Carvalheira Ana, Santana Rita
a Clinical Psychology ISPA-University Institute , Lisbon , Portugal.
b Research Unit of Psychology & Health ISPA-University Institute , Lisbon , Portugal.
J Sex Marital Ther. 2016;42(3):257-66. doi: 10.1080/0092623X.2015.1010677. Epub 2015 Feb 4.
The inability to reach orgasm is probably the least common and least understood of all male sexual dysfunctions. The present study aims to investigate the incidence of the inability to reach orgasm, and the psychological and interpersonal factors associated with this sexual difficulty. A total of 3,672 heterosexual men from three European countries (1,937 Portuguese, 1,215 Croats, 520 Norwegians) participated in this web survey (M age = 36.6 years, SD = 18-75 years). A total of 354 (9.6%) reported the inability to reach orgasm. Among those men, 89.8% reported moderate to extreme distress regarding this sexual difficulty. A multivariate assessment revealed that men in short-term relationships and taking antidepressants were more likely to report inability to reach orgasm. Men who reported having difficulties getting or maintaining an erection were 4 times more likely to have experienced the inability to reach orgasm than were those who did not report this difficulty. Men who experienced difficulty "'letting go' and surrendering to sexual pleasure during sex" were 2.7 times more likely to have experienced the inability to reach orgasm than were those who did not report this difficulty. This difficulty of "letting go" might reflect the unwillingness to give oneself, an idea presented in previous research.
无法达到性高潮可能是所有男性性功能障碍中最不常见且最不为人所理解的。本研究旨在调查无法达到性高潮的发生率，以及与这种性困难相关的心理和人际因素。来自三个欧洲国家的3672名异性恋男性（1937名葡萄牙人、1215名克罗地亚人、520名挪威人）参与了这项网络调查（年龄中位数 = 36.6岁，标准差 = 18 - 75岁）。共有354人（9.6%）报告无法达到性高潮。在这些男性中，89.8%报告称对这种性困难感到中度至极度困扰。多变量评估显示，处于短期恋爱关系且正在服用抗抑郁药的男性更有可能报告无法达到性高潮。报告在勃起或维持勃起方面有困难的男性经历无法达到性高潮的可能性是未报告此困难的男性的4倍。经历过“在性行为中难以‘放松’并享受性快感”困难的男性经历无法达到性高潮的可能性是未报告此困难的男性的2.7倍。这种“放松”困难可能反映了不愿奉献自我，这是先前研究中提出的一种观点。
