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Life sciences · Journal article
Bangladesh Journal of Psychiatry · October 5, 2026
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Erectile dysfunction (ED) is a common yet under-discussed condition that significantly affects men’s physical, psychological and social well-being. Despite its high prevalence, the impact of ED on quality of life remains inadequately investigated, especially in low-resource countries like Bangladesh. This study aims to assess the quality of life among ED patients using validated tools to address a critical knowledge gap. The objective of the study was to assess the quality of life among the patients with Erectile Dysfunction. It was a cross-sectional study. Data was collected by face-to-face interview. A total of 105 self-reported ED patients from Outpatient Department of Psychiatry of BSMMU were enrolled. Participants were assessed using the IIEF-6 score, with a mean score of 17.39 (SD 6.3). Most participants (39%) had mild to moderate ED (score: 17–21). The majority were aged 25–44 years, married (86%), and employed in private service (44%) or business (33%). About 27% had a history of mental illness, while 38% had comorbid physical conditions, including hypertension (21%) and diabetes (14%). Depression was prevalent, with 65% of participants experiencing some level of depressive symptoms. There was a statistically significant difference in all four WHOQOL-BREF domains across different levels of depression. The p-values were 0.011 for physical health, <0.001 for both psychological and social domains, and 0.001 for the environmental domain, indicating that higher levels of depression were associated with poorer quality of life. Quality of life (QoL) was lowest in the social domain (mean 11.12) and highest in the physical domain (mean 13.41). One-sample t-tests revealed a significant decline in overall QoL among ED patients compared to normal population (p < 0.001, Cohen’s d = -2.88). Sedentary lifestyle, smoking, lower education levels, and severe depression were associated with poorer QoL across multiple domains. ED patients exhibited significantly poorer quality of life across all WHOQOL-BREF domains compared to non-ED individuals, with the lowest scores observed in the social and psychological domains. Comorbid depression further exacerbated this decline, particularly in physical and psychological well-being. Bang J Psychiatry 2024;38(2): 29-36