Sexual Medicine最新文献_第2页

Prediction of severe erectile dysfunction after penile fracture repair: machine learning analysis results from the reconstruction and trauma working group of the society of urological surgery (RAT-SUS). 阴茎骨折修复后严重勃起功能障碍的预测：泌尿外科学会重建与创伤工作组（RAT-SUS）的机器学习分析结果。

IF 2 3区医学 Q1 MEDICINE, GENERAL & INTERNAL

Sexual Medicine

Pub Date : 2025-12-17 eCollection Date: 2025-12-01 DOI: 10.1093/sexmed/qfaf101

Serdar Geyik, Ismail Onder Yilmaz, Mehmet Zubaroglu, Mutlu Deger, Rahmi Kavak, Hilmi Sari, Yavuz Onur Danacıoglu, Çaglar Sertkaya, Mehmet Yilmaz, Ibrahim Haciobey, Mustafa Tıpırdamaz, Mehmet Dündar, Mesut Berkan Duran, Can Sinirsiz, Omer Bayrak, Onur Zeytun, Alican Albaz, Murat Demir, Yunus Emre Göger, Murat Ucar, Burak Akgül, Ersan Arda, Ilker Akarken, Ahmet Güzel, Mehmet Vehbi Kayra, Ibrahim Güven Kartal, Reha Girgin, Dursun Baba, Gökhan Ceker, Mehmet Özen, Ahmet Gürbüz, Ozgür Yilmaz, Ozan Bozkurt

Background: Erectile dysfunction (ED) is a significant complication following penile fracture repair, and early prediction is critical for clinical management.Aim: To evaluate the effectiveness of machine learning (ML) algorithms in predicting the development of severe ED after penile fracture repair and to identify complex risk factors beyond the scope of traditional statistical methods.Methods: A retrospective analysis was conducted using data from 547 patients who underwent surgical repair for penile fracture between January 2020 and June 2024 at 23 urology centers affiliated with the Reconstructive Urology and Trauma Study Group of the Urological Surgery Society. Patients were categorized into two groups based on their International Index of Erectile Function-5 scores at six months postoperatively: severe ED (+) (≤7) and ED (-) (>7). Eleven different ML classifiers were evaluated to determine the most predictive models. Four distinct resampling techniques were employed to address class imbalance in the dataset. Feature importance analysis was also performed to identify the most influential variables contributing to ED risk.Outcomes: This study was conducted to enable the early identification of patients at high risk of developing severe ED following penile fracture surgery.Results: Logistic Regression, Gaussian Naive Bayes, and Linear Support Vector Machine emerged as the best-performing algorithms on the original dataset, with Area Under the Curve (AUC) scores of 0.81, 0.78, and 0.76, respectively. On the Synthetic Minority Over-sampling Technique (SMOTE)-resampled dataset, Quadratic Discriminant Analysis (QDA) achieved an AUC of 0.85, while the Artificial Neural Network (ANN) reached an AUC of 0.84. On the SMOTE-resampled dataset, QDA achieved a ROC-AUC of 0.85 (95% CI: 0.75-0.93), whereas on the SMOTE-Tomek Link-resampled dataset, the ANN attained a ROC-AUC of 0.84 (95% CI: 0.71-0.94). The most critical predictors of severe ED were age, comorbidities, tunical tear length, and time to surgery. Urethral injuries were not significant contributors, as all were minor and managed conservatively without urethroplasty.Clinical implications: Integration of ML-based prediction models into clinical workflows could support early risk stratification and individualized patient care, ultimately improving postoperative functional outcomes.Strengths and limitations: This study benefits from a large, multicenter dataset and a comparative analysis of multiple ML algorithms. However, its retrospective nature and inter-center variability in data reporting may limit generalizability.Conclusion: ML algorithms are effective and reliable tools for predicting severe ED after penile fracture repair and may enhance personalized postoperative management. Eliminating class imbalance i

背景：勃起功能障碍（ED）是阴茎骨折修复后的重要并发症，早期预测对临床治疗至关重要。目的：评估机器学习（ML）算法在预测阴茎骨折修复后严重ED发展的有效性，并识别超出传统统计方法范围的复杂危险因素。方法：回顾性分析2020年1月至2024年6月在泌尿外科学会重建泌尿外科与创伤研究组所属的23个泌尿外科中心接受阴茎骨折手术修复的547例患者的数据。根据患者术后6个月的国际勃起功能指数-5评分将患者分为两组：重度ED(+)（≤7）和ED (-) （bb0.7）。评估了11种不同的ML分类器，以确定最具预测性的模型。采用了四种不同的重采样技术来解决数据集中的类不平衡问题。还进行了特征重要性分析，以确定对ED风险影响最大的变量。结果：本研究旨在早期识别阴茎骨折术后发生严重ED的高危患者。结果：Logistic回归、高斯朴素贝叶斯和线性支持向量机是原始数据集上表现最好的算法，曲线下面积（AUC）得分分别为0.81、0.78和0.76。在合成少数派过采样技术（SMOTE）重采样数据集上，二次判别分析（QDA）的AUC为0.85，人工神经网络（ANN）的AUC为0.84。在smote重采样数据集上，QDA的ROC-AUC为0.85 (95% CI: 0.75-0.93)，而在SMOTE-Tomek link重采样数据集上，ANN的ROC-AUC为0.84 （95% CI: 0.71-0.94）。严重ED最重要的预测因素是年龄、合并症、膜撕裂长度和手术时间。尿道损伤不是主要原因，因为所有的损伤都是轻微的，并且没有进行尿道成形术。临床意义：将基于ml的预测模型整合到临床工作流程中，可以支持早期风险分层和个性化患者护理，最终改善术后功能结果。优势和局限性：这项研究得益于一个大型的、多中心的数据集和对多种机器学习算法的比较分析。然而，其回顾性性质和数据报告的中心间可变性可能限制了通用性。结论：ML算法是预测阴茎骨折修复后严重ED的有效、可靠的工具，可加强个性化的术后处理。通过重采样技术消除数据中的类不平衡可以提高模型的性能。

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引用次数: 0

Gender transition and intellectual developmental disorders: a case report. 性别转换与智力发育障碍1例报告。

IF 2 3区医学 Q1 MEDICINE, GENERAL & INTERNAL

Sexual Medicine

Pub Date : 2025-12-15 eCollection Date: 2025-12-01 DOI: 10.1093/sexmed/qfaf098

Lorenzo Soldati, Fabienne Gerber, Sotiria Maria Iliopoulou, Markus Kosel

Introduction: Various studies have shown a high association between gender incongruence (GI) and mental disorders, and a higher presence of GI in certain populations such as autism spectrum disorder. The scientific literature on GI in people with intellectual developmental disorder (IDD) is very sparse, no data on the effects of gender-affirming hormone therapy and gender-affirming surgery are available.

Aims: We report the first case of an individual with GI and IDD and comorbid psychiatric disorders who underwent gender-affirming treatments, with a largely positive outcome.

Methods: We describe the diagnostic assessment and the course of treatment of a transgender man, assigned female at birth, with a mild IDD (IQ 53) and bipolar disorder, who benefited from gender-affirming hormone therapy, followed by gender-affirming surgery such as torsoplasty with bilateral mastectomy, hysterectomy with oophorectomy, colpectomy, and proximal urethroplasty and finally phalloplasty. He also benefited from appropriate psychological support and from treatments to stabilize psychiatric disorders.

Results: Two years after the phalloplasty, he reports complete disappearance of GI. Psychiatric symptoms have reduced, in terms of anxiety and mood swings, to the point where psychiatric hospitalization were no longer necessary since torsoplasty with bilateral mastectomy. His social functioning has also improved.

Conclusion: This case report provides a clear focus on the importance of multidisciplinary work between IDD and GI specialists to evaluate and manage GI in individuals with IDD. It addresses the complexity of gender identity exploration and expression for individuals with IDD and brings attention to their vulnerability. This case report offers limited exploration of practical solutions or interventions and does not provide detailed treatments strategies. Given the complexity of this case report, which involves both IDD and bipolar disorder, it is challenging to draw generalizations or definitive conclusions.

各种研究表明，性别不一致（GI）与精神障碍之间存在高度关联，并且GI在某些人群（如自闭症谱系障碍）中较高存在。关于智力发育障碍（IDD）患者GI的科学文献非常少，没有关于性别确认激素治疗和性别确认手术效果的数据。目的：我们报告了第一例患有GI和IDD以及共病精神障碍的个体接受了性别确认治疗，结果基本上是积极的。方法：我们描述了一名变性男性的诊断评估和治疗过程，出生时被指定为女性，患有轻度IDD （IQ 53）和双相情感障碍，他受益于性别确认激素治疗，随后进行了性别确认手术，如双侧乳房切除术，子宫切除术合并卵巢切除术，结肠切除术，近端尿道成形术和最后的阴茎成形术。他也从适当的心理支持和稳定精神疾病的治疗中受益。结果：在阴茎成形术两年后，他报告了GI完全消失。在焦虑和情绪波动方面，精神症状有所减轻，自双侧乳房切除术后，不再需要精神病院住院治疗。他的社会功能也有所改善。结论：本病例报告提供了IDD和GI专家之间多学科工作的重要性，以评估和管理IDD患者的GI。它解决了IDD患者性别认同探索和表达的复杂性，并引起了对其脆弱性的关注。本病例报告提供了有限的实际解决方案或干预措施的探索，并没有提供详细的治疗策略。考虑到本病例报告的复杂性，它涉及到IDD和双相情感障碍，很难得出概括或明确的结论。

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引用次数: 0

Pelvic organ prolapse burden on sexual health and body image: a cross-sectional study. 盆腔器官脱垂对性健康和身体形象负担的横断面研究。

IF 2 3区医学 Q1 MEDICINE, GENERAL & INTERNAL

Sexual Medicine

Pub Date : 2025-12-13 eCollection Date: 2025-12-01 DOI: 10.1093/sexmed/qfaf100

Roxana Geoffrion, Melissa Tigert, Jens-Erik Walter, May Sanaee, Erin A Brennand, Ola Malabarey, Maryse Larouche, Momoe Hyakutake, Fariba Mohtashami, Katherine Rabicki, Lina Roa, Terry Lee, Joel Singer, Nicole Koenig, Lori A Brotto

Background: Pelvic organ prolapse (POP) is common and can affect sexual health and body image. Sexual concerns of non-sexually active (NSA) females with POP have been poorly described.Aim: To describe the burden of POP and explore associations between sexual function and body image in all patients seeking surgery.Methods: Secondary analysis of a baseline patient cohort, randomized controlled trial (RCT) of 2 POP reconstructive surgeries at 5 urogynecology tertiary centers. We present baseline sexual activity, function, and sex-related affect and body image. Patients scheduled for POP surgery completed validated condition-specific questionnaires of sexual function, body image, demographics, POP burden, and medical comorbidities. We used descriptive statistics and appropriate tests of significance.Outcomes: Differences between sexually active (SA) and NSA patients in POP-specific sexual function and body image; associations between body image and impaired sexual function.Results: Of 181 patients, 86 (47.5%) were SA, with a mean (SD) of age 62 (11.1). SA patients were younger, with fewer comorbidities. 30/86 (35%) had clinically significant sexual function impairment. Reasons for being NSA included pelvic symptoms (69.1%), lack of interest (53.8%), and lack of partner (40.5%). Frustration, sexual inferiority, and anger were similar between NSA and SA patients. NSA patients have 5 times the odds of avoiding sexual activity because of fear of pelvic symptoms; twice the odds of being more dissatisfied and twice the odds of feeling more inadequate in their sex life than SA patients. (P < .05, unadjusted and adjusted analyses). A total of 171 patients (80% partnered) had similar body image scores between SA and NSA patients. Partnered NSA patients were more likely than SA to avoid sexual intimacy because of POP, aOR 2.35 (95% CI, 1.03-5.33). Patients who had clinically significant POP-related impairment of sexual function had significantly worse body image (P < .001).Clinical implications: Patients with clinically bothersome POP have significant sexual concerns. Body image was similarly affected regardless of sexual activity. Perceived partner avoidance of intimacy was a common barrier. This is an opportunity for tailored sexual health individual and couples counseling.Strengths and limitations: Our findings apply to many surgical POP patients regardless of partner or sexual activity status. Limitations include missing data, no validated measure of sexual distress, and no evaluation of partner sexual function.Conclusion: The burden of POP-related sexual dysfunction and corresponding poor body image is substantial in both SA and NSA patients awaiting POP surgery. In the preoperative assessment of POP, sexual health and body image questions should be routine

背景：盆腔器官脱垂（POP）是一种常见的影响性健康和身体形象的疾病。对非性活跃（NSA）女性POP患者的性问题描述甚少。目的：描述所有寻求手术的患者的POP负担，并探讨性功能与身体形象之间的关系。方法：对5个泌尿妇科三级中心2例POP重建手术的基线患者队列、随机对照试验（RCT）进行二次分析。我们提出基线性活动，功能，性相关的影响和身体形象。计划进行POP手术的患者完成了性功能、身体形象、人口统计学、POP负担和医疗合并症的有效条件特定问卷。我们使用描述性统计和适当的显著性检验。结果：性活跃（SA）和性活跃（NSA）患者在pop特异性性功能和身体形象方面的差异；身体形象与性功能受损之间的联系。结果：181例患者中，86例（47.5%）为SA，平均（SD）年龄为62岁（11.1）。SA患者较年轻，合并症较少。30/86（35%）有明显的临床性功能障碍。出现NSA的原因包括盆腔症状（69.1%）、缺乏兴趣（53.8%）和缺乏伴侣（40.5%）。沮丧、性自卑和愤怒在NSA和SA患者中相似。NSA患者因害怕盆腔症状而避免性行为的几率是其5倍；对性生活不满意的几率是SA患者的两倍，对性生活不满意的几率是SA患者的两倍。临床意义：临床困扰的POP患者有明显的性担忧。与性行为无关，身体形象也同样受到影响。感知到伴侣回避亲密关系是一个常见的障碍。这是为个人和夫妻提供量身定制的性健康咨询的机会。优势和局限性：我们的研究结果适用于许多外科POP患者，无论其伴侣或性活动状况如何。局限性包括缺少数据，没有有效的性痛苦测量，没有对伴侣性功能的评估。结论：在等待POP手术的SA和NSA患者中，与POP相关的性功能障碍和相应的身体形象差的负担都是巨大的。在POP术前评估中，性健康和身体形象问题应常规纳入。

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引用次数: 0

Different faces of anxiety in sexual dysfunction: key features, effective interventions, and critical implications for health care professionals-ESSM position statements. 性功能障碍焦虑的不同面貌：关键特征、有效干预措施和对卫生保健专业人员的重要影响——essm立场声明

IF 2 3区医学 Q1 MEDICINE, GENERAL & INTERNAL

Sexual Medicine

Pub Date : 2025-12-08 eCollection Date: 2025-12-01 DOI: 10.1093/sexmed/qfaf097

Paraskevi-Sophia Kirana, Jacques J D M van Lankveld, Marieke Dewitte, David L Rowland

Introduction: In the field of sexual health research, anxiety stands out as a pivotal element recognized by both researchers and clinicians for its potential to disrupt multiple phases of the sexual response cycle. While research on anxiety and sexual dysfunctions has typically focused on studying various manifestations of anxiety separately, clinical practice often reveals a different reality, with patients frequently experiencing multiple types of anxiety simultaneously.

Aims: The objectives of this paper are to provide a comprehensive understanding of the diverse manifestations of sex-related anxiety and their clinical implications, and to identify and highlight existing scientific gaps that require further investigation.

Methods: This statement paper is an expert opinion-based proposal developed under the auspices of the European Society for Sexual Medicine (ESSM). A group of experts designed a conceptual framework on anxiety related to sexual dysfunctions and reviewed the literature from 2005 to 2023 across various databases focusing on five anxiety domains, sexual performance anxiety, sexual phobia, sexual distress, attachment anxiety, and somatic symptom disorder, leading to consensus on position statements. The process included revisions approved by the ESSM Executive Committee and affiliate societies.

Results: Eighteen statements on anxiety in individuals with sexual dysfunctions were developed, including three general statements on anxiety, three on sexual performance anxiety, three on sexual phobias, three on sexual distress, three on attachment anxiety, and three on somatic symptom disorder. Each type of anxiety was further described in terms of its prevalence, assessment, covariates and consequences, intervention strategies, and future directions for research.

Conclusion: Clinicians addressing sexual dysfunctions should screen for signs of various types of anxiety and assess their interference with sexual situations, overall sexual life, and broader life functioning. The literature suggests specific treatment approaches for different anxiety manifestations, emphasizing the need for tailored interventions. Treatments should be carefully selected based on the type of anxiety identified.

导语：在性健康研究领域，焦虑是研究者和临床医生公认的一个关键因素，因为它有可能破坏性反应周期的多个阶段。虽然焦虑和性功能障碍的研究通常侧重于分别研究焦虑的各种表现，但临床实践往往揭示了不同的现实，患者经常同时经历多种类型的焦虑。目的：本文的目的是全面了解性相关焦虑的各种表现形式及其临床意义，并识别和强调需要进一步研究的现有科学空白。方法：本声明文件是在欧洲性医学学会（ESSM）主持下制定的基于专家意见的提案。一组专家设计了一个与性功能障碍相关的焦虑的概念框架，并回顾了2005年至2023年在各种数据库中的文献，重点关注五个焦虑领域：性表现焦虑、性恐惧症、性痛苦、依恋焦虑和躯体症状障碍，从而对立场声明达成共识。该过程包括由ESSM执行委员会和附属协会批准的修订。结果：共编制了18份性功能障碍患者焦虑量表，包括3份一般性焦虑量表、3份性表现焦虑量表、3份性恐惧量表、3份性苦恼量表、3份依恋焦虑量表和3份躯体症状障碍量表。每一种类型的焦虑进一步描述了其患病率，评估，协变量和后果，干预策略和未来的研究方向。结论：处理性功能障碍的临床医生应该筛选各种焦虑的迹象，并评估其对性状况、整体性生活和更广泛的生活功能的干扰。文献提出针对不同焦虑表现的具体治疗方法，强调需要量身定制的干预措施。治疗应根据所确定的焦虑类型仔细选择。

{"title":"Different faces of anxiety in sexual dysfunction: key features, effective interventions, and critical implications for health care professionals-ESSM position statements.","authors":"Paraskevi-Sophia Kirana, Jacques J D M van Lankveld, Marieke Dewitte, David L Rowland","doi":"10.1093/sexmed/qfaf097","DOIUrl":"10.1093/sexmed/qfaf097","url":null,"abstract":"Introduction: In the field of sexual health research, anxiety stands out as a pivotal element recognized by both researchers and clinicians for its potential to disrupt multiple phases of the sexual response cycle. While research on anxiety and sexual dysfunctions has typically focused on studying various manifestations of anxiety separately, clinical practice often reveals a different reality, with patients frequently experiencing multiple types of anxiety simultaneously.Aims: The objectives of this paper are to provide a comprehensive understanding of the diverse manifestations of sex-related anxiety and their clinical implications, and to identify and highlight existing scientific gaps that require further investigation.Methods: This statement paper is an expert opinion-based proposal developed under the auspices of the European Society for Sexual Medicine (ESSM). A group of experts designed a conceptual framework on anxiety related to sexual dysfunctions and reviewed the literature from 2005 to 2023 across various databases focusing on five anxiety domains, sexual performance anxiety, sexual phobia, sexual distress, attachment anxiety, and somatic symptom disorder, leading to consensus on position statements. The process included revisions approved by the ESSM Executive Committee and affiliate societies.Results: Eighteen statements on anxiety in individuals with sexual dysfunctions were developed, including three general statements on anxiety, three on sexual performance anxiety, three on sexual phobias, three on sexual distress, three on attachment anxiety, and three on somatic symptom disorder. Each type of anxiety was further described in terms of its prevalence, assessment, covariates and consequences, intervention strategies, and future directions for research.Conclusion: Clinicians addressing sexual dysfunctions should screen for signs of various types of anxiety and assess their interference with sexual situations, overall sexual life, and broader life functioning. The literature suggests specific treatment approaches for different anxiety manifestations, emphasizing the need for tailored interventions. Treatments should be carefully selected based on the type of anxiety identified.","PeriodicalId":21782,"journal":{"name":"Sexual Medicine","volume":"13 6","pages":"qfaf097"},"PeriodicalIF":2.0,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12684971/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145715714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Awareness, use, and acceptability of HIV pre-exposure prophylaxis and post-exposure prophylaxis among men who have sex with men: evidence from China. 男男性行为者HIV暴露前和暴露后预防的认识、使用和可接受性：来自中国的证据

IF 2 3区医学 Q1 MEDICINE, GENERAL & INTERNAL

Sexual Medicine

Pub Date : 2025-12-04 eCollection Date: 2025-12-01 DOI: 10.1093/sexmed/qfaf093

Zhujun Lian, Xingliang Zhang, Junfang Xu

Background: Men who have sex with men (MSM) represent a high-incidence population with HIV, while HIV pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP) are among the most effective interventions to prevent HIV transmission and save lives.

Aim: This study aims to analyze the awareness, use, and acceptability of HIV PrEP and PEP among MSM to inform optimized implementation strategies for this population.

Methods: A non-government organization based questionnaire survey was used to collect data from July 2022 to December 2023. A total of 1065 MSM were incorporated into our analysis with the following information: socio-demographics, awareness, use, and acceptability of HIV PrEP and PEP. Binary logistic regression analysis was employed to determine the factors on seeking, use, and acceptability of PrEP and PEP.

Outcomes: Despite high awareness of PrEP/PEP, actual adoption remained limited among MSM.

Results: The average age of the participants was 28.48 ± 7.33. About 89.7% of the participants were aware of PrEP and 94.4% were aware of PEP. About 7.9% of the participants have used PrEP and 11.6% have used PEP. About 87.9% of the participants had willingness to use PrEP and 90.2% had willingness to use PEP. The main ways for the participants to get PrEP and PEP were through Internet hospitals, followed by local hospitals, and recommendations from acquaintances. The most concerned factors were preventive effect followed by side effects of PrEP and PEP. Doubts about the preventive effect of PrEP and PEP significantly affect their seeking, use, and acceptability (P < .05).

Clinical translation: This study provides insights for enhancing the implementation of HIV PrEP and PEP among MSM.

Strengths and limitations: This study is the first to depict the situation of awareness, use, and acceptability of HIV PrEP and PEP among MSM in China. Limitations involve social desirability bias and reliance on self-reported diagnosis.

Conclusion: Accelerating PrEP/PEP scale-up requires enhanced risk perception, expanded service access, and comprehensive sensitization programs.

背景：男男性行为者（MSM）是艾滋病毒的高发人群，而艾滋病毒暴露前预防（PrEP）和暴露后预防（PEP）是预防艾滋病毒传播和挽救生命的最有效干预措施之一。目的：本研究旨在分析MSM人群对HIV PrEP和PEP的认知、使用和可接受性，为该人群优化实施策略提供依据。方法：采用基于非政府组织的问卷调查方法，于2022年7月至2023年12月收集数据。共有1065名男男性行为者被纳入我们的分析，包括以下信息：社会人口统计学、HIV PrEP和PEP的认识、使用和可接受性。采用二元logistic回归分析确定影响PrEP和PEP寻求、使用及可接受性的因素。结果：尽管人们对PrEP/PEP有很高的认识，但在男男性行为者中实际采用PrEP/PEP的人数仍然有限。结果：患者平均年龄28.48±7.33岁。约89.7%的参与者知道PrEP， 94.4%的参与者知道PEP。约7.9%的参与者使用了PrEP， 11.6%的参与者使用了PEP。87.9%的人愿意使用PrEP， 90.2%的人愿意使用PEP。参与者获得PrEP和PEP的主要途径是通过互联网医院，其次是当地医院和熟人推荐。最受关注的因素是预防效果，其次是PrEP和PEP的副作用。对PrEP和PEP预防效果的怀疑显著影响其寻求、使用和可接受性(P)临床翻译：本研究为加强MSM中HIV PrEP和PEP的实施提供了见解。优势和局限性：本研究首次描述了中国男男性接触者对HIV PrEP和PEP的认识、使用和接受情况。局限性包括社会期望偏差和对自我报告诊断的依赖。结论：加速PrEP/PEP的推广需要增强风险认知、扩大服务可及性和全面的敏化项目。

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引用次数: 0

Disproportionately low authorship by women urologists in sexual medicine journals. 女性泌尿科医生在性医学期刊上的著述比例低得不成比例。

IF 2 3区医学 Q1 MEDICINE, GENERAL & INTERNAL

Sexual Medicine

Pub Date : 2025-12-01 DOI: 10.1093/sexmed/qfaf095

Sonam Saxena, Akhil Peta, Michael Raver, Simon Gelman, Matthew Yang, Maie Abdel-Wahab, Nolan Holbrook, Sophia Zhang, Jamie Chen, Sarah Brink, David Shin

Background: The recent efforts to increase the proportion of women in urology have demonstrated success; it is equally important to evaluate success of these efforts in urologic sub-specialized fields as well.

Aim: This study aims to evaluate the impact of these efforts and the representation of women urologists in the sexual medicine literature.

Methods: Original research manuscripts from three prominent sexual medicine journals from 2013 to 2023 were collected. Manuscripts submitted under Paraphilia subsections, as well as systematic reviews, meta-analyses, communications, commentaries, replies, and those involving psychometrics were excluded. Proportion of women authors in these journals' literature was determined by searching names of first and last authors on the Internet.

Outcomes: This study evaluates whether authorship by women in sexual medicine literature has increased following recent efforts to enhance their representation in urology and related fields.

Results: 1065 of 2701 (39%) collected manuscripts meeting criteria were from first (FA) or last authors (LA). Women were significantly less likely to be FA or LAs across these manuscripts (P< 0.001).Further, variables such as author degree, field, profession, and institution type all demonstrated significant gender disparities in FA and LA as well. Representation of women FAs and LAs was lowest in urology (15%, 5%) compared to obstetrics and gynecology (64%, 55%) and psychology (68%, 63%).

Clinical implications: These disparities in sexual medicine publications have important consequences for women urologists; these opportunities often impact future career advancement in academia.

Strengths and limitations: Gender identification relied on traditional markers (such as names and pronouns), which may not fully capture the diversity of gender identities, we sought to mediate that by using a binary identification method. The analysis was also limited to first and last authorship, which may not capture contributions from middle authors.

Conclusion: Although the push to increase the proportion of women urologists has shown success, there are still significant disparities seen in publication of sexual medicine literature. Potential avenues for improvement include mentorship and targeted institutional support.

背景：最近努力增加女性在泌尿外科的比例已经证明是成功的；评估这些努力在泌尿外科亚专科领域的成功也同样重要。目的：本研究旨在评估这些努力的影响以及女性泌尿科医生在性医学文献中的代表性。方法：收集2013 - 2023年三本性医学期刊的原创性研究论文。在反性癖分类下提交的稿件、系统综述、元分析、通讯、评论、回复以及涉及心理测量学的稿件均被排除在外。这些期刊文献中女性作者的比例是通过在互联网上搜索第一作者和最后作者的名字来确定的。结果：本研究评估女性在性医学文献中的作者数量是否随着近期泌尿科和相关领域的努力而增加。结果：2701篇符合标准的论文中有1065篇（39%）是第一作者（FA）或最后作者（LA）。临床意义：性医学出版物中的这些差异对女性泌尿科医生有重要影响；这些机会经常影响学术界未来的职业发展。优势和局限性：性别认同依赖于传统的标记（如姓名和代词），这可能无法完全捕捉到性别认同的多样性，我们试图通过使用二元识别方法来调解这一点。该分析也仅限于第一作者和最后作者，这可能不包括中间作者的贡献。结论：尽管提高女性泌尿科医生比例的努力取得了成功，但在性医学文献的发表方面仍存在显著差异。潜在的改进途径包括指导和有针对性的机构支持。

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引用次数: 0

Optical assessment of genital changes associated with female sexual arousal: a mini-review. 与女性性唤起相关的生殖器变化的光学评估：一个小型回顾。

IF 2 3区医学 Q1 MEDICINE, GENERAL & INTERNAL

Sexual Medicine

Pub Date : 2025-11-26 eCollection Date: 2025-10-01 DOI: 10.1093/sexmed/qfaf065

Hyeryun Jeong, Myeongsu Seong, Kwangsung Park, Jae Gwan Kim

Background: Optical techniques, including laser Doppler flowmetry (LDF), photoplethysmography (PPG), and near-infrared spectroscopy (NIRS), are emerging as one of the most popular tools for female sexual arousal response (FSAR) assessment. However, to our knowledge, no narrative reviews have focused on the application of these optical techniques in FSAR assessment.

Aim: To fill out the existing gap, we review the literature regarding using optical techniques in FSAR assessment in preclinical and clinical studies.

Methods: A literature search was performed on the manuscript with terms including "female sexual dysfunction, FSAR, LDF, PPG, NIRS" between 1974 and 2024 using PubMed, Google Scholar, and MEDLINE. Among the articles identified, 18 articles were reviewed after excluding articles with non-relevant topics, duplicate articles, and articles not written in English.

Outcomes: This article reviews 11 studies that used LDF/imaging, four studies that used PPG, and three studies that used NIRS, including the employed experimental protocols in each study.

Results: Various optical techniques were used in FSAR assessment during electrical stimulation, visual and tactile stimulation, and drug administration. Additional studies, including using non-human primate models, testing the effects of different anesthetics on FSAR in preclinical studies, and performing more clinical studies to develop a standard for human FSAR monitoring using optical techniques that can lead to the use of optical techniques in clinical practices, could be considered. Meanwhile, non-contact systems and other optical techniques like optical coherence tomography, photoacoustic endoscopy, and Raman spectroscopy can be developed for future FSAR studies.

Clinical translation: This article can provide a good overview of the preclinical and clinical investigations of FSAR using LDF, PPG, and NIRS. Understanding the differences between the techniques will allow clinicians to choose an appropriate technique for their FSAR studies.

Strengths and limitations: This review is the first to overview various optical techniques used to evaluate FSAR. A limitation of the review is that there is no clinical study that uses NIRS for FSAR monitoring.

Conclusions: LDF/imaging, PPG, and NIRS have been used in various FSAR investigations. Such optical techniques have the potential to be used in future FSAR studies to quantitatively analyze the physiological changes during FSAR.

背景：光学技术，包括激光多普勒血流测量（LDF）、光容积脉搏波描记（PPG）和近红外光谱（NIRS），正在成为女性性唤起反应（FSAR）评估最流行的工具之一。然而，据我们所知，还没有关于这些光学技术在FSAR评估中的应用的综述。目的：为了填补现有的空白，我们回顾了在临床前和临床研究中使用光学技术评估FSAR的文献。方法：通过PubMed、谷歌Scholar和MEDLINE检索1974 - 2024年间的“female sexual dysfunction， FSAR， LDF， PPG， NIRS”等文献。在确定的文章中，剔除了不相关的文章、重复文章和非英文文章后，对18篇文章进行了审查。结果：本文回顾了11项使用LDF/成像的研究，4项使用PPG的研究和3项使用NIRS的研究，包括每项研究中使用的实验方案。结果：在电刺激、视觉和触觉刺激以及给药过程中，使用了多种光学技术来评估FSAR。可以考虑进行其他研究，包括使用非人类灵长类动物模型，在临床前研究中测试不同麻醉剂对FSAR的影响，以及进行更多的临床研究，以制定使用光学技术监测人类FSAR的标准，从而在临床实践中使用光学技术。同时，非接触式系统和其他光学技术，如光学相干层析成像、光声内窥镜和拉曼光谱，可以为未来的FSAR研究发展。临床翻译：本文可以很好地概述使用LDF， PPG和NIRS进行FSAR的临床前和临床研究。了解这些技术之间的差异将有助于临床医生为他们的FSAR研究选择合适的技术。优势和局限性：这篇综述首次概述了各种用于评估FSAR的光学技术。该综述的一个局限性是没有临床研究使用近红外光谱监测FSAR。结论：LDF/成像、PPG和NIRS已被用于各种FSAR研究。这种光学技术在未来的FSAR研究中有潜力用于定量分析FSAR过程中的生理变化。

{"title":"Optical assessment of genital changes associated with female sexual arousal: a mini-review.","authors":"Hyeryun Jeong, Myeongsu Seong, Kwangsung Park, Jae Gwan Kim","doi":"10.1093/sexmed/qfaf065","DOIUrl":"https://doi.org/10.1093/sexmed/qfaf065","url":null,"abstract":"Background: Optical techniques, including laser Doppler flowmetry (LDF), photoplethysmography (PPG), and near-infrared spectroscopy (NIRS), are emerging as one of the most popular tools for female sexual arousal response (FSAR) assessment. However, to our knowledge, no narrative reviews have focused on the application of these optical techniques in FSAR assessment.Aim: To fill out the existing gap, we review the literature regarding using optical techniques in FSAR assessment in preclinical and clinical studies.Methods: A literature search was performed on the manuscript with terms including \"female sexual dysfunction, FSAR, LDF, PPG, NIRS\" between 1974 and 2024 using PubMed, Google Scholar, and MEDLINE. Among the articles identified, 18 articles were reviewed after excluding articles with non-relevant topics, duplicate articles, and articles not written in English.Outcomes: This article reviews 11 studies that used LDF/imaging, four studies that used PPG, and three studies that used NIRS, including the employed experimental protocols in each study.Results: Various optical techniques were used in FSAR assessment during electrical stimulation, visual and tactile stimulation, and drug administration. Additional studies, including using non-human primate models, testing the effects of different anesthetics on FSAR in preclinical studies, and performing more clinical studies to develop a standard for human FSAR monitoring using optical techniques that can lead to the use of optical techniques in clinical practices, could be considered. Meanwhile, non-contact systems and other optical techniques like optical coherence tomography, photoacoustic endoscopy, and Raman spectroscopy can be developed for future FSAR studies.Clinical translation: This article can provide a good overview of the preclinical and clinical investigations of FSAR using LDF, PPG, and NIRS. Understanding the differences between the techniques will allow clinicians to choose an appropriate technique for their FSAR studies.Strengths and limitations: This review is the first to overview various optical techniques used to evaluate FSAR. A limitation of the review is that there is no clinical study that uses NIRS for FSAR monitoring.Conclusions: LDF/imaging, PPG, and NIRS have been used in various FSAR investigations. Such optical techniques have the potential to be used in future FSAR studies to quantitatively analyze the physiological changes during FSAR.","PeriodicalId":21782,"journal":{"name":"Sexual Medicine","volume":"13 5","pages":"qfaf065"},"PeriodicalIF":2.0,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12648246/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145638704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Food effect on pharmacokinetic profiles of sildenafil 100 mg oral films in healthy male volunteers: results from two randomized, single dose, crossover studies. 食物对健康男性志愿者100mg西地那非口服片药代动力学的影响：两项随机、单剂量、交叉研究的结果

IF 2 3区医学 Q1 MEDICINE, GENERAL & INTERNAL

Sexual Medicine

Pub Date : 2025-11-23 eCollection Date: 2025-10-01 DOI: 10.1093/sexmed/qfaf096

Quan Minh Pham, Dimitri Yannas, Andrea Sansone, Javier Romero-Otero, Pedro Vendeira, Valeria Frangione, Emmanuele A Jannini

Background: Decades after it was first put on the market, sildenafil is still a very successful treatment for erectile dysfunction. New formulations, such orodispersible films (ODFs), offer more convenience allowing more discreet use and enabling people who might have trouble swallowing tablets to take the drug.Aim: To evaluate the impact of food and water on sildenafil ODF as compared to sildenafil film-coated tablet (FCT) and to assess the safety and palatability of the orodispersible formulation.Methods: Two randomized, single-dose, three-period, crossover studies were conducted on healthy male volunteers. The first study, involving 45 subjects, was designed to compare ODF versus FCT under fasting conditions and to study the effect of high-fat, high-calorie meal on ODF pharmacokinetic (PK) profiles. The second study, involving 35 subjects, compared ODF versus FCT under fed conditions and the effect of water on ODF PK profiles. Blood samples were collected within 24 h post-dosing to measure plasma sildenafil and its metabolite, N-desmethyl-sildenafil.Outcomes: Primary outcomes were maximum observed plasma concentration (C max), the area under the concentration-time curve (AUC), and the time of maximum observed plasma concentration (T max). Secondary outcomes included palatability and safety.Results: Food delayed sildenafil 100 mg ODF T max by 1.45 h and decreased C max by 45% but did not affect the extent of systemic exposure to sildenafil (AUC). Bioequivalence was demonstrated for sildenafil ODF administered with and without water under fed conditions. C max of plasma sildenafil was ~13% and 17% lower for ODF (without and with water, respectively), and T max was delayed by 1-1.5 h, compared to FCT under fed conditions, but both AUC0-t and AUC0-∞ met the bioequivalence limits. Palatability was acceptable with mild aftertastes. The ODF formulation was well-tolerated with no severe adverse events.Clinical implications: Sildenafil ODF is a bioequivalent alternative to traditional tablets. The food impact on sildenafil ODF taken with and without water is consistent with that associated with FCT, influencing C max and T max but not AUC.Strengths and limitations: The study population consisted exclusively of healthy subjects, and the study was limited to single-dose administration. Lastly, although bioequivalence of PKs implies therapeutic equivalence, future studies incorporating clinical endpoints would offer more conclusive evidence of interchangeability.Conclusion: Sildenafil ODF has comparable PKs and added convenience for patients. Its versatility, ease of use, and discreetness make it idea

背景：在西地那非首次上市几十年后，它仍然是一种非常成功的治疗勃起功能障碍的药物。新的配方，如可分散薄膜（odf），提供了更多的方便，允许更谨慎的使用，并使那些可能吞咽药片有困难的人服用药物。目的：比较食物和水对西地那非薄膜包衣片（FCT）的影响，评价其体外分散制剂的安全性和食性。方法：对健康男性志愿者进行两项随机、单剂量、三期交叉研究。第一项研究涉及45名受试者，旨在比较禁食条件下的ODF和FCT，并研究高脂肪、高热量膳食对ODF药代动力学（PK）谱的影响。第二项研究涉及35名受试者，比较了在饲喂条件下ODF和FCT以及水分对ODF PK谱的影响。给药后24小时内采集血样，测定血浆中西地那非及其代谢物n -去甲基西地那非的含量。结果：主要结果为最大观察血浆浓度（cmax）、浓度-时间曲线下面积（AUC）和最大观察血浆浓度时间（tmax）。次要结果包括适口性和安全性。结果：食物使西地那非100 mg ODF tmax延迟1.45 h，使cmax降低45%，但不影响西地那非全身暴露程度（AUC）。生物等效性证明了西地那非ODF在喂养条件下有水和无水给药。ODF组（无水组和加水组）血浆西地那非的cmax比饲料条件下低13%和17%，tmax比饲料条件下延迟1 ~ 1.5 h，但AUC0- T和AUC0-∞均满足生物等效性极限。适口性尚可，回味温和。ODF制剂耐受性良好，无严重不良事件。临床意义：西地那非ODF是传统片剂的生物等效替代品。食物对西地那非ODF在有水和无水情况下的影响与与FCT相关的影响一致，影响最大碳和最大T，但不影响AUC。优势和局限性：研究人群完全由健康受试者组成，研究仅限于单剂量给药。最后，尽管PKs的生物等效性意味着治疗等效，但纳入临床终点的未来研究将提供更确凿的可互换性证据。结论：西地那非ODF具有相当的PKs，并增加了患者的便利性。它的多功能性、易用性和谨慎性使其成为FCT安全有效的理想替代品。ISRCTN注册编号，可访问试验方案：研究A: ISRCTN13297409 （10.1186/ISRCTN13297409）研究B: ISRCTN15394603 （10.1186/ISRCTN15394603）。

{"title":"Food effect on pharmacokinetic profiles of sildenafil 100 mg oral films in healthy male volunteers: results from two randomized, single dose, crossover studies.","authors":"Quan Minh Pham, Dimitri Yannas, Andrea Sansone, Javier Romero-Otero, Pedro Vendeira, Valeria Frangione, Emmanuele A Jannini","doi":"10.1093/sexmed/qfaf096","DOIUrl":"10.1093/sexmed/qfaf096","url":null,"abstract":"Background: Decades after it was first put on the market, sildenafil is still a very successful treatment for erectile dysfunction. New formulations, such orodispersible films (ODFs), offer more convenience allowing more discreet use and enabling people who might have trouble swallowing tablets to take the drug.Aim: To evaluate the impact of food and water on sildenafil ODF as compared to sildenafil film-coated tablet (FCT) and to assess the safety and palatability of the orodispersible formulation.Methods: Two randomized, single-dose, three-period, crossover studies were conducted on healthy male volunteers. The first study, involving 45 subjects, was designed to compare ODF versus FCT under fasting conditions and to study the effect of high-fat, high-calorie meal on ODF pharmacokinetic (PK) profiles. The second study, involving 35 subjects, compared ODF versus FCT under fed conditions and the effect of water on ODF PK profiles. Blood samples were collected within 24 h post-dosing to measure plasma sildenafil and its metabolite, N-desmethyl-sildenafil.Outcomes: Primary outcomes were maximum observed plasma concentration (C max), the area under the concentration-time curve (AUC), and the time of maximum observed plasma concentration (T max). Secondary outcomes included palatability and safety.Results: Food delayed sildenafil 100 mg ODF T max by 1.45 h and decreased C max by 45% but did not affect the extent of systemic exposure to sildenafil (AUC). Bioequivalence was demonstrated for sildenafil ODF administered with and without water under fed conditions. C max of plasma sildenafil was ~13% and 17% lower for ODF (without and with water, respectively), and T max was delayed by 1-1.5 h, compared to FCT under fed conditions, but both AUC0-t and AUC0-∞ met the bioequivalence limits. Palatability was acceptable with mild aftertastes. The ODF formulation was well-tolerated with no severe adverse events.Clinical implications: Sildenafil ODF is a bioequivalent alternative to traditional tablets. The food impact on sildenafil ODF taken with and without water is consistent with that associated with FCT, influencing C max and T max but not AUC.Strengths and limitations: The study population consisted exclusively of healthy subjects, and the study was limited to single-dose administration. Lastly, although bioequivalence of PKs implies therapeutic equivalence, future studies incorporating clinical endpoints would offer more conclusive evidence of interchangeability.Conclusion: Sildenafil ODF has comparable PKs and added convenience for patients. Its versatility, ease of use, and discreetness make it idea","PeriodicalId":21782,"journal":{"name":"Sexual Medicine","volume":"13 5","pages":"qfaf096"},"PeriodicalIF":2.0,"publicationDate":"2025-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12640539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145597196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessing the relationship between sexual health literacy and sexual self-care in women: a cross-sectional study in Iran. 评估妇女性健康素养与性自我保健之间的关系：伊朗的一项横断面研究。

IF 2 3区医学 Q1 MEDICINE, GENERAL & INTERNAL

Sexual Medicine

Pub Date : 2025-11-19 eCollection Date: 2025-10-01 DOI: 10.1093/sexmed/qfaf071

Fatemeh Darban, Nastaran Heydarikhayat, Sahar Olyaee, Nazanin Raeisi

Background: Sexual self-care behaviors in women play a crucial role in promoting their sexual health, ultimately enhancing family and societal well-being. Adequate knowledge and the ability to apply such information are key factors influencing sexual self-care.

Aim: This study was conducted to examine the relationship between sexual health literacy and sexual self-care among women.

Methods: This cross-sectional study was conducted among 435 women of reproductive age attending healthcare centers affiliated with Iranshahr University of Medical Sciences, Iran, during 2024-2025. Data were collected using validated questionnaires on sexual self-care and the Iranian Adult Sexual Health Literacy scale. Statistical analysis was performed using SPSS 22, employing logistic regression, analysis of variance (ANOVA), and multiple linear regression models.

Outcomes: Determined the relationship between sexual health literacy and sexual self-care in young women.

Results: The results revealed a statistically significant direct association between sexual self-care and sexual health literacy (P = .000). Women demonstrating higher sexual health literacy scores reported higher sexual self-care scores. Sexual self-care was associated with total sexual health literacy scores, as well as with the dimensions of information access skills and information application skills.

Clinical implications: The results provide a rationale for policymakers to implement targeted sexual health literacy programs, which can subsequently enhance self-care practices.

Strengths and limitations: The strengths of this study include the use of robust statistical methods and a large, representative sample size. However, limitations should be noted, such as the dependence on self-reported data, which may introduce bias, and the restricted generalizability of findings due to the single-region, cross-sectional study design.

Conclusion: This study demonstrated that improved sexual health literacy enhances sexual self-care scores in women. These results highlight the crucial need to enhance women's sexual health literacy.

背景：女性的性自我保健行为在促进其性健康，最终增强家庭和社会福祉方面发挥着至关重要的作用。充分的知识和应用这些信息的能力是影响性自我保健的关键因素。目的：探讨女性性健康素养与性自我保健的关系。方法：本横断面研究在2024-2025年期间在伊朗伊朗沙赫尔医科大学附属保健中心就诊的435名育龄妇女中进行。数据收集使用有效的性自我保健问卷和伊朗成人性健康素养量表。采用SPSS 22进行统计分析，采用logistic回归、方差分析（ANOVA）和多元线性回归模型。结果：确定年轻女性性健康素养与性自我保健之间的关系。结果：结果显示，性自我保健与性健康素养之间有统计学意义的直接关联（P = .000）。性健康素养得分较高的妇女报告的性自我保健得分也较高。性自我保健与性健康素养总分、信息获取技能和信息应用技能维度相关。临床意义：研究结果为政策制定者实施有针对性的性健康扫盲计划提供了依据，该计划随后可以加强自我保健实践。优势和局限性：本研究的优势包括使用稳健的统计方法和大的、有代表性的样本量。然而，该研究也存在局限性，例如依赖于自我报告的数据，这可能会引入偏倚，以及由于单区域、横断面研究设计，研究结果的可推广性受到限制。结论：本研究表明，提高性健康素养可以提高女性的性自我保健得分。这些结果突出了提高妇女性健康知识的关键必要性。

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引用次数: 0

Study of psychosocial factors affecting premature ejaculation from the perspective of personality traits: a large sample cross-sectional study from Anhui, China. 人格特质视角下影响早泄的社会心理因素研究：来自安徽的大样本横断面研究。

IF 2 3区医学 Q1 MEDICINE, GENERAL & INTERNAL

Sexual Medicine

Pub Date : 2025-11-15 eCollection Date: 2025-10-01 DOI: 10.1093/sexmed/qfaf094

Jingjing Gao, Rui Gao, Kun Wang, Guosheng Xu, Zifang Zhang, Xiaodong Bai, Jishuang Liu, Kai Shi, Jun Mao, Yao Zhang, Xiansheng Zhang

Background: Personality traits are the intrinsic factors of mental health, and may play a role in the pathogenesis of premature ejaculation (PE), but few studies have evaluated the association between personality traits and the 4 types of PE.

Aim: We aim to investigate the personality traits associated with PE in 4 types of PE and their associations with PE.

Methods: Between February 2024 and February 2025, we conducted a survey in Anhui, China, and enrolled 1708 males. Personality traits were independently assessed by the Myers-Briggs Type Indicator (MBTI). The index of PE was used to evaluate ejaculation control, sexual life satisfaction, and distress caused by PE.

Outcomes: Energy-Introversion, Perceiving-Sensing, Judging-Feeling, and Orientation-Perception may influence men's sexual activity, and the Energy, Perceiving, and Orientation have different effects on the 4 types of PE.

Results: The ISFP personality type is most common in those with PE. Among the 4 subtypes of PE, the Introversion-Intuition-Feeling-Perceiving (INFP) personality type is most common in those with Lifelong PE (LPE), the Extraversion-Sensing-Feeling-Judging (ESFJ) personality type is most common in those with Acquired PE (APE), the Introversion-Sensing-Feeling-Perceiving (ISFP) personality type is most common in those with Variable PE (VPE), and the Extraversion-Sensing-Feeling-Perceiving (ESFP) personality type is most common in those with Subjective PE (SPE).

Clinical implications: Personality trait factors may influence the pathogenesis of PE, and the use of the MBTI personality assessment provides a new perspective on how personality traits play a role in the onset of PE.

Strengths & limitations: It is necessary to conduct larger-scale, more rigorous community-based studies to further elucidate the role of personality traits in the development of PE.

Conclusion: Men with traits of Introversion, Sensing, Feeling, and Perception tend to have high sensitivity, introspection, and a deep pursuit of idealized relationships.

背景：人格特质是心理健康的内在因素，可能在早泄的发病机制中发挥作用，但很少有研究评估人格特质与四种早泄之间的关系。目的：探讨四种类型体育运动的人格特征及其与体育运动的关系。方法：于2024年2月至2025年2月在中国安徽开展调查，共招募男性1708人。人格特征由迈尔斯-布里格斯类型指标（MBTI）独立评估。PE指标用于评价射精控制、性生活满意度和PE引起的痛苦。结果：能量内倾、知觉-感觉、判断-感觉和取向-感知可能影响男性的性行为，能量、知觉和取向对4种类型的性行为有不同的影响。结果：ISFP型人格类型在PE患者中最为常见。PE的4个亚型中,Introversion-Intuition-Feeling-Perceiving (INFP)人格类型是最常见的在那些与终身体育(简述)的Extraversion-Sensing-Feeling-Judging (ESFJ)人格类型是最常见的在那些收购PE(猿)的Introversion-Sensing-Feeling-Perceiving物性格类型中最常见的那些变量PE(汽相外延)和Extraversion-Sensing-Feeling-Perceiving (ESFP)人格类型是最常见的和主观的PE (SPE)。临床意义：人格特质因素可能影响PE的发病机制，MBTI人格评估的应用为人格特质在PE发病中的作用提供了新的视角。优势与局限：需要进行更大规模、更严谨的社区研究来进一步阐明人格特质在体育发展中的作用。结论：具有内倾、感知、感觉和感知特征的男性往往具有较高的敏感性、自省能力和对理想关系的强烈追求。

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引用次数: 0