Gül Murat, Şahin Ali, Doğan Çağrı, Çeker Gökhan, Altıntaş Emre, Deliktaş Hasan, Demir Murat, Yavuz Aldülmecit, Altunkol Adem, Değer Doğan, Kaynar Mehmet, Duran Berkan, Toprak Tuncay, Bahçeci Tuncer, Gül Ümit
Department of Urology, Selcuk University School of Medicine, Konya, Turkey.
Department of Emergency Service, Dr. Vefa Tanır Ilgın State Hospital, Konya, Turkey.
Andrology. 2025 Sep;13(6):1490-1500. doi: 10.1111/andr.13775. Epub 2024 Oct 4.
Sexual position is one of the several aspects that affects ejaculation control, which is essential for sexual pleasure. Still little is known, nevertheless, about the connection between sexual positions and ejaculation duration.
To investigate the impact of various sexual positions on the duration of ejaculation and gain a deeper understanding of the elements that influence the ability to control ejaculation.
An online survey was carried out on a sample of 1904 heterosexual men between the ages of 18-65 years. Premature ejaculation (PE) diagnostic tool was used to define PE. Demographic, behavioral, and physiological traits that are linked to PE and non-PE groups were collected. The participants listed their preferred sexual positions and the ones they changed to during ejaculating. Also, analyses were performed between male/female active or deep/shallow thrust positions and PE status.
Although there were no appreciable variations in age or circumcision between PE and non-PE groups, the age of first sexual experience was associated with PE status. Groups also varied in the number of weekly ejaculations, the duration of the favored ejaculations, and the characteristics of the erection. The most preferred sexual posture was the doggy style regardless of the group. When the non-PE group felt to ejaculate, they preferred to change the position significantly more than the PE group (74% vs 67.2%; p < 0.05). However, when participants felt ejaculate, non-PE participants tended to switch to shallow thrusting positions significantly more than PE participants, who preferred deeper positions (27.1% vs. 18%; p < 0.05).
This study underlines the relevance of considering sexual positions in controlling PE. Modifying positions during sexual intercourse may offer a non-pharmacological therapeutic alternative for improving ejaculation control. Future studies in this field might help to create tailored PE treatment strategies.
性交姿势是影响射精控制的几个方面之一，而射精控制对性快感至关重要。然而，关于性交姿势与射精持续时间之间的联系，人们仍然知之甚少。
研究不同性交姿势对射精持续时间的影响，并更深入地了解影响射精控制能力的因素。
对1904名年龄在18至65岁之间的异性恋男性进行了在线调查。使用早泄（PE）诊断工具来定义早泄。收集了与PE组和非PE组相关的人口统计学、行为和生理特征。参与者列出了他们喜欢的性交姿势以及射精时转换的姿势。此外，还对男性/女性主动或深/浅插入姿势与PE状态进行了分析。
虽然PE组和非PE组在年龄或包皮环切方面没有明显差异，但首次性经历的年龄与PE状态有关。两组在每周射精次数、喜欢的射精持续时间和勃起特征方面也有所不同。无论哪一组，最喜欢的性交姿势都是后入式。当非PE组感觉要射精时，他们比PE组更倾向于显著改变姿势（74%对67.2%；p<0.05）。然而，当参与者感觉要射精时，非PE参与者比PE参与者更倾向于转换到浅插入姿势，而PE参与者更喜欢深插入姿势（27.1%对18%；p<0.05）。
本研究强调了在控制PE时考虑性交姿势的相关性。性交过程中改变姿势可能为改善射精控制提供一种非药物治疗选择。该领域的未来研究可能有助于制定个性化的PE治疗策略。
