因男用避孕套尺寸不当导致的射精延迟：一例报告
Delayed Ejaculation Due to Improper Male Condom Size: A Case Report.
作者信息
Wainipitapong Sorawit, Wiwattarangkul Teeravut, Bumphenkiatikul Thanapob
机构信息
Center of Excellence in Transgender Health (CETH), Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand; Department of Psychiatry, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Department of Psychiatry, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
出版信息
Sex Med. 2021 Jun;9(3):100373. doi: 10.1016/j.esxm.2021.100373. Epub 2021 May 30.
INTRODUCTION
Delayed ejaculation (DE) is a poorly understood and uncommon male sexual dysfunction. The etiology of DE includes psychological and biological factors, which are usually combined. Herein, we report a case of acquired and situational DE due to improper male condom size.
AIMS
To identify and correct the possible cause of acquired and situational DE.
METHODS
A male patient presented with new-onset DE for 6 months. His physical and mental examination was unremarkable. Laboratory results were all normal. He was diagnosed with acquired, situational DE and received sessions of sexual counseling. However, his DE persisted until he accidentally used a larger condom. He then reported normal orgasm.
MAIN OUTCOME MEASURES
Resolution of acquired and situational DE.
RESULTS
His DE was improved after using a more proper condom size.
CONCLUSION
Most patients are believed to have psychological problems and proper condom use is under-recognized. To the best of our knowledge, this is the first report of DE caused by this etiology. Wainipitapong S, Wiwattarangkul T, Bumphenkiatikul T. Delayed Ejaculation Due to Improper Male Condom Size: A Case Report. Sex Med 2021;9:100373.
引言
射精延迟（DE）是一种鲜为人知且不常见的男性性功能障碍。射精延迟的病因包括心理和生物学因素，通常两者并存。在此，我们报告一例因男用避孕套尺寸不当导致的后天性和情境性射精延迟病例。
目的
确定并纠正后天性和情境性射精延迟的可能原因。
方法
一名男性患者出现新发射精延迟6个月。他的体格检查和精神检查均无异常。实验室检查结果均正常。他被诊断为后天性、情境性射精延迟，并接受了多次性咨询。然而，他的射精延迟问题一直存在，直到他偶然使用了尺寸更大的避孕套。此后他报告性高潮恢复正常。
主要观察指标
后天性和情境性射精延迟的解决情况。
结果
使用尺寸更合适的避孕套后，他的射精延迟情况有所改善。
结论
大多数患者被认为存在心理问题，而正确使用避孕套这一因素未得到充分认识。据我们所知，这是首例关于由该病因导致射精延迟的报告。瓦尼皮塔蓬 S、维瓦塔拉功库尔 T、邦芬基亚蒂库尔 T。男用避孕套尺寸不当导致射精延迟：一例报告。性医学2021；9：100373 。
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