早洩對伴侶性功能的影響
蔡德甫1,4、林致凡2、楊尚哲2、陳宏恩1、林宜佳1、仇光宇1、黃一勝1,3,4
1新光醫院外科部泌尿科、2新光醫院中央研究室、3台北醫學大學醫學院、4輔仁大學醫學院
The impact of premature ejaculation on the partners’ sexual function
Te-Fu Tsai1,4, Ji-Fan Lin2, Shan-Che Yang2, Hung-En Chen1, Yi-Chia Lin1,4, Kuang-Yu Chou1,4, and Thomas I-Sheng Hwang1,3,4
1Department of Urology, Shin Kong Wu Ho-Su Memorial Hospital, 2Central Laboratory, Shin Kong Wu Ho-Su Memorial Hospital, 3Department of Urology, Taipei Medical University, 4Division of Urology, School of Medicine, Fu-Jen Catholic University, Taipei, Taiwan.
Purpose: PE is the most common male sexual dysfunction, the prevalence rates for PE in men across a broad age range are approximately 20% to 30%. The distress induced by PE affects not only the male, but also his sexual partner. The study is to evaluate the impact of premature ejaculation on the partners’ sexual function.
Materials and Methods: From January of 2013 to December of 2015, 136 females who were not menopause were enrolled in the study.The case group comprised68 women whose partner complaining of PE and the control group comprised 68 women whose partner did not fill the criteria of PE. PE was defined using the Diagnostic and Statistical Manual of Mental Disorders 4
th Edition, Text Revision (DSM-IV-TR) criteria [
4] for at least 6 months and an intravaginal ejaculatory latency time (IELT) of 2 min and less, measured using a stopwatch, for over 75% sexual intercourse.The Female Sexual Function Indexwas used to determine the female participants’ sexual function.Multiple regression procedure was used to identify the impact of PE on the partner’s sexual function.
Results: There was no statistically significant difference in desire, arousal and pain domain between the groups. Lubrication (p=0.01), orgasm (p=0.002), satisfaction (p<0.0001), and total FSFI score (p=0.02) were significantly lower in cases than controls. The multivariate analysis and adjusting the model for potential confounding factor, the score of orgasm domain andsatisfaction domain in cases group is lower thanthe controls group (0.76 points, p=0.02 and 1.1 points, p=0.0003 respectively).
Conclusions: PE has a negative effect not only on the satisfaction but also on the orgasm of the sexual partner.