)29.8 (25.3–35.7)NS
Estradiol (pg/mL)11.8 (7.8–29.4)7.7 (5.5–11.6)8.1 (6.4–11.1)NS
Creatinine (mg/dL)0.53 (0.48–0.56)0.53 (0.48–0.54)0.54 (0.44–0.66)NS
25(OH) vitamin D (ng/mL)31 ± 0.5924 ± 0.6238.6 ± 0.89<0.001
PTH (pg/mL)55.7 (49.3–60.5)62.9 (59.9–75.5)39.3 (29.9–49.6)<0.001
Albumin (g/dL)4.47 ± 0.0194.44 ± 0.034.43 ± 0.047NS
Calcemia (mg/dL)9.33 ± 0.0209.30 ± 0.039.18 ± 0.069NS

Functional indicatorsErectile function18 (11–21)10 (8–13)11 (9–13.5)<0.001
Orgasmic function7 (6–8)5 (4–6)5 (4–6)NS
Sexual desire7 (5–8)4 (4–5.5)5 (4–6)NS
Intercourse satisfaction8 (7–13)6 (6-7)6 (6-7)NS
Overall satisfaction4 (3–8)3 (3-4)3 (3-4)NS
IIEF total44 (32–58)29 (25–35.5)30 (25.5–36)NS

Continuous variables are presented as mean and standard error of the mean if normally distributed or as median and interquartile range if not normally distributed. Comparison of the values before and after therapy. These data are normally distributed but, in order to present the variable homogeneously, they are expressed as median and interquartile range. BMI: body mass index; FSH: follicle-stimulating hormone; LH: luteinizing hormone; SHBG: sexual hormone-binding globulin; PTH: parathyroid hormone; IIEF: International Index of Erectile Function; NC: noncomputable; NS: not significant.