Mayo Clinic, Rochester, MN, USA.
Washington University in Saint Louis, Saint Louis, MO, USA.
Int J Impot Res. 2021 Apr;33(3):369-375. doi: 10.1038/s41443-020-0277-x. Epub 2020 Apr 24.
The objective of this study is to identify factors associated with bother with rapid ejaculation in a cohort of men presenting to a sexual dysfunction clinic, independent of a diagnosis of PE. A prospective institutional database has been maintained on patients completing an 89-item intake questionnaire querying various areas of sexual dysfunction. Regarding ejaculatory dysfunction, patients are asked "Do you feel bothered, annoyed, and/or frustrated by ejaculating too quickly?" Statistical modeling was performed to identify associations. A total of 1359 men completed the intake survey, and 694 responded to the question on bother with rapid ejaculation. Overall, 42.9% (298/694) of respondents reported bother with rapid ejaculation. Men reporting bother were more likely to report lower intravaginal ejaculatory latency (IELT) time (4.2 vs 12.2 min, p < 0.0001), problems with depression (32% vs 21%, p = 0.001), negative impact on relationship (73% vs 51%, p < 0.0001), and negative impact on partner's sexual satisfaction (26% vs 15%, p < 0.001). These results highlight the importance of asking all men presenting with sexual health concerns about their bother with rapid ejaculation for complete assessment of sexual and mental wellbeing.
本研究旨在确定与男性性功能障碍诊所就诊人群中与快速射精困扰相关的因素，而不考虑是否诊断为 PE。对完成 89 项入组问卷的患者进行了前瞻性机构数据库维护，该问卷查询了各种性功能障碍领域。关于射精功能障碍，患者会被问到“您是否对射精过快感到困扰、烦恼和/或沮丧？”进行了统计建模以确定关联。共有 1359 名男性完成了入组调查，其中 694 名男性回答了快速射精困扰的问题。总体而言，42.9%（298/694）的受访者报告了快速射精困扰。报告困扰的男性更有可能报告较低的阴道内射精潜伏期（IELT）时间（4.2 分钟 vs 12.2 分钟，p<0.0001）、抑郁问题（32% vs 21%，p=0.001）、对关系的负面影响（73% vs 51%，p<0.0001）和对伴侣性满意度的负面影响（26% vs 15%，p<0.001）。这些结果强调了在评估男性性健康问题时询问所有男性是否存在快速射精困扰的重要性，以全面评估其性和心理健康状况。
