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АНДРОЛОГИЯ ANDROLOGY_1 том 25 / vol. 25
И ГЕНИТАЛЬНАЯ ХИРУРГИЯ AND GENITAL SURGERY JL 2 0 2 4
DOI 10.62968/2070-9781-2024-25-1-63-64
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Maintaining good sexual health in men with cardiovascular risk factors: ChatGPT may be a good lifestyle-modification advising friend
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Ali Mohamed Ali Ismail, Ph.D., MR Yusof '3, Khairul-Asri MG34, Ahmad Faiz NMG1, MZ Zakaria2, Mohamed Ashraf MD12
Lecturer, Department of Physical Therapy for Cardiovascular/Respiratory Disorder and Geriatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
1 Urology Unit, Department of Surgery, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia
2 Urology Unit, Department of Surgery, Hospital Universiti Sains Malaysia, Kelantan, Malaysia
3 Department of Urology, Hospital Pengajar Universiti PUTRA Malaysia, Serdang, Malaysia
4 Department of Urology, Faculty of Medicine and Health Sciences, Universiti PUTRA Malaysia Serdang, Malaysia
Short title: ChatGPT and men's sexual health. Article type: Letter to editor Corresponding
address: Ali Mohamed Ali Ismail: Department of Physical Therapy for Cardiovascular/Respiratory Disorder and Geriatrics,
Faculty of Physical Therapy, Cairo University, Giza, Egypt. E-mail: ali.mohamed@pt.cu.edu.eg, ali-mohamed@cu.edu. Dr Mohamad Ashraf bin Mohamad Daud, Urology Unit, Department of Surgery, Hospital Universiti Sains Malaysia, Kelantan, MALAYSIA E-mail: mashrafmdaud@gmail.com ORCID: https://orcid.org/0000-0003-1447-8817
Dear editor,
Cardiovascular risk factors (obesity, diabetes, hypertension, alcohol consumption, dyslipidemia, smoking, stress, and high-fat diet) are associated with accelerating the development of sexual dysfunctions in men. Erectile dysfunction (ED) is one of these sexual dysfunctions [1,2]. ED is a term that defines a man's inability to maintain a sufficient erection for sexual intercourse. This sexual insult not only impacts men's quality of life but also negatively impacts their partners [3-8].
Phosphodiesterase type 5 inhibitors are first-line medications to improve this sexual insult in men. According to many studies, lifestyle modification (smoking cessation, participating in exercise classes, limiting high-fat diet, cessation of alcohol consumption, managing stress, weight loss, and controlling high blood pressure, glucose, and lipids) are also called first-line therapeutic options in the treatment of ED induced by cardiovascular risk factors [1].
While standard lifestyle modification programs and guidance can help some men with cardiovascular risk factors [9] and ED, they may not be effective for all of them. For some ED sufferers, new artificial intelligence (AI) technologies provide a source of easy accessibility and hope. Men may benefit, in particular, from employing ChatGPT, a prevalent language-model internet technology
in the processing of natural languages, in the field of treating ED induced by cardiovascular risk factors.
Deep learning is used in an approach to language modeling known as ChatGPT to generate responses to text-based inquiries that resemble human responses. It has been used in a variety of technology-based applications, including chatbots, virtual assistants, and language translation. Because ChatGPT can understand and respond to natural/native language, it is the ideal tool for applications in personalized/individualized £ healthcare [10-12]. £
Men with ED and cardiovascular risk factors can make ^ use of different potentials of ChatGPT in sexual health. The c main potential use of Chat GPT in the management of ED .j? induced by cardiovascular risk factors is to provide men with o individualized lifestyle change advice. By examining men's medical history, physical/demographic characteristics, £ and lifestyle history, technology enables the provision of ™ individualized guidance on ED-related health issues such as K low-calorie restriction programs, exercise counseling, tips S for smoking stopping and alcohol consumption cessation, É weight loss protocols, tips for controlling blood lipids and x glucose, blood pressure-lowering lifestyle regimes, and ^ psychological support. Furthermore, Chat GPT can track men's progress over time and adjust recommendations as required. This unique approach may lead to more effective
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АНДРОЛОГИЯ ANDROLOGY_1 том 25 / vol. 25
И ГЕНИТАЛЬНАЯ ХИРУРГИЯ AND GENITAL SURGERY JL 2 0 2 4
improvement in the associated cardiovascular risk factors, hence ED may improve.
Predictive modeling for sexual complications or dysfunctions in men with cardiovascular risk factors is a further prospective purpose of ChatGPT. To identify patterns and trends that could be used to anticipate the start of sexual dysfunction as well as ways to prevent them, ChatGPT can analyze large amounts of men's data (alcohol consumption and smoking history, marital status, alcohol consumption history, quality of life indicators, stress exposure, level of physical activity, dietary lifestyle, records of blood pressure, lipids, and glucose, etc.).
However, there are several hurdles/obstacles in using ChatGPT in suggesting a lifestyle treatment for ED in men with cardiovascular risk factors. One ChatGPT-proposed issue is the ethical implications ofemploying AI technology to recommend treatments or give counsel to men with ED and cardiovascular risk factors. There are concerns/worries about the likelihood
of bias in the men's training data, which may make ED men unwilling to engage in an AI-powered healthcare system with their health-related requirements/inquiries. Additionally, there are concerns about the confidentiality of ED men's data and the possibilities for hacks.
Some of the suggested considerations that may restrict the implementation of ChatGPT in tailoring a lifestyle-modification program for men with ED and cardiovascular risk factors include constant requirements for broadband internet access or elegant technology for computing, giving patients bad medical or lifestyle advice, and privacy and security concerns. Future research is required to determine the strengths and weaknesses of ChatGPT in advising men with ED to modify their lifestyles.
Disclosure statement
No potential conflict of interest was reported by the author(s).
R E F E R E N C E S
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Ismail AMA, Abdelghany AI. Effect of adding a 2-month consequent continuous and interval elliptical aerobic training to once-daily 5-mg tadalafil administration on erectile dysfunction in obese men. Sex Disabil. 2023; 40:129-139. Ismail AMA, Hamed DE. Erectile dysfunction and metabolic syndrome components in obese men with psoriasis: response to a 12-week randomized controlled lifestyle modification program (exercise with diet restriction). Ir J Med Sci 2023; 10.1007/s11845-023-03412-8, 2023. Advance online publication. https://doi. org/10.1007/s11845-023-03412-8
Ismail AMA. Erectile dysfunction: the non-utilized role of exercise rehabilitation for the most embarrassing forgotten post-COVID complication in men. Aging Male. 2022;25(1):217-218. Ismail AMA. Complementary role of Benson's relaxation technique in post orgasmic illness syndrome. Aging Male. 2023;26(1):2174511.
Ismail AMA. Is there a role for exercise in men suffering from HIV-induced erectile dysfunction. Aging Male. 2023;26(1):2174512.
Ismail AMA. Post-COVID Erectile Dysfunction: The Exercise May Be a Good Considered Complementary Choice. Am J Mens Health. 2022;16(4):15579883221114983.
7. Ismail AMA. Is There an Effect of Lifestyle Changes on Psoriasis-Associated Erectile Dysfunction?. Am J Mens Health. 2022;16(5):15579883221128117.
8. Ismail AM.A. Post-COVID changes of semen parameters: a new era for physical activity that needs investigation. Andrologiya
i genital'naya khirurgiya = Andrology and Genital Surgery 2023;24(2):126-9.(In Engl.). https://doi.org/10.17650/2070-9781-2023-24-2-126-129.
9. Ismail AMA. Metabolic syndrome components response to the conducted 16-week randomised-controlled training trial on an elliptical trainer, Eur J Physiother 2023; 25:3, 147-153,
10. Parray AA, Inam ZM, Ramonfaur D, et al. ChatGPT and global public health: Applications, challenges, ethical considerations and mitigation strategies.1 Glob Transit. 2023;5:50-54.
11. Ismail AMA. ChatGPT: an expected excellent future technology in enhancing patient care education and physiotherapists' continuous training, Eur J Physiother.2023, https://doi.org/10.1080/21679169. 2023.2230245
12. Ismail AMA. Chat GPT in Tailoring Individualized Lifestyle-Modification Programs in Metabolic Syndrome: Potentials and Difficulties? [published online ahead of print, 2023 Jun 18]. Ann Biomed Eng. 2023;10.1007/s10439-023-03279-x. https://doi. org/10.1007/s10439-023-03279-x.
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