Li Hu, Gao Pan, Gao Jingjing, Wu Xu, Liu Guodong, Dai Yutian, Jiang Hui, Zhang Xiansheng
The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
Nanjing Drum Tower Hospital, Medical School of Nanjing University, Nanjing, Jiangsu, China.
Basic Clin Androl. 2021 Feb 18;31(1):5. doi: 10.1186/s12610-020-00120-6.
Premature ejaculation (PE) is a multifactorial problem with a complicated aetiology that has detrimental effects on female partners' sexual function. However, there is a lack of studies on the relationship between the factors related to PE and female sexual dysfunction (FSD) in China. We aimed to identify and explore the relationship between the factors associated with PE and FSD.
Ultimately, information was collected from 761 couples: 445 couples with PE complaints and 316 couples without PE complaints. The mean ages of the men with and without PE complaints were 36.29 ± 9.87 years and 31.48 ± 10.77 years, respectively. Female partners in the group with PE complaints reported lower total and subdomain female sexual function index (FSFI) scores, and approximately 65% of them were diagnosed with FSD (vs.
31.96%). A PE duration of more than 14 months, a self-estimated intravaginal ejaculation latency time (self-estimated IELT) less than 2 min, a negative attitude towards PE problems, men's introversion, and men's depression were risk factors for FSD in the PE group.
PE affects not only the patient himself but also the spouse. Comprehensive analysis reveals a clear relationship and interaction between female sexual function and PE. Moreover, in PE treatment, we should not ignore the occurrence of FSD and its impact and should emphasize the treatment of couples together.
早泄(PE)是一个多因素问题,病因复杂,对女性伴侣的性功能有不利影响。然而,在中国,关于早泄相关因素与女性性功能障碍(FSD)之间关系的研究较少。我们旨在识别和探讨与早泄相关的因素与女性性功能障碍之间的关系。
最终,收集了761对夫妻的信息:445对有早泄主诉的夫妻和316对无早泄主诉的夫妻。有早泄主诉和无早泄主诉男性的平均年龄分别为36.29±9.87岁和31.48±10.77岁。有早泄主诉组的女性伴侣报告的女性性功能指数(FSFI)总分和各子领域得分较低,其中约65%被诊断为女性性功能障碍(对照组为31.96%)。早泄持续时间超过14个月、自我估计的阴道内射精潜伏期(自我估计IELT)少于2分钟、对早泄问题的消极态度、男性内向和男性抑郁是早泄组女性性功能障碍的危险因素。
早泄不仅影响患者自身,也影响其配偶。综合分析揭示了女性性功能与早泄之间的明确关系和相互作用。此外,在早泄治疗中,不应忽视女性性功能障碍的发生及其影响,应强调夫妻同治。