Premature Ejaculation Clinical Trial
Official title:
Regular Physical Activity Improves Ejaculation Time and Patient-reported Outcomes
Premature ejaculation (PE) is one of the prevalent disorders in men; its leading sequel such as lack of self-confidence, anxiety, depression and unsatisfactory intercourse in men and their partners. The current study was aimed to evaluate the relationship between ejaculation and physical activity.
Premature ejaculation (PE) is the most frequent sexual dysfunction in males, and its
prevalence has been reported as 21-33%. Currently, there are no universal criteria for the
diagnosis, or treatment strategies or approaches for PE. Lack of observational studies
directed to PE makes comprehension of this sexual dysfunction difficult. The common point
for definition of PE is a short duration between penetration and ejaculation, little or no
control on voluntary control of ejaculation, and annoying character and negative effect of
this condition on the individual. There are various treatment methods since ejaculation
physiology and neuroanatomy is not yet clearly demonstrated. According to neurobiological
hypothesis of Waldinger, a dysfunction in the serotonin pathway of the central system such
as serotonin-2C hyposensitivity and/or serotonin-1A receptor hypersensitivity is a possible
cause of lifelong PE. These experimental animal models showed that serotonergic activity at
hypothalamic level inhibited ejaculation reflex. Based on this physiological effect,
selective serotonin reuptake inhibitors (SSRI), and serotonin agonists increase intravaginal
ejaculation latency time (IELT). A number of studies showed that exercise increased the
functional effect of serotonin in the human brain.
The effects of physical activity level on human health have attracted interest worldwide.
Lack of physical activity forms the basis of various health problems, however regular
physical act contributes prevention and treatment of a number of disorders.
In current study, investigators will compare the ejaculation control, IELT, and prevalence
of PE between sportsmen that have regular physical activity, and the individuals with a
sedentary lifestyle.
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