Objectives:
The aim of the study is to assess the frequency of sexual dysfunction in men after myocardial infarction (MI).

Methods:
62 men were asked to fill IIEF 15 to assess sexual dysfunction 3 and 9 months after MI.

Results:
Erectile dysfunction (ED), orgasmic dysfunction, decreased sexual desire, decreased intercourse satisfaction, decreased overall satisfaction were recognized respectively by: 61,3%, 24,2%, 62,9%, 71%, 54,8% of men 3 months after MI, and 51,6%, 17,7%, 58,1%, 77,4%, 59,7% of men 9 months after MI. Men with ED had higher serum CRP (5,8 vs. 3,8; p=0,04) and creatinine (1 vs. 0,9; p=0,04) levels in the peri-infarction period and higher serum BNP (47,4 vs. 24,6; p=0,04) measured 3 months after MI than men without ED. They had also higher serum testosterone levels than men without ED (12,6 vs. 10,6; p=0,03). Men with decreased sexual desire had significantly lower serum DHEAs (dehydroepiandrosterone sulfate) levels in the peri-infarction period than men with normal sexual desire (191,1 vs. 224,3; p=0,044). Men with ED 9 months after MI had higher serum CRP levels in the peri-infarction period (7,5 vs. 4,6; p=0,0371). Men with orgasmic dysfunction had lower left ventricular ejection fraction (EF) measured in the peri-infarction period (0,4 vs. 0,5; p=0,0318).

Conclusions:
1.Men with ED have higher serum CRP and creatinine levels in the peri-infarction period. 2. DHEAs level has an influence on sexual desire and on erectile function after MI. 3.BNP level in post-MI patients affects erectile function. 4.EF has an impact on orgasmic function.