Multiaxial Problem-Oriented System for Sexual Dysfunctions

Schover, Leslie R.; Friedman, Jerry; Weiler, Stephan; Heiman, Julia R.; LoPiccolo, Joseph

doi:10.1001/archpsyc.1982.04290050080015

Cited by 164 publications

(62 citation statements)

References 10 publications

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“…Sexual functioning was assessed by a questionnaire on sexual activity and sexual problems. Questions were derived from the Sexual History Form 17 and the Sexual Problems Measure. 18 Males and females who indicated that they were sexually active (with a partner) in the past 4 weeks completed a set of six questions concerning both desire-and function-related sexual problems.…”

Section: Methodsmentioning

confidence: 99%

Sexual functioning in patients undergoing bone marrow transplantation: a longitudinal study

Humphreys

Tallman

Altmaier

et al. 2007

Bone Marrow Transplant

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Patients undergoing bone marrow transplantation (BMT) reported numerous sexual difficulties pretransplantation and at 1-and 3-years post transplantation. The most commonly reported problems pretransplant were a lack of sexual interest for men and self-perceived unattractiveness for women. At year 1, men reported more concern about physical attractiveness and increased problems with erection, ejaculation and orgasm. Women reported more sexual problems across all categories. At year 3, difficulties for men remained relatively consistent or decreased compared to year 1 with the exception of an increased concern about physical appearance. At year 3, women reported increased sexual interest; concerns about body appearance, vaginal dryness, painful intercourse and orgasm remained higher than at baseline, although all had decreased from year 1. Half of patients at all time points reported no discussion of sexuality with their health care provider. Baseline level of depression was significantly and positively related to sexual functioning at year 3 post transplant. These results suggest that sexual problems are significant for BMT survivors and that treatment of depression and health-care-provider education are possible interventional targets for improving sexual function and quality of life following BMT.

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Section: Methodsmentioning

confidence: 99%

Sexual functioning in patients undergoing bone marrow transplantation: a longitudinal study

Humphreys

Tallman

Altmaier

et al. 2007

Bone Marrow Transplant

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“…Other authors concluded that any ejaculation occurring within 1, 2, 3, or even 7 min of penetration should be considered premature, 10 but none of the definitions offer any supportive rationale for their proposed cut-off time. 8 Waldinger et al 25 published multinational reports of IELT (The Netherlands, United Kingdom, United States, Spain and Turkey), and they found that the median IELT was 5.4 min (range 0.55-44.1 min) and that the distribution of IELT in all five countries was positively skewed.…”

Section: Discussionmentioning

confidence: 99%

“…7 IELT forms the basis of most current clinical studies on PE. 8 Based on Dutch data, 9 the baseline IELT defining ejaculation that occurred prematurely was estimated at less than 1 min. Some publications stated that any ejaculation occurring within 1, 2, 3, or even 7 min of penetration is considered premature; others specify the number of penile thrusts, considering 8-15 thrusts as a criterion for PE.…”

Section: Introductionmentioning

confidence: 99%

Safety and efficacy of tramadol hydrochloride on treatment of premature ejaculation

Eassa¹,

El-Shazly²

2012

Asian J Androl

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Premature ejaculation (PE) is the most common sexual disorder. It affects 20%-30% of adult men; the aetiology of this condition has not yet been elucidated. The aim of this study is to evaluate the efficacy, safety, tolerability, undesirable effects and improved satisfaction with sexual intercourse with tramadol hydrochloride at different dosages for the treatment of PE. A total of 300 patients who presented with lifelong (primary) PE were included in this study. The study was performed for 28 weeks, in which placebo (starch tablet) was given for 4 weeks, and active ingredient (tramadol hydrochloride) was administered at different therapeutic dosages for 24 weeks. Patients were divided into three equal groups, each consisting of 100 patients. The first group (A) was given tramadol hydrochloride capsule 25 mg. The second group (B) was given tramadol hydrochloride capsule 50 mg. The third group (C) was given tramadol hydrochloride capsule 100 mg. All of the 300 participants included completed the study voluntarily. The age of the patients varied from 25 to 50 years. After the treatment period, the recorded data were collected for each group and analysed. The results showed a highly significant increase in the mean intravaginal ejaculatory latency time (IELT) in all groups compared to baseline data (P,0.0001). We concluded that using tramadol hydrochloride at different doses on demand for the treatment of PE is effective, safe and tolerable, with minimal undesirable effects, and approval for this indication should be sought.

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“…Conçue de cette manière, l'EP toucherait environ 15 à 30 % de la population masculine (Laumann et al, 2005 ;Levinson, 2008 ;Park et al, 2010 ;Porst et al, 2007) ; • de l'autre côté, un point de vue « objectiviste » cherche à déterminer objectivement la rapidité d'une éjaculation par sa survenue régulière en deçà d'une durée maximale de pénétration. Divers auteurs ont proposé différents repères allant de 15 secondes (WHO, 1994) à 7 minutes (Schover et al, 1982). La tendance actuelle serait de retenir un seuil maximal d'une minute.…”

Section: Qualifier La « Précocité » Des éJaculations : Deux Points Deunclassified

Le « trouble » de l’éjaculation précoce : le critère d’une minute maximum de pénétration en question

Kempeneers

Desseilles

2014

Sexologies

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Disponible sur Internet le 8 juillet 2014 MOTS CLÉSÉjaculation précoce ; Latence éjaculatoire ; Étiologie ; Traitement ; Thérapies cognitivocomportementale ; Thérapie sexuelle ; Inhibiteurs sélectifs de la recapture de la sérotonine Résumé Il existe actuellement une tendance à réserver le diagnostic de trouble de l'éjaculation précoce (EP) aux seuls cas caractérisés par des durées de pénétration inférieures ou égales à une minute environ. L'idée sous-jacente est que ces situations relèveraient d'une étiologie essentiellement bio-constitutionnelle et qu'un traitement pharmacologique au long cours constituerait l'unique option thérapeutique valable. À l'examen de la littérature cependant, les évidences scientifiques invoquées en soutien de cette proposition apparaissent assez faibles. Bon nombre de personnes souffrant d'éjaculer trop rapidement présentent en effet des durées de pénétration supérieures à une minute, et il semble que les formes sévères d'EP puissent aussi répondre favorablement à des traitements psycho-sexologiques. En outre, s'il s'avère certain que des variables biologiques influencent la latence éjaculatoire, rien ne permet cependant de prétendre qu'elles jouent, dans les formes sévères d'EP, un rôle exclusif de facteurs étiologiques psychosociaux. Il apparaît ainsi « prématuré » de fonder le diagnostic d'EP sur une durée de pénétration d'une minute maximum, ce critère détermine plutôt un gradient de sévérité du trouble. Considérant que, en matière de durée de pénétration, les critères de désirabilité se situent souvent au-delà des normes biologiques, il semble délicat de soutenir que seules les formes d'EP les plus sévères auraient une origine bio-constitutionnelle. Dans tous les cas au demeurant, la constitution s'avère relativement plastique, sensible aux apprentissages à visée adaptative. Ceux-ci sont sans doute plus difficiles à réaliser par les porteurs d'une forme sévère du trouble, mais pas impossibles. Summary The current trend is to reserve the diagnosis of premature ejaculation (PE) for cases where penetration lasts for about one minute or less. The rationale is that the aetiology is primarily bio-constitutional, and that long-term pharmacological treatment is the only viable option. However, the literature contains little scientific evidence to support this argument. In fact, a good number of individuals who suffer from overly rapid ejaculation present with penetration duration exceeding one minute, and even severe forms of PE have responded favourably to psycho-sexological treatment. Moreover, although certain biological variables are known to influence ejaculation latency time, nothing indicates that they play an exclusive role of psychosocial etiological factors in severe PE. Therefore, it would be 'premature' to base a PE diagnosis on a maximum penetration duration of one minute, which should instead be considered a severity gradient. Given that desired criteria for penetration duration often exceed biological norms, it would be inappropriate to propose that only the most severe f...

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Multiaxial Problem-Oriented System for Sexual Dysfunctions

Cited by 164 publications

References 10 publications

Sexual functioning in patients undergoing bone marrow transplantation: a longitudinal study

Sexual functioning in patients undergoing bone marrow transplantation: a longitudinal study

Safety and efficacy of tramadol hydrochloride on treatment of premature ejaculation

Le « trouble » de l’éjaculation précoce : le critère d’une minute maximum de pénétration en question

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