Are the Criteria for the Diagnosis of Premature Ejaculation Applicable to Gay Men or Sexual Activities Other than Penile-Vaginal Intercourse?

Sexual Medicine - Tập 10 - Trang 100516 - 2022
Sean M. McNabney1,2, Claire E. Weseman1, Kriszta Hevesi3, David L. Rowland1
1Department of Psychology, Valparaiso University, Valparaiso, IN, USA
2Department of Applied Health Science, School of Public Health, Indiana University, Bloomington, IN, USA
3Institute of Psychology, Eötvös Loránd University, Budapest, Hungary

Tóm tắt

Abstract Introduction The criteria for premature ejaculation (PE) have generally been limited to the diagnosis of heterosexual men engaging in penile-vaginal intercourse and therefore the applicability of PE diagnostic criteria to gay men and to activities beyond penile-vaginal intercourse has yet to be explored in depth. Aim To compare the prevalence of PE in gay and straight men and to assess whether PE-related diagnostic measures (ejaculatory control, ejaculation latency [EL], and bother/distress) can be applied with confidence to gay men or to men engaging in sexual activities other than penile-vaginal intercourse. Methods Gay and straight participants (n = 3878) were recruited to take an online survey assessing sexual orientation, sexual function/dysfunction (including specific PE-related measures), sexual relationship satisfaction, and various other sexual behaviors during partnered sex or masturbation. Outcomes Comparison of ejaculatory control, EL, and bother/distress across gay and straight men, as well as across different types of sexual activities. Results A slightly lower PE prevalence among gay men became undetectable when other predictors of prevalence were included in a multivariate analysis (aOR = 0.87 [95% CI: 0.60–1.22]). Gay men with PE reported longer typical ELs (zU = -3.35, P < .001) and lower distress (zU = 3.68, P < .001) relative to straight men, but longer ELs and lower distress were also associated with anal sex. Clinical Translation Clinicians can feel confident about using existing criteria for the diagnosis of PE in gay men but should be aware of potentially longer ELs and lower PE-related bother/distress—probably related to the practice of anal sex—compared with straight men. Strengths and Limitations Although well-powered and international in scope, this study was limited by biases inherent to online surveys, the lack of a sizable sample of bisexual men, and a lack of differentiation between men with acquired vs lifelong PE. Conclusions Irrespective of sexual orientation, gay and straight men with PE reported shorter ELs, lower satisfaction, and greater bother/distress than functional counterparts. While PE-related diagnostic criteria (ejaculatory control, EL, and bother/distress) are applicable to gay men, accommodation for longer ELs and lower bother/distress in gay men should be considered.

Tài liệu tham khảo

Althof, 2014, An update of the International Society of Sexual Medicine's guidelines for the diagnosis and treatment of premature ejaculation (PE), Sex Med, 2, 60, 10.1002/sm2.28 Rowland, 2021, Comorbidities among sexual problems in men: results from an internet convenience sample, Sex Med., 9, 100416 McMahon, 2008, An evidence-based definition of lifelong premature ejaculation: report of the International Society for Sexual Medicine (ISSM) ad hoc committee for the definition of premature ejaculation, J Sex Med, 5, 1590, 10.1111/j.1743-6109.2008.00901.x American Urological Association, 2022, Disorders of ejaculation: an AUA /SMSNA guideline American Psychiatric Association, 2013, The diagnostic and statistical manual of mental disorders (DSM-V) Barbonetti, 2019, Erectile dysfunction and premature ejaculation in homosexual and heterosexual men: a systematic review and meta-analysis of comparative studies, J Sex Med, 16, 624, 10.1016/j.jsxm.2019.02.014 Cote-Leger, 2020, Estimations of typical, ideal, premature ejaculation, and actual latencies by men and female sexual partners of men during partnered sex, J Sex Med, 17, 1448, 10.1016/j.jsxm.2020.04.317 Cote-Leger, 2020, Diagnostic criteria for premature ejaculation: Clarifying the role of “ejaculatory-control” and “bother/distress”, Sexes, 1, 72, 10.3390/sexes1010007 Grulich, 2014, Homosexual experience and recent homosexual encounters: the second Australian study of health and relationships, Sex Health, 11, 439, 10.1071/SH14122 Dodge, 2016, Sexual behaviors of U.S. men by self-identified sexual orientation: results from the 2012 National Survey of Sexual Health and Behavior, J Sex Med, 13, 637, 10.1016/j.jsxm.2016.01.015 Vanden Broucke, 2022, Ejaculation latency times and their relationship to penile sensitivity in men with normal sexual function, J Urol, 177, 237, 10.1016/j.juro.2006.08.071 Corty, 2008, Perceived ejaculatory latency and pleasure in different outlets, J Sex Med, 5, 2694, 10.1111/j.1743-6109.2008.00939.x Jern, 2011, Using Ecological Momentary Assessment to investigate associations between ejaculatory latency and control in partnered and non-partnered sexual activities, J Sex Res, 48, 316, 10.1080/00224499.2010.518293 Strassberg, 1987, The psychophysiological nature of premature ejaculation, Arch Sex Behav, 16, 327, 10.1007/BF01542142 Rowland, 2000, Ejaculatory latency and control in men with premature ejaculation: an analysis across sexual activities using multiple sources of information, J Psychosom Res, 48, 69, 10.1016/S0022-3999(99)00078-1 Rowland, 2021, Do the diagnostic criteria for premature ejaculation apply to non-straight men and to sexual activities other than penile-vaginal intercourse?, Int J Impot Res Horvath, 2020, Body image, orgasmic response, and sexual relationship satisfaction: understanding relationships and establishing typologies based on body image satisfaction, Sex Med, 8, 740, 10.1016/j.esxm.2020.06.008 Pascoal, 2014, What is sexual satisfaction? Thematic analysis of lay people's definitions, J Sex Res, 51, 22, 10.1080/00224499.2013.815149 Rowland, 2021, Sexual response differs during partnered sex and masturbation in men with and without sexual dysfunction: implications for treatment, J Sex Med, 18, 1835, 10.1016/j.jsxm.2021.09.005 Symonds, 2007, Development and validation of a premature ejaculation diagnostic tool, Eur Urol, 55, 565, 10.1016/j.eururo.2007.01.028 Strauss, 2009, Construct validity: advances in theory and methodology, Annu Rev Clin Psychol, 5, 1, 10.1146/annurev.clinpsy.032408.153639 Catania, 2015, Nonprobability and probability-based sampling strategies in sexual science, J Sex Res, 52, 396, 10.1080/00224499.2015.1016476 Hoerger, 2010, Participant dropout as a function of survey length in internet-mediated university studies: implications for study design and voluntary participation in psychological research, Cyberpsychol Behav Soc Netw, 13, 697, 10.1089/cyber.2009.0445 Ross, 2003, Characteristics of men and women who complete or exit from an on-line internet sexuality questionnaire: a study of instrument dropout biases, J Sex Res, 40, 396, 10.1080/00224490209552205 2022 2022 Rosen, 1997, The International Index of Erectile Function (IIEF): a multidimensional scale for assessment of erectile dysfunction, Urology, 49, 822, 10.1016/S0090-4295(97)00238-0 Rosen, 1999, Development and evaluation of an abridged, 5-item version of the International Index of Erectile Function (IIEF-5) as a diagnostic tool for erectile dysfunction, Int J Impot Res, 11, 319, 10.1038/sj.ijir.3900472 Symonds, 2007, Further evidence of the reliability and validity of the premature ejaculation diagnostic tool, Int J Impot Res., 19, 521, 10.1038/sj.ijir.3901567 Patrick, 2007, Interrelationships among measures of premature ejaculation: the central role of perceived control, J Sex Med, 4, 780, 10.1111/j.1743-6109.2007.00464.x Shabsigh, 2008, Perceived control over ejaculation is central to treatment benefit in men with premature ejaculation: Results from Dapoxetine Phase III trials, BJU Int, 102, 824, 10.1111/j.1464-410X.2008.07845.x Best Practices for Asking Questions about Sexual Orientation on Surveys (SMART), 2022, Created by the Sexual Minority Assessment Research Team, a multidisciplinary and multi-institutional collaboration Patrick, 2009, The Premature Ejaculation Profile: Validation of self-reported outcome measures for research and practice, BJU Int, 103, 358, 10.1111/j.1464-410X.2008.08041.x IBM Corp, 2020, IBM SPSS Statistics for Windows, Version 27.0 R Core Team, 2022, R: a language and environment for statistical computing RStudio Team, 2022, RStudio: integrated development environment for R Sansone, 2021, Management of premature ejaculation: a clinical guideline from the Italian Society of Andrology and Sexual Medicine (SIAMS), J Endocrinol Invest, 44, 1103, 10.1007/s40618-020-01458-4 Corona, 2015, Interplay between premature ejaculation and erectile dysfunction: a systematic review and meta-analysis, J Sex Med, 12, 2291, 10.1111/jsm.13041 Althof, 2006, The psychology of premature ejaculation: therapies and consequences, J Sex Med, 3, 324, 10.1111/j.1743-6109.2006.00308.x Kantor, 2020, Pleasure and Sex Education: the need for broadening both content and measurement, Am J Public Health, 110, 145, 10.2105/AJPH.2019.305320 Pryor, 2005, Comparison of estimated vs. measured intravaginal ejaculation latency time (IELT) in men with and without premature ejaculation (PE), J Sex Med, 3, 54 Rosen, 2007, Correlates to the clinical diagnosis of premature ejaculation: results from a large observational study of men and their partners, J Urol, 177, 1059, 10.1016/j.juro.2006.10.044 Lee, 2015, Can estimated intravaginal ejaculatory latency time be used interchangeably with stopwatch-measured intravaginal ejaculatory latency time for the diagnosis of lifelong premature ejaculation?, Urol, 85, 375, 10.1016/j.urology.2014.09.036 Bhat, 2017, Use of a stopwatch to measure ejaculatory latency may not be accurate among Indian patients, Indian J Urol, 33, 300, 10.4103/iju.IJU_56_17 Colonnello, 2021, Redefining a sexual medicine paradigm: subclinical premature ejaculation as a new taxonomic entity, Nat Rev Urol, 18, 115, 10.1038/s41585-020-00417-1