雪城まどか初次见面:不期而射

The study, appearing in the British Journal of Urology International, followed more than 12,000 men with mild to severe erectile dysfunction and found that two-thirds of those men were unable to have an orgasm and more than half had problems with ejaculation.

发表于<英国国际泌尿学杂志>的该项研究追踪了12,000名男性,他们分别具有不同程度的勃起障碍,其中三分之二的男性无法获得性高潮,同时超过半数的男性存在射精障碍.

"While medications like Viagra or Cialis have been successful in helping many of these men, our research suggests there are other common sexual issues that remain largely unaddressed," says Dr. Darius Paduch, the study's lead author and sexual medicine specialist at New York-Presbyterian Hospital/Weill Cornell Medical Center.

"虽然像伟哥和犀利士这样的药物能成功解决其中一部分男性的困扰,但我们的研究显示还有其他共有的性问题未被发现,"达利斯-帕都奇说道,他是该报告的主要作者,同时也是纽约长老会医院维尔康奈尔医学中心的性医学专家.

Paduch says that until now, male sexual function has focused entirely on penile rigidity, but problems with ejaculation - decreased force or volume - and orgasm are just as critical. "Non-erectile sexual dysfunction is underreported and undertreated due to social stigma and misunderstandings about the physiology of male sexual response and orgasmic dysfunction in particular. Our study shows that orgasmic dysfunction could be as prevalent among men as it is among women."

帕都奇说到目前为止,男性性功能集中关注于阴茎硬度,但是射精问题--包括射精乏力或射精量少--和高潮问题都很关键."非勃起性障碍未见报道同时未得以治疗归咎于其在社会上的耻辱感和对男性性生理机能反应的误解，尤其是高潮障碍方面。我们的研究表明，男性同女性一样，广泛存在着性高潮障碍。”

Interestingly, while the findings suggest the severity of dysfunctional ejaculation and orgasm correlated with erectile dysfunction (ED) severity, they were still surprisingly common in men with only very mild ED. Orgasm dysfunction was reported by 26 percent in this group, and ejaculation dysfunction by 18 percent. "This suggests that non-erectile sexual dysfunction is a regular occurrence even in men without ED," notes Paduch.

有趣的是，虽然研究结果表明射精并高潮障碍的严重程度同阳痿的严重程度相关，但这在具有非常轻微的勃起障碍的男性中也普遍存在。在该研究人群中，26%有高潮障碍，18%有射精障碍，“这表明非勃起性功能障碍普遍存在，哪怕是那些没有阳痿问题的男性，”帕都奇说到。

The most common ejaculatory dysfunction is premature ejaculation, but the condition also describes delayed ejaculation, inability to ejaculate, painful ejaculation, retrograde ejaculation, as well as a reduced volume of ejaculate or diminished force of ejaculation. Orgasmic dysfunction is defined as the absence of an orgasm.

最常见的射精障碍是早泄，同时也包括延迟射精、射精不能、射精疼痛、逆行射精和精量减少或射精无力。性高潮障碍定义为性高潮的缺失。

The study notes that ejaculatory and orgasmic dysfunction can be caused by low testosterone and minor brain injury such as that sustained by motor vehicle accident victims, football players suffering from concussion, or by soldiers with combat-related blast head injuries.

研究发现射精并高潮障碍可由低水平睾酮和诸如由摩托车事故、足球比赛的意外，或战争等造成的轻微脑损伤引起。

Paduch now plans to measure the biological and subjective changes that occur in men during orgasm and ejaculation and establish whether testosterone-replacement therapy can help men who suffer from non-erectile sexual dysfunction. "The high prevalence of both orgasmic and ejaculatory dysfunction warrants further clinical and translational research into new treatments to improve sexual health and overall quality of life," he concluded.

帕都奇现在计划测定男性在发生高潮并射精障碍时的生理心理变化，并确定睾酮替代疗法是否对非勃起性功能障碍的男性有效。“普遍存在的性高潮及射精障碍要求进一步的临床及相关研究以获得新的治疗方法，来改善性健康和提高生活质量，”他最后总结道。