MP79-12 ONLINE EJACULATION TRAINING PROGRAMS PROMOTE NON-EVIDENCE-BASED TREATMENT OF MALE SEXUAL DYSFUNCTION

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP79-12 ONLINE EJACULATION TRAINING PROGRAMS PROMOTE NON-EVIDENCE-BASED TREATMENT OF MALE SEXUAL DYSFUNCTION Erin Jesse, Nicholas Sellke, Lisa A. Paz, Joshua A. Halpern, Nicole Prause, and Justin M. Dubin Erin JesseErin Jesse More articles by this author , Nicholas SellkeNicholas Sellke More articles by this author , Lisa A. PazLisa A. Paz More articles by this author , Joshua A. HalpernJoshua A. Halpern More articles by this author , Nicole PrauseNicole Prause More articles by this author , and Justin M. DubinJustin M. Dubin More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003356.12AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The male practice of purposefully reducing the frequency of ejaculation, coined “semen retention”, and the similar practice of “NoFap”, have been popularized on social media [1]. Discussions are frequently accompanied by claims of improvement in male sexual function despite contrary data [2]. Unfortunately, commitment to these interventions has been associated with increased anxiety and distress [3]. Despite this several online courses claiming to teach these techniques have emerged. We aimed to identify online courses offering ejaculatory training and to characterize their programs. METHODS: A systematic Google search was performed using 10 terms related to ejaculation training. For each term, the first two result pages were reviewed. Websites offering any training program to reduce ejaculation frequency or promote abstinence, in exchange for monetary payment were included. Information regarding the disclosed instructor credentialing, type and duration of courses, costs, and claims of medical benefits were extracted. RESULTS: Ten websites and 11 courses were identified (Table 1). Courses included ejaculation training in the form of semen retention (45%), NoFap (27%), “ejaculatory choice” (9%), and “ejaculation control” (9%). Six courses (55%) provided self-guided modules, 3 programs (27%) consisted of 1-on-1 instruction, and 2 programs (18%) involved group sessions. Costs varied from $5 to $147 per week or a $20 to $197 onetime payment. None of the 10 course instructors claimed standardized credentials in the fields of medicine or mental health, and seven instructors (70%) solely cited their own personal experience as their qualifying credentials. Many courses claimed to improve erectile dysfunction (73%), premature ejaculation (64%), porn addiction (82%), sexual performance anxiety (27%), testosterone levels (18%), and/or depression (18%). CONCLUSIONS: Ejaculation training programs appear to be led primarily by instructors with no recognized qualifications and promote non-evidence-based techniques to alter male sexual function. Claims to treat medical and/or mental health conditions are frequently made. Such programs are readily available online, costly to participants, and potentially damaging. Increased awareness by physicians of such programs is necessary and may assist in patient counseling. Source of Funding: NA © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e1145 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Erin Jesse More articles by this author Nicholas Sellke More articles by this author Lisa A. Paz More articles by this author Joshua A. Halpern More articles by this author Nicole Prause More articles by this author Justin M. Dubin More articles by this author Expand All Advertisement PDF downloadLoading ...