Abstract
Male and female sexual dysfunctions encompass biological, psychological and interpersonal aspects. Premature ejaculation (PE) and female vaginal penetration difficulties (VPD) are problems that may concurrently impair the couple's sexual relationship. We have studied the correlation between PE and VPD in the female partner, in a cross-sectional study of 125 heterosexual couples (male age 35.01±10.63; female age 32.36±10.07). VPD included tampon insertion, gynecological examination, inserting self-finger or partner-finger and penile-vaginal intercourse. Female sexual function index (FSFI) and a validated PE questionnaire were used to measure the female sexual function and PE in their male partners. We found that female partners of men with anteportal ejaculation were found to experience significantly more VPDs, especially with regard to difficulties in penile penetration and tampon use. The intensity of pain in VPD was higher in females whose male partners presented anteportal ejaculation. No significant correlation was found between total male PE score and the total FSFI or separate domains of female sexual function. The results suggest that female VPD and male anteportal ejaculation are interrelated. Such severe couple sexual problems should be addressed in parallel. Further research is required to study the causation of PE and VPD.
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References
Laumann E, Paik A, Rosen RC . Sexual dysfunction in the United States. JAMA 1999; 281: 537–544.
Porst H, Montorsi F, Rosen RC, Gaynor L, Grupe S, Alexander J . The Premature Ejaculation Prevalence and Attitudes (PEPA) survey: prevalence, comorbidities, and professional help-seeking. Euro Urol 2007; 51: 816–823.
Althof SE . Prevalence, characteristics and implications of premature ejaculation/rapid ejaculation. J Urol 2006; 175: 842–848.
Rowland D, Perelman M, Althof S et al. Self-reported premature ejaculation and aspects of sexual functioning and satisfaction. J Sex Med 2004; 1: 225–232.
Serefoglu EC, McMahon CG, Waldinger MD, Althof SE, Shindel A, Adaikan G et al. An evidence-based unified definition of lifelong and acquired premature ejaculation: report of the second International Society for Sexual Medicine Ad Hoc Committee for the Definition of Premature Ejaculation. J Sex Med 2014; 11: 1423–1441.
Corona G, Mannucci E, Petrone L, Rricca V, Balercia G, Giommi R et al. Psycho-biological correlates of free-floating anxiety symptoms in male patients with sexual dysfunctions. J Androl 2006; 27: 86–93.
Corona G, Jannini EA, Vignozzi L, Rastrelli G, Maggi M . The hormonal control of ejaculation. Nat Rev Urol 2012; 9: 508–519.
Rowland DL, Patrick DL, Rothman M, Gagnon DD . The psychological burden of premature ejaculation. J Urol 2007; 177: 1065–1070.
Graziottin A, Althof S . What does premature ejaculation mean to the man, the woman, and the couple? J Sex Med 2011; 8: 304–910.
Byers ES, Grenier G . Premature or rapid ejaculation: heterosexual couples' perceptions of men's ejaculatory behavior. Arch Sex Behav 2003; 32: 261–270.
Hartmann U, Schedlowski M, Krüger TH . Cognitive and partner-related factors in rapid ejaculation: differences between dysfunctional and functional men. World J Urol 2005; 23: 93–101.
Basson R, Leiblum S, Brotto L et al. Revised definitions of women's sexual dysfunction. J Sex Med 2004; 1: 40–48.
Munarriz R, Kim NN, Goldstein I, Traish AM . Biology of female sexual function. Urol Clin North Am 2002; 29: 685–693.
Basson R, Berman J, Burnett A et al. Report of the international consensus development conference on female sexual dysfunction: definitions and classifications. J Urol 2000; 163: 888–893.
Shifren JL, Monz BU, Russo PA, Segreti A, Johannes CB . Sexual problems and distress in United States women: prevalence and correlates. Obstet Gynecol 2008; 112: 970–978.
Fugl-Meyer KS1, Bohm-Starke N, Damsted Petersen C, Fugl-Meyer A, Parish S, Giraldi A . Standard operating procedures for female genital sexual pain. J Sex Med 2013; 10: 83–93.
Limoncin E, Tomassetti M, Gravina GL, Ciocca G, Carosa E, Di Sante S et al. Premature ejaculation results in female sexual distress: standardization and validation of a new diagnostic tool for sexual distress. J Urol 2013; 189: 1830–1835.
Riley A, Riley E . Premature ejaculation: presentation and associations. An audit of patients attending a sexual problems clinic. Int J Clin Pract 2005; 59: 1482–1487.
Dogan S, Dogan M . The frequency of sexual dysfunctions in male partners of women with vaginismus in a Turkish sample. Int J Impot Res 2008; 20: 218–221.
Hobbs K, Symonds T, Abraham L, May K, Morris MF . Sexual dysfunction in partners of men with premature ejaculation. Int J Impot Res 2008; 20: 512–517.
Kaya C1, Gunes M, Gokce AM, Kalkan S . Is sexual function in female partners of men with premature ejaculation compromised? J Sex Marital Ther 2014; 29: 1–5.
Rosen R, Brown C, Heiman J et al. The female sexual function index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther 2000; 26: 191–208.
Kravetz S, Drori Y, Shaked A . The Israeli sexual behavior inventory (ISBI): scale construction and preliminary validation. Sex Disabil 1999; 17: 115–128.
Gao J, Zhang X, Su P, Shi K, Tang D, Hao Z, Zhou J, Liang C . Prevalence and impact of premature ejaculation in outpatients complaining of ejaculating prematurely: using the instruments of intravaginal ejaculatory latency time and patient-reported outcome measures. Int J Impot Res 2014; 26: 94–99.
Serefoglu EC, Cimen HI, Ozdemir AT, Symonds T, Berktas M, Balbay MD . Turkish validation of the premature ejaculation diagnostic tool and its association with intravaginal ejaculatory latency time. Int J Impot Res 2009; 21: 139–144.
Chevret-Méasson M, Lavallée E, Troy S, Arnould B, Oudin S, Cuzin B . Improvement in quality of sexual life in female partners of men with erectile dysfunction treated with sildenafil citrate: findings of the Index of Sexual Life (ISL) in a couple study. J Sex Med 2009; 6: 761–769.
Elran E, Bronner G, Uziel N, Kitrey ND, Raviv G . The impact of vaginal penetration difficulties on the sexual functioning of women and their male partners. Eur J Contracept Reprod Health Care 2014; 19: 352–358.
Althof SF . Psychological treatment strategies for rapid ejaculation: rationale, practical aspects, and outcome. World J Urol 2005; 23: 89–92.
Jodoin M, Bergeron S, Khalifé S, Dupuis MJ, Desrochers G, Leclerc B . Male partners of women with provoked vestibulodynia: attributions for pain and their implications for dyadic adjustment, sexual satisfaction, and psychological distress. J Sex Med 2008; 5: 2862–2870.
Moreira ED, Glasser DB, Nicolosi A, Duarte FG, Gingell C . Sexual problems and help-seeking behaviour in adults in the United Kingdom and continental Europe. BJU Int 2008; 101: 1005–1011.
Acknowledgements
We are grateful to Mrs Esther Shabtai, Head of Bio-statistic Unit, Tel-Aviv Medical Center, Tel-Aviv, Israel, for her help with data analysis.
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Bronner, G., Kitrey, N., Uziel, N. et al. Correlation between premature ejaculation and female vaginal penetration difficulties. Int J Impot Res 27, 152–156 (2015). https://doi.org/10.1038/ijir.2015.3
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DOI: https://doi.org/10.1038/ijir.2015.3
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