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性高潮后疾病综合征及其对自尊和人际关系的影响:一项调查

Post-orgasmic illness syndrome and its effects on self esteem and relationships: a survey.

作者信息

Maietta Luke N, Bronson Isaac, Cabral Michael, Stokes Cameron, Radillo Mendoza Karla, Johnson Olivia, Banerjee Dipavo, Rothschild Anthony J, Rubin Rachel S

机构信息

University of Massachusetts T.H. Chan Medical School, Worcester, MA, USA.

UNTHSC Texas College of Osteopathic Medicine, Fort Worth, TX, USA.

出版信息

Int J Impot Res. 2025 Jun 16. doi: 10.1038/s41443-025-01103-9.

DOI:10.1038/s41443-025-01103-9
PMID:40523933
Abstract

Post-Orgasmic Illness Syndrome (POIS) is a rare medical condition characterized by a range of distressing physical and cognitive symptoms that occur following ejaculation in affected individuals. Little is known about the complex interaction between self-esteem and relationship factors that affect those living with POIS. This study investigated the impact of POIS on intimate relationships and feelings of isolation and stigmatization, including questions related to personal and partner control over symptoms. Furthermore, it aims to provide a clinical framework for addressing the psychosocial concerns of this patient population and their partners. Eighty-three patients (76.3% white, 37.5% with Bachelor's degree, 73.8% middle income or higher) with POIS completed the Sexual Dysfunction Attribution Scale (SDAS) as part of the larger survey study. Surveys were distributed via social media, online groups, and forums including the subreddit: "POIS", Twitter, and "POISCENTER" and were completed between 05/21/24-06/09/24. Descriptive, exploratory, and demographic data of the participants are provided from this survey. Patients with POIS were likely to report feeling no personal control over their symptoms (81.9%), feeling that their symptoms would "always be present" (96.4%), and feeling that they were personally to blame for their sexual dysfunction (60.2%). Overall, 80.7% reported that their symptoms negatively affected their relationships, and 37.3% reported not having sex within the past year. Our results can help providers to understand the experiences of patients with POIS and equip them to recommend the appropriate resources. Further research may use advanced analytical and qualitative techniques to better elucidate this population's challenges.

摘要

射精后疾病综合征(POIS)是一种罕见的医学病症,其特征是受影响个体在射精后会出现一系列令人痛苦的身体和认知症状。对于影响POIS患者的自尊与人际关系因素之间的复杂相互作用,我们知之甚少。本研究调查了POIS对亲密关系以及孤独感和污名化感受的影响,包括与个人及伴侣对症状控制相关的问题。此外,其旨在提供一个临床框架,以解决该患者群体及其伴侣的心理社会问题。83名患有POIS的患者(76.3%为白人,37.5%拥有学士学位,73.8%为中等收入或更高收入)完成了性功能障碍归因量表(SDAS),作为更大规模调查研究的一部分。调查问卷通过社交媒体、在线群组和论坛分发,包括子版块“POIS”、推特和“POISCENTER”,并于2024年5月21日至2024年6月9日期间完成。本次调查提供了参与者的描述性、探索性和人口统计学数据。患有POIS的患者很可能报告感觉自己无法控制症状(81.9%),感觉症状“将永远存在”(96.4%),并认为自己应对性功能障碍负责(60.2%)。总体而言,80.7%的人报告称他们的症状对其人际关系产生了负面影响,37.3%的人报告在过去一年没有过性行为。我们的研究结果可以帮助医疗服务提供者了解POIS患者的经历,并使他们能够推荐合适的资源。进一步的研究可以使用先进的分析和定性技术,以更好地阐明该人群所面临的挑战。

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本文引用的文献

1
Post orgasmic illness syndrome: a review.性高潮后疾病综合征:综述
Int J Impot Res. 2024 Mar 14. doi: 10.1038/s41443-024-00860-3.
2
Clinical characteristics, allergic response to autologous semen, and desensitization in patients with postorgasmic illness syndrome.性高潮后疾病综合征患者的临床特征、对自身精液的过敏反应及脱敏治疗
Sex Med. 2024 Jan 17;11(6):qfad068. doi: 10.1093/sexmed/qfad068. eCollection 2023 Dec.
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Post-Orgasmic Illness Syndrome Successfully Treated with Omalizumab: A Case Report.奥马珠单抗治疗性高潮后疾病综合征 1 例报告。
J Sex Marital Ther. 2024;50(3):342-345. doi: 10.1080/0092623X.2023.2295256. Epub 2023 Dec 21.
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Post orgasmic illness syndrome successfully managed with antihistamine: A case report.用抗组胺药成功治疗性高潮后疾病综合征:一例报告
Urol Case Rep. 2022 Aug 18;45:102189. doi: 10.1016/j.eucr.2022.102189. eCollection 2022 Nov.
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The Quality of Life and Economic Burden of Erectile Dysfunction.勃起功能障碍的生活质量与经济负担
Res Rep Urol. 2021 Feb 18;13:79-86. doi: 10.2147/RRU.S283097. eCollection 2021.
6
Trends in Frequency of Sexual Activity and Number of Sexual Partners Among Adults Aged 18 to 44 Years in the US, 2000-2018.美国 18 至 44 岁成年人性行为频率和性伴侣数量的趋势,2000-2018 年。
JAMA Netw Open. 2020 Jun 1;3(6):e203833. doi: 10.1001/jamanetworkopen.2020.3833.
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Clinical experience with post-orgasmic illness syndrome (POIS) patients-characteristics and possible treatment modality.与性高潮后疾病综合征 (POIS) 患者相关的临床经验——特征和可能的治疗方式。
Int J Impot Res. 2021 Jul;33(5):556-562. doi: 10.1038/s41443-020-0314-9. Epub 2020 May 29.
8
Post-orgasmic illness syndrome: history and current perspectives.性高潮后疾病综合征:历史与现状。
Fertil Steril. 2020 Jan;113(1):13-15. doi: 10.1016/j.fertnstert.2019.11.021.
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Successful treatment of Post-orgasmic illness syndrome with human chorionic gonadotropin.用人绒毛膜促性腺激素成功治疗性高潮后疾病综合征。
Urol Case Rep. 2019 Nov 22;29:101078. doi: 10.1016/j.eucr.2019.101078. eCollection 2020 Mar.
10
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Basic Clin Androl. 2019 Sep 3;29:13. doi: 10.1186/s12610-019-0093-7. eCollection 2019.