林口長庚紀念醫院 外科部 泌尿科
The efficacy of increasing coital frequency in the treatment of premature ejaculation
Yu Chen, Shih-Tsung Huang, Hsin-Chien Huang,
Yu-Chao Hsu, Po-Chih Chang, Ming-Li Hsieh
Division of Urology, Department of Surgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan
Purpose: Premature ejaculation is a common consultation in urological clinic. This study is designed to compare the early outcome of increasing coital frequency and traditional behavioral therapy in the treatment of patients with premature ejaculation.
Materials and Methods: Between Jun 2013 and Dec 2014, 60 patients who were diagnosed of premature ejaculation (IELT < 1 min) with low coital frequency (≦ 2 per week), stable sexual partners, normal erectile function and without associate underlying diseases were included and were randomized divided into two groups (study and control group, 30 patients each, respectively). The patients in study group were informed to increase their weekly sexual frequency to ≧ 3. The patients in control group were taught to carry out the behavioral therapy included stop and start technique or squeeze technique. Ejaculatory latency increased more than 50% of the baseline and 30 seconds more on patients who ejaculated at the time of vaginal penetration after 3 months practice were considered to be effective.
Results: The mean ages of the study and control groups were 37.2±11.9 and 36.3±12.2 years, respectively. The average weekly coital frequency is similar to both groups (1.1 per week and 1.2 per week in study and control groups, respectively) before the training course. The effective rate in study and control group was 37% (11/30) and 30% (9/30), respectively (P>0.05). Mean increased ejaculatory latency time in study group and control group was 2.6 minutes and 2.8 minutes, respectively. 5 patients in control group complained that they were difficult to reerect their penis again in short time after detumescence during the training course.
No side effects were noted in both groups.
Conclusion: Increasing coital frequency appears to provide comparable effect and lesser technique barrier to traditional behavioral therapy in patients with premature ejaculation.