Ejaculatory Abstinence Influences Intravaginal Ejaculatory Latency Time: Results from a Prospective Randomized Trial

Abstract

Introduction: The relationship between ejaculatory frequency and ejaculatory latency time is under-investigated. Subjects and Methods: 120 healthy subjects were enrolled in a prospective randomized trial. Patients in group A engaged in sexual intercourse after a 10-day abstinence period for 3 months. Patients in group B engaged in sexual intercourse twice a week for 3 months. Ejaculation function was evaluated through the measurement of the intravaginal ejaculatory latency time (IELT) and through the premature ejaculation diagnostic tool (PEDT) at baseline and at the end of the study. Results: At the end of the study, mean IELT values in group A were significantly lower compared to baseline values. Results from the PEDT questionnaire at the end of the study demonstrated a significantly worse ejaculatory control and ability to delay ejaculation by patients in group A. Conclusions: Reduced ejaculatory frequency impairs ejaculation control.

No effect of abstinence time on nerve electrophysiological test in premature ejaculation patients

“…Palmieri et al . 7 demonstrated that a 10-day abstinence period led to a significantly lower mean IELT and a significantly higher mean total PEDT score than a twice-a-week abstinence in healthy people. They suggested that ejaculatory abstinence may influence the physiology of both male sexual organs (such as the prostate, seminal vesicles, and vas deferens) and the nervous system.…”

“… 4 5 6 Interestingly, a study showed that longer ejaculatory abstinence may lead to a shorter intravaginal ejaculatory latency time (IELT) in healthy people. 7 In addition, there is a postejaculation refractory time (PERT), or male refractory period (MRP), even after a single ejaculation in most human males, during which erection and ejaculation is inhibited. 8 Thus, we expect to determine if abstinence time, as well as immediately after ejaculation (abstinence time = 0), will interfere with the results of the SEPs and PSSR.…”

<p>Perceptions, Expectations, Preferences, and Attitudes Toward Premature Ejaculation, Its Diagnosis and Topical Treatment with Fortacin™ Spray: Results from an Expert Panel Discussion</p>

“…Although PE can be found in patients with organic diseases, in most cases psycho-relational factors are the main or unique determinants. 6,7 Evolutionary theories further support the concept of PE as a bother rather than a disease. For hominids, a faster ejaculation was a key factor to increase the chances of fertilization, thus preserving the genome.…”

“…For hominids, a faster ejaculation was a key factor to increase the chances of fertilization, thus preserving the genome. 7 When the human was in a stable relationship the frequency of sexual intercourse increased and the chances of fertilization improved. In the modern era, the control of ejaculation is perceived as an important feature of pleasure and couple's sexual health.…”

“…In the modern era, the control of ejaculation is perceived as an important feature of pleasure and couple's sexual health. 7 From a clinical point of view, the prevalent subjective connotation of PE has potential diagnostic and therapeutic implications that involve both physicians' and patients' decisions.…”