DOI: https://doi.org/10.36347/sjams.2026.v14i03.012

Pages: 388-393

Background: Male sexual health is closely linked to hormonal balance and cardiometabolic status. Testosterone and other endocrine factors play a critical role in libido, erectile function, and overall sexual performance. Objective: To evaluate the hormonal profile and its association with sexual health status in adult males. Methods: This cross-sectional analytical study was conducted among 200 adult males aged 18–60 years at Satkhira Medical College Hospital, Satkhira, Bangladesh. Demographic and clinical data were recorded, and sexual health was assessed using the IIEF-5 along with evaluation of libido and orgasmic function. Morning fasting blood samples were analyzed for total and free testosterone, LH, FSH, prolactin, TSH, and SHBG. Data were analyzed using SPSS version 22, and p <0.05 was considered statistically significant. Results: The mean age of participants was 38.6 ± 9.4 years. Erectile dysfunction was present in 59% of subjects, with 32% having moderate to severe ED. Reduced libido was reported in 40% and impaired orgasmic function in 27%. Low total testosterone (<300 ng/dL) was significantly associated with moderate to severe ED (p <0.001). A moderate positive correlation was observed between total testosterone levels and IIEF-5 scores (r = 0.46, p <0.001). Conclusion: Sexual dysfunction is common among adult males and is significantly associated with hormonal status, particularly serum testosterone. Comprehensive hormonal and metabolic evaluation is essential in men presenting with sexual health complaints.