Ahmad, S. Radzi, M. M. Ting, Y. S. Ali, S. M. S. Chin, C. H. Othman, Z. A. Tahir, N. I. M. Othman, O. Rashid, R. A. Aziz, N. A.
Journal of Men's Health. 2010; 7(3): 297
Background: Erectile dysfunction (ED) is known to be linked with diabetes but it is commonly under-diagnosed and evidence regarding association of ED severity with diabetes is still sparse. This study aimed to assess the prevalence of perceived and proven ED, the association of ED as well as ED severity with the presence of diabetic related complications and co-morbidities. Methods: It was done at an urban teaching hospital from February until March 2010. A total of 281 diabetic patients were randomly selected and International Index of Erectile Dysfunction (IIEF-5) questionnaire was used as a diagnostic tool for ED. Patientsí characteristics which include presence of peripheral neuropathy, nephropathy, retinopathy, blood pressure, metabolic indices and patientsí perceptions of having ED were determined. Results: Prevalence of proven ED was 86.8% (n = 244). Out of 156 patients who perceived to have ED, 98.2% (n = 155) proven to have this problem (p = 0.00). Mean age of proven ED was 13% higher than those without ED (61.4±10.2 vs 54.2±9.7 years, p = 0.0001). More males with duration of diabetes >10 years had ED than those duration<5 years (n = 110 vs 75, p = 0.002). Proven ED was associated with presence of diabetic nephropathy (p = 0.017). There was no significant association between severity of ED with period of having diabetes, HbA1c level and diabetic co-morbidities (obesity, dyslipidemia, hypertension). Conclusion: ED is common among diabetic males; associated with advanced age, longer duration of DM and presence of nephropathy. However, severity of ED is independent from duration of diabetes, glycaemic control and diseases related to diabetes. Our patients have good perception toward ED, thus we recommend that it should be considered upon determining their ED status.
Almeamar, H. A. Ramachandran, V. Ismail, P. Nadkarni, P. Fawzi, N.
Systems biology in reproductive medicine. 2013; 59(2): 99-107
Complete deletions in the AZF (a, b, and c) sub-regions of the Y-chromosome have been shown to contribute to unexplained male infertility. However, the role of partial AZFc deletions in male infertility remains to be verified. Three types of partial AZFc deletions have been identified. They are gr/gr, b1/b3, and b2/b3 deletions. A recent meta-analysis showed that ethnic and geographical factors might contribute to the association of partial AZFc deletions with male infertility. This study analyzed the association of partial AZFc deletions in Malaysian infertile males. Fifty two oligozoospermic infertile males and 63 fertile controls were recruited to this study. Screening for partial AZFc deletions was done using the two sequence-tagged sites approach (SY1291 and SY1191) which were analyzed using both the conventional PCR gel-electrophoresis and the high resolution melt, HRM method. Gr/gr deletions were found in 11.53% of the cases and 9.52% of the controls (p = 0.725). A B2/b3 deletion was found in one of the cases (p = 0.269). No B1/b3 deletions were identified in this study. The results of HRM analysis were consistent with those obtained using the conventional PCR gel-electrophoresis method. The HRM analysis was highly repeatable (95% limit of agreement was -0.0879 to 0.0871 for SY1191 melting temperature readings). In conclusion, our study showed that partial AZFc deletions were not associated with male infertility in Malaysian subjects. HRM analysis was a reliable, repeatable, fast, cost-effective, and semi-automated method which can be used for screening of partial AZFc deletions.
Amran, Hassan Suriati, Ghazali
International Journal of Social Science and Humanity. 2013; 3(2): 176-179
Male-to-female transsexual issues, especially their sexual orientation, has become complicated due to their tendency to regard themselves as women, and are exclusively attracted to men. This paper explores one group in male-to-female transsexuals, which is homosexual transsexuals, and their attraction towards homosexual and heterosexual men. The objective of this paper is to identify aspects of sexual attraction in the body or nature of the men that attract homosexual transsexuals to develop romantic relationship with them. Qualitative methods were used in gathering the data. This includes in-depth interviews that have been carried out on six homosexual transsexuals, which were selected using purposive and snowball sampling. The location of the fieldwork was Port Dickson, Negeri Sembilan, Malaysia. The result shows that facial appearance, specific body parts such as chest, calves and buttocks, and specific social behaviors, especially caring and affectionate, have been regarded as menís sex symbols. Index TermsóAutogynephilia, gender identity disorder, homosexual transsexual, sexual orientation, sex symbol.
Arokiasamy, John T.
The Medical journal of Malaysia. 1980; 35(1): 22-27
PIP: A study was conducted at the Army Garrison Hospital at Port Dickson in Peninsular Malaysia to determine the attitudes of 110 married men towards family planning. The sample included 80 Malays and 30 Indians who are army personnel attending the hospital either for medical treatment or a check-up. The study instrument was a pre-tested questionnarie administered by 2 male nurses during the November-December 1975 period. 76 of the respondents were between the ages of 20-34 years. 81 of the respondents had been married for a duration of up to 11 years. A breakdown by religion showed that 80 were Muslims, 25 were Hindus, and 5 were Christians, the latter being all Roman Catholics. All of the respondents were able to read and write in at least 1 language, 36 had had schooling varying from standard 1-6, 40 had had schooling varying between Form 1-Form 3, and 34 had had schooling varying from Form 4-to either Malaysian Certificate of Education Level or Higher School Certificate Level. 103 of the respondents approved of family planning, and of these 63 had always felt this way in the past. 6 respondents indicated that they had not thought about family planning in the past. 87 respondents did not approve of the practice of family planning before having the 1st child. Only 7 of 80 Malays in contrast to 16 of 30 Indian respondents -- a significant difference -- approved of family planning before the 1st child. 89 of the 110 respondents had discussed family planning with their wives; 21 respondents had not. 93 respondents disapproved of induced abortion; 17 approved of it. Only 3 of 80 Malay respondents approved induced abortion, but 14 of 30 Indian respondents indicated approval. 98 of the respondents indicated that they were interested in learning more about family planning, and 96 approved of their wife practicing family planning. 56 respondents were practicing family planning, and 20 indicated that they would do so in the future. 6 said they would not practice family planning, and 28 were uncertain as to whether they would practice family planning. It appears that the better educated approve as well as practice family planning more than those with less education.