Canat Lütfi, Değirmentepe Recep Burak, Atalay Hasan Anıl, Alkan İlter, Özbir Sait, Çulha Mehmet Gökhan, Ötünçtemur Alper
Urology Department, Okmeydanı Training and Research Hospital, 34371, Şişli, Istanbul, Turkey.
Int Urol Nephrol. 2018 Apr;50(4):633-637. doi: 10.1007/s11255-018-1832-y. Epub 2018 Mar 1.
The aim of this prospective, observational study was to investigate the relationship between premature ejaculation (PE) and female sexual response cycle, using the female sexual function index (FSFI). The FSFI evaluates female sexual function in six domains: desire, arousal, lubrication, orgasm, satisfaction, and pain.
All men were considered to have PE if they fulfilled the criteria of the second Ad Hoc International Society for Sexual Medicine (ISSM) Committee. All men were also assessed by the Premature Ejaculation Diagnostic Tool (PEDT) and intravaginal ejaculatory latency time (IELT) using stopwatch which was held by the partner. All women completed the FSFI.
A total of 181 couples who had regular sexual intercourse with one partner for the past 6 months were enrolled the study. By the definition of ISSM Committee, there were 117 men with PE and 64 men without PE. Partners of men with PE had significantly lower total FSFI scores than did partners of men without PE (21.8 ± 3.5 for PE and 26.4 ± 3.1 for non-PE, p < 0.001). Moreover, all the domains of the FSFI scoring system were separately associated with PE. According to the mean FSFI scores, the 48.43% of women had sexual dysfunction in the non-PE group, and all women had sexual dysfunction in PE group.
PE is associated with female sexual dysfunction and all of the female sexual dysfunction domains, as determined by FSFI scores.
本前瞻性观察性研究旨在使用女性性功能指数（FSFI）调查早泄（PE）与女性性反应周期之间的关系。FSFI从六个领域评估女性性功能：性欲、性唤起、润滑、性高潮、满意度和疼痛。
所有符合第二届性医学国际特别委员会（ISSM）标准的男性被视为患有早泄。所有男性还通过早泄诊断工具（PEDT）以及由伴侣手持秒表测量的阴道内射精潜伏期（IELT）进行评估。所有女性均完成FSFI评估。
共有181对在过去6个月内与同一伴侣有规律性交的夫妇纳入本研究。根据ISSM委员会的定义，有117名男性患有早泄，64名男性未患早泄。患有早泄男性的伴侣的FSFI总分显著低于未患早泄男性的伴侣（早泄组为21.8±3.5，未患早泄组为26.4±3.1，p<0.001）。此外，FSFI评分系统的所有领域均与早泄单独相关。根据FSFI平均得分，未患早泄组中48.43%的女性存在性功能障碍，而早泄组中所有女性均存在性功能障碍。
如FSFI评分所示，早泄与女性性功能障碍及所有女性性功能障碍领域均相关。
