目的:研究血清激素(睾酮,催乳素,促性腺激素,和甲状腺激素)和维生素(维生素B12,叶酸,和维生素D)水平与早泄(PE)有关。
方法:这项前瞻性病例对照研究包括2016年4月至2023年1月期间到泌尿外科门诊就诊的126例PE患者(94例终身PE[LPE]和32例获得性PE[APE])和92例健康男性作为对照组。PE的诊断基于国际性医学学会定义的标准。血清总睾酮(TT),免费和生物可利用的睾酮,促卵泡激素,黄体生成素,催乳素,促甲状腺激素,游离三碘甲状腺原氨酸,甲状腺素(fT4),维生素B12,叶酸,和维生素D水平进行测量。
结果:血清TT,PE患者的fT4和维生素D水平明显高于对照组(分别为p=0.022,p=0.002和p=0.044)。然而,PE组血清维生素B12水平明显降低(p=0.021)。在多变量逻辑回归分析中,只有维生素B12被发现是PE的独立危险因素,估计比值比为0.997(95%置信区间0.994-0.999,p=0.036)。
结论:本研究表明较低的维生素B12水平与PE的存在有关。因此,我们认为在评估PE患者时考虑维生素B12水平是有益的.
OBJECTIVE: To investigate whether serum hormone (testosterone, prolactin, gonadotropins, and thyroid hormones) and vitamin (vitamin B12, folic acid, and vitamin D) levels are associated with premature
ejaculation (PE).
METHODS: This prospective
case-control study included 126 patients with PE (lifelong PE [LPE] in 94 and acquired PE [APE] in 32) who presented to the urology outpatient clinic between April 2016 and January 2023 and 92 healthy men as a control group. The diagnosis of PE was based on the criteria defined by the International Society for Sexual Medicine. Serum total testosterone (TT), free and bioavailable testosterone, follicle-stimulating hormone, luteinizing hormone, prolactin, thyroid-stimulating hormone, free triiodothyronine, thyroxine (fT4), vitamin B12, folic acid, and vitamin D levels were measured.
RESULTS: Serum TT, fT4, and vitamin D levels were significantly higher in patients with PE than in the control group (p=0.022, p=0.002, and p=0.044, respectively). However, the serum vitamin B12 level was significantly lower in the PE group (p=0.021). In the multivariate logistic regression analysis, only vitamin B12 was found to be an independent risk factor for PE, with an estimated odds ratio of 0.997 (95% confidence interval 0.994-0.999, p=0.036).
CONCLUSIONS: This study demonstrated that lower vitamin B12 levels are associated with the presence of PE. Therefore, we believe that it would be beneficial to consider vitamin B12 levels in the evaluation of patients with PE.