PDF(Pubmed)
Abstract：
UNASSIGNED: Difficulty reaching orgasm/ejaculation during partnered sex, a primary characteristic of delayed or absent ejaculation, affects about 5% to 10% of men, but the reasons underlying this problem are poorly understood.
UNASSIGNED: The study sought to gain insight into possible etiologies of delayed ejaculation by assessing men\'s self-perceptions as to why they experience difficulty reaching orgasm.
UNASSIGNED: We drew 351 men reporting moderately severe to severe difficulty reaching orgasm during partnered sex from a sample of over 3000 respondents obtained through an online survey. As part of the 55-item survey, participants responded to 2 questions asking about their self-perceived reasons for having difficulty reaching orgasm and selected from a list of 14 options derived from the research literature, a series of men\'s focus groups, and expert opinion. The first question allowed respondents to select all the reasons that they felt contributed to the problem, the second to select only the most important reason. In addition, both men with and without comorbid erectile dysfunction were investigated and compared.
UNASSIGNED: Hierarchical ordering of men\'s self-pereceived reasons for having difficulty reaching orgasm, including typal reasons established through principal component analysis.
UNASSIGNED: The major reasons for difficulty were related to anxiety/distress and lack of adequate stimulation, with relationship and other factors endorsed with lower frequency. Further exploration using principal components analysis identified 5 typal reasons, in descending order of frequency: anxiety/distress (41%), inadequate stimulation (23%), low arousal (18%), medical issues (9%), and partner issues (8%). Few differences emerged between men with and without comorbid ED other than ones related to erectile problems, such as higher level of endorsement of medical issues. Typal reasons showed correlations, albeit mostly weak, with a number of covariates, including sexual relationship satisfaction, frequency of partnered sex, and frequency of masturbation.
UNASSIGNED: Until supplemental medical treatments for delayed ejaculation are developed and approved, a number of men\'s purported reasons for difficult or absent ejaculation/orgasm-anxiety/distress, inadequate stimulation, low arousal, relationship issues-fall into areas that can be addressed in couples counseling by a trained sex therapist.
UNASSIGNED: This study is unique in scope and robust in sample size. Drawbacks include those associated with online surveys, including possible bias in sample selection, limitation to Western-based samples, and the lack of differentiation between men with lifelong and acquired difficulty.
UNASSIGNED: Men who have difficulty reaching ejaculation/orgasm identify putative reasons for their problem, ranging from anxiety/stress, inadequate stimulation, and low arousal to partner issues and medical reasons.
UNASSIGNED: The study sought to gain insight into possible etiologies of delayed ejaculation by assessing men\'s self-perceptions as to why they experience difficulty reaching orgasm.
UNASSIGNED: We drew 351 men reporting moderately severe to severe difficulty reaching orgasm during partnered sex from a sample of over 3000 respondents obtained through an online survey. As part of the 55-item survey, participants responded to 2 questions asking about their self-perceived reasons for having difficulty reaching orgasm and selected from a list of 14 options derived from the research literature, a series of men\'s focus groups, and expert opinion. The first question allowed respondents to select all the reasons that they felt contributed to the problem, the second to select only the most important reason. In addition, both men with and without comorbid erectile dysfunction were investigated and compared.
UNASSIGNED: Hierarchical ordering of men\'s self-pereceived reasons for having difficulty reaching orgasm, including typal reasons established through principal component analysis.
UNASSIGNED: The major reasons for difficulty were related to anxiety/distress and lack of adequate stimulation, with relationship and other factors endorsed with lower frequency. Further exploration using principal components analysis identified 5 typal reasons, in descending order of frequency: anxiety/distress (41%), inadequate stimulation (23%), low arousal (18%), medical issues (9%), and partner issues (8%). Few differences emerged between men with and without comorbid ED other than ones related to erectile problems, such as higher level of endorsement of medical issues. Typal reasons showed correlations, albeit mostly weak, with a number of covariates, including sexual relationship satisfaction, frequency of partnered sex, and frequency of masturbation.
UNASSIGNED: Until supplemental medical treatments for delayed ejaculation are developed and approved, a number of men\'s purported reasons for difficult or absent ejaculation/orgasm-anxiety/distress, inadequate stimulation, low arousal, relationship issues-fall into areas that can be addressed in couples counseling by a trained sex therapist.
UNASSIGNED: This study is unique in scope and robust in sample size. Drawbacks include those associated with online surveys, including possible bias in sample selection, limitation to Western-based samples, and the lack of differentiation between men with lifelong and acquired difficulty.
UNASSIGNED: Men who have difficulty reaching ejaculation/orgasm identify putative reasons for their problem, ranging from anxiety/stress, inadequate stimulation, and low arousal to partner issues and medical reasons.
摘要：
■伴侣性交期间难以达到性高潮/射精，延迟或缺乏射精的主要特征，影响大约5%到10%的男性，但是这个问题背后的原因却知之甚少。
■该研究试图通过评估男性的自我认知来了解延迟射精的可能病因，以了解他们为什么难以达到性高潮。
■我们从通过在线调查获得的3000多名受访者的样本中，抽取了351名报告在伴侣性交中达到性高潮的中度至重度困难的男性。作为55项调查的一部分，参与者回答了2个问题，询问他们难以达到性高潮的自我感知原因，并从研究文献中得出的14个选项列表中选择，一系列男人的焦点小组，和专家意见。第一个问题允许受访者选择他们认为导致问题的所有原因，第二个选择只有最重要的原因。此外,对有和无共病勃起功能障碍的男性进行了调查和比较.
■男人难以达到性高潮的自我感知原因的分层排序，包括通过主成分分析建立的典型原因。
■困难的主要原因与焦虑/痛苦和缺乏足够的刺激有关，与较低频率认可的关系和其他因素。使用主成分分析进行进一步的探索，确定了5个典型原因，按频率降序排列：焦虑/痛苦(41%)，刺激不足（23%），低觉醒（18%），医疗问题（9%），和合作伙伴问题（8%）。有和没有共病ED的男性之间几乎没有什么差异，除了与勃起问题有关的差异，例如对医疗问题的认可水平更高。典型原因显示出相关性，尽管大部分都很弱，有一些协变量，包括性关系满意度，性伴侣的频率，和手淫的频率。
■直到针对延迟射精的补充药物治疗被开发和批准，一些男性所谓的原因很难或没有射精/性高潮焦虑/痛苦，刺激不足,低唤醒,关系问题-落入可以由训练有素的性治疗师在夫妻咨询中解决的领域。
■这项研究范围独特，样本量稳健。缺点包括与在线调查相关的缺点，包括样本选择中可能的偏差，对西方样本的限制，以及终生和后天困难的男性之间缺乏差异。
■难以达到射精/性高潮的男人会找出他们问题的可能原因，从焦虑/压力，刺激不足,以及对伴侣问题和医疗原因的低唤醒。
■该研究试图通过评估男性的自我认知来了解延迟射精的可能病因，以了解他们为什么难以达到性高潮。
■我们从通过在线调查获得的3000多名受访者的样本中，抽取了351名报告在伴侣性交中达到性高潮的中度至重度困难的男性。作为55项调查的一部分，参与者回答了2个问题，询问他们难以达到性高潮的自我感知原因，并从研究文献中得出的14个选项列表中选择，一系列男人的焦点小组，和专家意见。第一个问题允许受访者选择他们认为导致问题的所有原因，第二个选择只有最重要的原因。此外,对有和无共病勃起功能障碍的男性进行了调查和比较.
■男人难以达到性高潮的自我感知原因的分层排序，包括通过主成分分析建立的典型原因。
■困难的主要原因与焦虑/痛苦和缺乏足够的刺激有关，与较低频率认可的关系和其他因素。使用主成分分析进行进一步的探索，确定了5个典型原因，按频率降序排列：焦虑/痛苦(41%)，刺激不足（23%），低觉醒（18%），医疗问题（9%），和合作伙伴问题（8%）。有和没有共病ED的男性之间几乎没有什么差异，除了与勃起问题有关的差异，例如对医疗问题的认可水平更高。典型原因显示出相关性，尽管大部分都很弱，有一些协变量，包括性关系满意度，性伴侣的频率，和手淫的频率。
■直到针对延迟射精的补充药物治疗被开发和批准，一些男性所谓的原因很难或没有射精/性高潮焦虑/痛苦，刺激不足,低唤醒,关系问题-落入可以由训练有素的性治疗师在夫妻咨询中解决的领域。
■这项研究范围独特，样本量稳健。缺点包括与在线调查相关的缺点，包括样本选择中可能的偏差，对西方样本的限制，以及终生和后天困难的男性之间缺乏差异。
■难以达到射精/性高潮的男人会找出他们问题的可能原因，从焦虑/压力，刺激不足,以及对伴侣问题和医疗原因的低唤醒。
