Aydin Adnan Menderes University School of Medicine, Department of Urology, Aydin.
Arch Ital Urol Androl. 2021 Oct 1;93(3):341-347. doi: 10.4081/aiua.2021.3.341.
To evaluate the long-term effects of the coronavirus disease 2019 (COVID-19) pandemic on sexual functions and behavior in men with heterosexual partners.
A total of 602 participants completed an online questionnaire, shared via social networks, between November 20 and December 20, 2020. Pre-pandemic sexual intercourse frequency, International Erectile Dysfunction Index (IIEF-15) score, intravaginal ejaculatory latency time (IELT), premature ejaculation diagnostic tool (PEDT) score, and activities during sexual intercourse were compared to the ones during the pandemic. In addition, the effects of various variables on participants' sexual functions were evaluated and analyzed according to age groups.
The mean number of weekly sexual intercourse during the pandemic was 1.7+1.7, which was significantly lower than in the pre-pandemic period (p < 0.001). The ED score was significantly lower during the pandemic (p < 0.001) compared to the pre-pandemic period, however orgasmic function (p = 0.016), sexual intercourse satisfaction (p < 0.001), general satisfaction (p < 0.001), and PEDT scores (p = 0.004) were significantly higher. There was no significant difference in IELT before and during the pandemic (p = 0.391). Full-time employment and low education level were risk factors for developing ED and PE. The negative affect of the pandemic on sexual life was most prominent in the > 65 age group. Although kissing, oral and anal sex, and face-to-face sex positions decreased during the pandemic in all age groups, kissing and face-to-face sex positions remained the most preferred sexual behavior pattern (p = 0.002). There was no reduction in risky sexual behavior in the majority of the participants.
At the end of one year with COVID-19, a decrease in erectile function and an increase in PE incidence were observed in men. Despite this, there was an increase in sexual desire and satisfaction. Although there were some changes in sexual behavior, the majority of pre-pandemic habits continued.
评估 2019 年冠状病毒病（COVID-19）大流行对有异性伴侣的男性性功能和性行为的长期影响。
共有 602 名参与者通过社交网络于 2020 年 11 月 20 日至 12 月 20 日期间完成了在线问卷调查。比较了大流行前的性交频率、国际勃起功能指数（IIEF-15）评分、阴道内射精潜伏期时间（IELT）、早泄诊断工具（PEDT）评分和性交时的活动，与大流行期间的情况进行了比较。此外，还根据年龄组评估和分析了各种变量对参与者性功能的影响。
大流行期间每周性交次数为 1.7+1.7，明显低于大流行前（p<0.001）。大流行期间的 ED 评分明显低于大流行前（p<0.001），但 orgasmic 功能（p=0.016）、性交满意度（p<0.001）、总体满意度（p<0.001）和 PEDT 评分（p=0.004）明显更高。IELT 在大流行前后无显著差异（p=0.391）。全职工作和低教育水平是 ED 和 PE 发展的危险因素。大流行对性生活的负面影响在>65 岁年龄组最为明显。尽管在所有年龄组中，大流行期间接吻、口交和肛交以及面对面的性姿势减少，但接吻和面对面的性姿势仍然是最受欢迎的性行为模式（p=0.002）。大多数参与者的性行为风险并未降低。
在 COVID-19 出现一年后，男性的勃起功能下降和 PE 发生率增加。尽管如此，性欲望和满意度增加。尽管性行为发生了一些变化，但大多数大流行前的习惯仍在继续。
