男性医生中口服勃起功能障碍药物的娱乐性使用——一项横断面研究。
Recreational use of oral erectile dysfunction medications among male physicians - A cross-sectional study.
作者信息
Almannie Raed, Alzahrani Meshari A, Almuhaideb Mana, Abunohaiah Ibrahim, Habous Mohamad, Binsaleh Saleh
机构信息
Department of Surgery, Division of Urology, College of Medicine, King Saud University, King Saud University Medical City, Saudi Arabia.
Department of Urology, College of Medicine, Majmaah University, Al-Majmaah, Saudi Arabia.
出版信息
Urol Ann. 2023 Apr-Jun;15(2):148-157. doi: 10.4103/ua.ua_33_22. Epub 2023 Jan 16.
INTRODUCTION
Erectile dysfunction (ED) is defined as the persistent inability to attain and maintain an erection sufficient to permit satisfactory sexual performance. Bypassing health-care providers and obtaining ED medications (EDM) without a prescription are an issue that is faced globally.
AIM
We attempt to assess erectile function (EF) among a local sample of physicians, the psychological effects of recreational EDM use, and compare EF among different user groups.
METHODS
This is a cross-sectional study done solely on physicians in Saudi Arabia. A self-designed questionnaire including demographics, sexual characteristics, use of ED medication, sexual satisfaction, and the validated international index of EF (IIEF).
OUTCOME
Physicians misused EDM.
RESULTS
A total of 503 physicians completed the questionnaire. Among participants reporting sexual problems, only 23% received counseling and 3.4% were professionally diagnosed with ED. Among users, 71.2% were using EDM recreationally, 14.4% prophylactically, and 14.4% were prescribed. Participants aged 20-29 IIEF-5 score was significantly lower than participants aged 30-39 years. Prescribed users had a lower IIEF-5 score compared to both recreational users and nonusers.
CLINICAL IMPLICATIONS
Many healthy sexually active men use EDMs recreationally to increase sexual performance.
STRENGTHS AND LIMITATIONS
One of the limitations of our study is that we did not use standardized tools to determine the diagnosis of some important disorders like premature ejaculation. Our study strengths include the very high response rate, with our results truly showing a nationwide self-assessment of sexual dysfunction.
CONCLUSION
Recreational use of oral EDMs may adversely impact the psychological aspects of sexual function. In our study, physicians misused EDM. We recommend labeling EDMs as restricted medication that requires a prescription to use by a licensed physician.
引言
勃起功能障碍（ED）被定义为持续无法获得和维持足以实现满意性行为的勃起。绕过医疗保健提供者并在无处方的情况下获取ED药物（EDM）是全球面临的一个问题。
目的
我们试图评估当地医生样本中的勃起功能（EF）、娱乐性使用EDM的心理影响，并比较不同用户群体之间的EF。
方法
这是一项仅针对沙特阿拉伯医生进行的横断面研究。一份自行设计的问卷，包括人口统计学、性特征、ED药物使用情况、性满意度以及经过验证的国际勃起功能指数（IIEF）。
结果
医生滥用EDM。
结果
共有503名医生完成了问卷。在报告有性问题的参与者中，只有23%接受了咨询，3.4%被专业诊断为ED。在使用者中，71.2%为娱乐性使用EDM，14.4%为预防性使用，14.4%为处方使用。20 - 29岁参与者的IIEF - 5评分显著低于30 - 39岁的参与者。与娱乐性使用者和非使用者相比，处方使用者的IIEF - 5评分较低。
临床意义
许多健康的性活跃男性为提高性表现而娱乐性使用EDM。
优点和局限性
我们研究的局限性之一是未使用标准化工具来确定某些重要疾病（如早泄）的诊断。我们研究的优点包括非常高的回复率，我们的结果真实地展示了全国范围内对性功能障碍的自我评估。
结论
娱乐性使用口服EDM可能会对性功能的心理方面产生不利影响。在我们的研究中，医生滥用EDM。我们建议将EDM标记为受限药物，需要有执照的医生开具处方才能使用。
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