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). Conclusions: 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. erectile dysfunction [6]. Ejaculatory dysfunction, which includes a spectrum of disorders such as premature ejaculation, delayed ejaculation, an ejaculation, painful ejaculation, retrograde ejaculation,
Highlights
Male sexual function depends on the complex interaction of multiple dimensions of human sexuality: arousal, sexual desire, orgasm, erectile function, and ejaculation
Ejaculatory dysfunction, which includes a spectrum of disorders such as premature ejaculation, delayed ejaculation, an ejaculation, painful ejaculation, retrograde ejaculation, Methods: Fifty healthy subjects with no evidence of orgasmic, erectile, and ejaculatory dysfunction participated in the study
Ejaculatory force was found to be associated with orgasmic satisfaction in a cohort of healthy participants
Summary
Male sexual function depends on the complex interaction of multiple dimensions of human sexuality: arousal, sexual desire, orgasm, erectile function, and ejaculation. Sexual dysfunction is often multi-dimensional that occurs as a spectrum of disorders involving any or a combination of these factors [1]. Orgasmic and ejaculatory disorders affect hundreds of thousands of men worldwide, but remain poorly understood and studied. Little is known about the relationships between orgasmic quality and ejaculatory force. We performed a prospective trial to characterize orgasmic satisfaction and ejaculatory force. Ejaculatory dysfunction, which includes a spectrum of disorders such as premature ejaculation, delayed ejaculation, an ejaculation, painful ejaculation, retrograde ejaculation, 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
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