Association of the Force of Ejaculation and Orgasm Satisfaction using Novel Assessment Tools: Prospective Trial in Healthy Men
Journal Title: Journal of Andrology & Gynaecology - Year 2014, Vol 2, Issue 3
Abstract
Background: Orgasmic and ejaculatory disorders affect hundreds of thousands of men worldwide, but remain poorly understood and studied. No validated and reproducible tools are available to assess orgasmic satisfaction. In addition, little is known about the relationships between orgasmic quality and ejaculatory force. We therefore performed a prospective trial to characterize orgasmic satisfaction and ejaculatory force. Methods: Fifty healthy subjects with no evidence of orgasmic, erectile, and ejaculatory dysfunction participated in the study. A 10-point self-assessment scale was used to rate the quality of the orgasm (median orgasm satisfaction score). The force of ejaculation used a 4-point scale based off of the distance traveled while lying supine: 0 for no ejaculate, 1 overflow, 2 below the umbilicus, and 3 above the umbilicus. Results: Overall, the median age was 37 years (range 18-65). Twenty-seven (54%) had a median grade 3 force of ejaculation, while 16 (32%) had a grade 2, and 7 (14%) had a grade 1 force of ejaculation. Sixty-two percent (31/50) were a complete match on all three graded ejaculation samples, with 98% (49/50) were a complete match or differed by only one point. The median orgasm satisfaction score was 8 (IQR 6-9). Those who had a median grade 3 ejaculatory force had significantly higher scores of orgasm satisfaction than grade 2 or grade 1 (p=0.03). Conclusion: Ejaculatory and orgasmic dysfunctions are prevalent but poorly characterized aspects of sexual dysfunction. Ejaculatory force was found to be associated with orgasmic satisfaction in a cohort of healthy participants. A scale for ejaculatory force was created and found to be easily utilized and reliable that can potentially be used for future studies. The development of better evaluation tools can help improve the treatment of ejaculatory and orgasmic disorders.
Authors and Affiliations
Darius A. Paduch
Keywords
Related Articles
- EP ID EP202409
- DOI 10.13188/2332-3442.1000019
- Views 82
- Downloads 0
Congenital Ovarian-Fallopian Tube Agenesis Predisposes to Premature Surgical Menopause: A Report of Two Cases
Background: Congenital agenesis of the Fallopian tube and ovary is a rare condition. Although several cases have been published on this condition, none have reported surgical menopause. We present two cases of congenital...
Changes in Male Testosterone Levels over the Last Century As Reflected In Facial Width-Height Ratios
Purported changes in male fertility and testosterone levels over the last 50 years remain controversial. The present study addressed this issue indirectly via a facial metric, the bizygomatic width-to-height (FWH) ratio,...
Molecular Mechanisms Involved in the Transition of Prostate Cancer Cells from Androgen Dependant to Castration Resistant State
Prostate cancer is an internationally important health problem of the man, particularly in developed countries. Currently the main line of treatment for prostatic cancer is based on androgen deprivation. The androgen blo...
Management of Endometriosis- Associated Infertility
Endometriosis is a common, chronic disease. Patients typically present with pelvic pain, infertility, and/or an adnexal mass. Results from the limited number of studies that have been published indicate that the true pre...
Menometrorrhagia Resistant To Progestin Treatment in a Secondary Infertile Woman with Pelvic Tuberculosis
In the underdeveloped and developing countries, tuberculosis endometritis is still an important infectious disease and community health problem. In cases with infertility, abnormal uterine bleeding resistant to progestin...