The role of acupuncture in treating premature ejaculation and its probable neurobiological mechanism.

IF 2 3区 医学 Q2 ANDROLOGY Basic and Clinical Andrology Pub Date : 2024-12-12 DOI:10.1186/s12610-024-00239-w
Anmin Wang, Hao Wang, Dongyue Ma, Hongyuan Chang, Ziwei Zhao, Dicheng Luo, Fu Wang
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Abstract

Background: Premature ejaculation (PE) is one of the most common diseases in andrology and leads to serious male sexual dysfunction. Although several targeted oral drug therapies are used to treat PE, they often face challenges related to imprecise targeting and adverse effects. Acupuncture has shown potential in prolonging ejaculation time and improving couples' sexual quality of life. This review aims to summarize the benefits of acupuncture in treating PE and explore its probable neurobiological mechanisms.

Results: The review included eight clinical trials involving 679 patients, of which 294 were treated with acupuncture. Furthermore, this review analyzed acupuncture points, needle retention time, treatment duration, and their probable neurobiological mechanisms. The proposed mechanisms include stimulating the frontal functional lobe, inhibiting spinal cord neural pathways, regulating serotonin levels, enhancing 5-hydroxytryptamine receptor IB excitability, reducing penile sensitivity, and modulating hormone levels.

Conclusions: Acupuncture is a viable alternative or complementary therapy for PE, and neurobiological mechanisms appear to play a key role, but further experimental validation is needed.

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针刺治疗早泄的作用及其可能的神经生物学机制。
背景:早泄(PE)是男科最常见的疾病之一,可导致严重的男性性功能障碍。虽然有几种靶向口服药物疗法用于治疗PE,但它们经常面临与不精确靶向和不良反应相关的挑战。针灸在延长射精时间和改善夫妻性生活质量方面显示出潜力。本文旨在总结针灸治疗PE的益处,并探讨其可能的神经生物学机制。结果:本综述纳入8项临床试验,涉及679例患者,其中294例采用针灸治疗。此外,本文还分析了穴位、留针时间、治疗时间及其可能的神经生物学机制。提出的机制包括刺激额功能叶、抑制脊髓神经通路、调节血清素水平、增强5-羟色胺受体IB兴奋性、降低阴茎敏感性和调节激素水平。结论:针灸是PE的一种可行的替代或补充疗法,神经生物学机制似乎起着关键作用,但需要进一步的实验验证。
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来源期刊
Basic and Clinical Andrology
Basic and Clinical Andrology Medicine-Urology
CiteScore
3.50
自引率
0.00%
发文量
21
审稿时长
22 weeks
期刊介绍: Basic and Clinical Andrology is an open access journal in the domain of andrology covering all aspects of male reproductive and sexual health in both human and animal models. The journal aims to bring to light the various clinical advancements and research developments in andrology from the international community.
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