Goldstein Irwin, Goldstein Sue, Millheiser Leah
1Sexual Medicine, Alvarado Hospital, San Diego, CA 2San Diego Sexual Medicine, San Diego, CA 3Nuelle, Inc., Mountain View, CA.
Menopause. 2017 Nov;24(11):1257-1263. doi: 10.1097/GME.0000000000000912.
To determine the degree of vasoengorgement of the external genitalia caused by Fiera, a personal care device developed specifically to increase sexual arousal and interest. Time to onset of self-reported genital sexual arousal and development of responsive sexual desire were also measured.
This nonblinded, prospective cohort, single-site study was conducted in women without sexual dysfunction between the ages of 18 and 70. Each participant underwent a single-visit procedure that established a baseline temperature of the external genitalia, followed by 15 minutes of Fiera use. A post-Fiera temperature assessment lasting 10 minutes was performed. Subjective measures assessed the development of genital arousal and responsive desire as a result of Fiera use.
Fourteen premenopausal and 12 postmenopausal participants completed the study. Mean time to reach genital arousal was 5.2 + 4.2 minutes in the premenopausal group, and 4.5 + 4.3 minutes in the postmenopausal group. Statistically significant increases in the temperature of the clitoris and vestibule were demonstrated in both groups up to 10 minutes after removal of Fiera. At the labia, temperature increase was significant up to 8 minutes in the premenopausal group and up to 2 minutes in the postmenopausal group. All of the participants experienced responsive sexual desire as a result of Fiera.
Use of Fiera produced statistically significant increases in the temperature of the external genitalia, markers of vasoengorgement, in both the premenopausal and postmenopausal participants. The onset of genital sexual arousal was rapid in both groups, and responsive sexual desire was experienced by all of the participants.
确定菲拉（Fiera）引起的外生殖器血管充血程度。菲拉是一种专门开发用于增强性唤起和性兴趣的个人护理设备。还测量了自我报告的生殖器性唤起开始时间和反应性性欲的发展情况。
这项非盲、前瞻性队列单中心研究在18至70岁无性功能障碍的女性中进行。每位参与者接受一次就诊程序，先确定外生殖器的基线温度，然后使用菲拉15分钟。之后进行为期10分钟的菲拉使用后温度评估。主观测量评估使用菲拉后生殖器唤起和反应性性欲的发展情况。
14名绝经前和12名绝经后参与者完成了研究。绝经前组达到生殖器唤起的平均时间为5.2±4.2分钟，绝经后组为4.5±4.3分钟。两组在移除菲拉后长达10分钟时，阴蒂和前庭温度均有统计学显著升高。在阴唇部位，绝经前组温度升高在8分钟内显著，绝经后组在2分钟内显著。所有参与者因使用菲拉而产生了反应性性欲。
使用菲拉使绝经前和绝经后参与者的外生殖器温度（血管充血的标志）有统计学显著升高。两组生殖器性唤起开始迅速，所有参与者都体验到了反应性性欲。
