General Erectile Functioning among Young, Heterosexual Men Who Do and Do Not Report Condom-Associated Erection Problems (CAEP).
General Erectile Functioning among Young, Heterosexual Men Who Do and Do Not Report Condom-Associated Erection Problems (CAEP).
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报告和不报告与安全套相关的勃起问题 (CAEP) 的年轻异性恋男性的一般勃起功能。
DOI：
10.1111/jsm.12964
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发表时间：
2015
期刊：
影响因子：
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通讯作者：
Yarber,WilliamL
中科院分区：
文献类型：
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作者：
Sanders,StephanieA;Hill,BrandonJ;Janssen,Erick;Graham,CynthiaA;Crosby,RichardA;Milhausen,RobinR;Yarber,WilliamL
避孕套相关勃起问题（CAEP）是一个被低估的因素，与不一致或不完全使用男用避孕套有关。CAEP的潜在机制尚不清楚，报告这些困难的男性在不使用避孕套的情况下是否也可能遇到勃起问题尚未研究。（18-24岁），报告CAEP的男性是否更有可能（i）在不使用避孕套时出现勃起问题，以及（ii）MethodsA共479名男性在线招募完成了勃起功能国际指数（IIEF-5），并回答了在过去90天内使用和不使用避孕套时遇到的勃起问题。人口统计学、性经验和健康状况变量作为correlations.Main Outcome MeasuresSelf-reported frequency of erections loss during consumer applications or during penile-vaginal intercourse（PVI）in the past 90 days and IIEF-5 scores.ResultsOf the men，38.4%被归类为no CAEP组，13.8%为有CAEP during consumer applications，15.7%为有CAEP during PVI，32.2%的患者在使用安全套和肺静脉隔离时均发生了CAEP。报告任何形式的CAEP的男性比报告没有CAEP的男性更有可能在不使用避孕套的情况下报告性活动期间勃起困难。在肺静脉隔离期间仅或在应用和肺静脉隔离期间报告CAEP的男性在IIEF-5上的得分显著低于没有CAEP.ConclusionThe研究结果表明，报告CAEP的男性也更有可能经历更广泛的勃起困难。临床医生应评估使用避孕套的男性是否会经历CAEP，并在适当的情况下，转诊接受性心理治疗或提供避孕套技能教育。
IntroductionCondom‐associated erection problems (CAEP) are an underestimated factor related to inconsistent or incomplete male condom use. The underlying mechanisms of CAEP are not understood, and whether men who report these difficulties are also likely to experience erectile problems in situations when condoms are not used has not been studied.AimThe aim of the study was to investigate, in a sample of condom‐using young, heterosexual men (aged 18–24 years), whether men who report CAEP are more likely to (i) have erection problems when not using condoms and (ii) meet criteria for erectile dysfunction.MethodsA total of 479 men recruited online completed the International Index of Erectile Function (IIEF‐5) and answered questions about erection problems experienced when using and not using condoms during the last 90 days. Demographic, sexual experience, and health status variables were investigated as correlates.Main Outcome MeasuresSelf‐reported frequency of erection loss during condom application or during penile–vaginal intercourse (PVI) in the past 90 days and IIEF‐5 scores.ResultsOf the men, 38.4% were classified in the no CAEP group, 13.8% as having CAEP during condom application, 15.7% as having CAEP during PVI, and 32.2% as having CAEP during both condom application and PVI. Men reporting any form of CAEP were significantly more likely than men reporting no CAEP to also report erection difficulties during sexual activity when not using condoms. Men who reported CAEP during PVI only or during both application and PVI scored significantly lower on the IIEF‐5 than men without CAEP.ConclusionThe findings suggest that men who report CAEP are also more likely to experience more generalized erection difficulties. Clinicians should assess whether men using condoms experience CAEP and where appropriate, refer for psychosexual therapy or provide condom skills education.