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 65
- Downloads 0
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...
Penile Grafting for Benign Causes: An Analysis of Patient Outcomes
Introduction: Common conditions such as lichen sclerosis [1] and Peyronie’s disease result in impairment of sexual function. This can be contributed to by lack of penile skin (lichen sclerosis) or involvement of the tuni...
Semen Quality of Male Partners of Infertile Couples Attending Fertility Clinics in Delta State University Teaching Hospital, Oghara, Delta State, Nigeria
Objective: To determine the proportion of sperm concentration abnormality, teratozoospermia index and the nature of semen abnormal parameters seen among male partners of infertile couples. Materials and methods: This is...
Laparoscopic Management of Leiomyoma Developing from Rudimentary Horn in Mayer- Rokitansky-Küster-Hauser Syndrome
Various congenital anomalies of the mullerian system have so far, been described. Our case with MRKH syndrome had two rudimentary horns, and had also a leiomyoma arising from the left rudimentary horn. The patient was pr...
The Effects of Varicocele on DNA Morphology
Varicocele is one of the major causes of infertility in men. Although there are different theories related to the pathophysiology of the varicocele, the exact pathophysiologic mechanism remains unknown. Sperm DNA damage...