The use of acupuncture in the treatment of erectile dysfunction

KOH, H.G., E. Meuleman,
University Hospital of Nijmergen, PO Box 9101, 6500 HB Nijmegen, The Netherlands

Purpose of the study: to evaluate the effcacy of acupuncture as a monotherapy in patients suffering from erectile dysfunction (ED).

Patients and method: 16 patients with confirmed ED were included in a pilot study. In a period of four weeks acupuncture treatment was performed twice a week for a total of eight sessions. Each treatment session consisted of puncture of the same eight acupoints, four of which were connected to a Swiss made constant current Doltron ESA 600 stimulator. Low frequency electrical stimulation (5Hz and 10 mA) was applied to those four acupoints, whereas no stimulation was applied to the other four points. After 30 min, the electrical stimulation was terminated and all needles removed. Blood samples were drawn according to a fixed time schedule, to study the profile of a number of stress hormones, for example, adrenocorticotropic hormone, antidiuretic hormone and cortisol, the gonadotrophines follicle stimulating hormone and lutinizing hormone, and the sex steroid testosterone and its binding globuline, within the treatment period. Based on the diary of both patient and partner and an interview one month after the end of treatment, the changes of the sexual activity was evaluated over a period of 12 weeks, starting from the four weeks prior to the treatment, the four weeks during the treatment period and the four weeks after the treatment.

Results: 15% of patients experienced an improvement of the quality of erection, while 31% reported an increase in their sexual activity. No changes in the profile of hormones were detected.

Conclusion: the use of acupuncture as a mono-therapeutic modality in ED, did not influence the profile of the stress and sex hormones, but did improve the quality of erection and restored the sexual activity with an overall effect of 39%. The results justify that a controlled and blinded study including more patients will be needed before any definitive conclusion can be reached.