Genital and psychoaffective response to erotic stimulation in sexually functional and dysfunctional men.

Abstract

To understand the sexual response patterns of men with premature ejaculation and erectile dysfunction, the authors compared genital and affective responses of sexually functional and dysfunctional men with 3 types of sexual stimulation: an erotic video, penile vibrotactile stimulation, and a combination of both. Genital response differed across both groups and stimulus conditions, with an interactive effect indicating that groups showed different response patterns depending on the stimulation. Affective responses also differed across groups and interacted with stimulus conditions. The combination genital and affective response was superior to either alone in distinguishing men with no sexual problems from those with erectile or ejaculatory problems (or both). These factors were particularly useful in discriminating men with premature ejaculation from those with combined premature ejaculation and erectile dysfunction.

Cognitions, Emotions, and Sexual Response: Analysis of the Relationship among Automatic Thoughts, Emotional Responses, and Sexual Arousal

“…Findings showed that anxiety exerts no significant effect (Beck et al, 1987) or even facilitates sexual arousal in sexually healthy men and women (Barlow, Sakheim, & Beck, 1983;Elliot & O'Donohue, 1997;Laan, Everaerd, Van-Aanhold, & Rebel, 1993;Palace & Gorzalka, 1990), whereas it decreases sexual response in men with sexual problems (Beck et al, 1987). Regarding the impact of mood, research consistently suggests that depressive affect is negativelyrelatedtosexualarousal (Beck&Barlow,1986;Heiman, 1980;Heiman & Rowland, 1983;Koukounas & McCabe, 2001;Meisler & Carey, 1991;Mitchell, DiBartolo, Brown, & Barlow, 1998;Nobre et al, 2004;Rowland, Cooper, & Heiman, 1995;Rowland, Cooper, & Slob, 1996).…”

Genital and heart rate response to erotic stimulation in men with and without premature ejaculation

“…Specifically, compared with functional counterparts, men with PE report higher negative affect, greater difficulty getting an erection, and weaker overall erections-despite greater selfreported proximity to ejaculation-in response to erotic stimuli. 3,10,11 Such affective states and self-perceptions of erectile response in these men suggest potential disruption of the typical autonomic processes involved in erection and ejaculation. Specifically, parasympathetic action early in the sexual response cycle is typically necessary to initiate and sustain erection, with concomitant or subsequent sympathetic activation responsible in part for mediating ejaculation.…”

Intracavernosal self-injection therapy in men with erectile dysfunction: Satisfaction and attrition in 119 patients

“…Previous research has indicated that men with concurrent ED and PE often respond differently than men with just ED, both physically and subjectively, to sexual problems and to the therapies directed toward them. 16,17 Materials and methods…”