性醫學專家對性高潮後疾病綜合徵的認知和實踐模式

Recognition and practice patterns of sexual medicine experts towards postorgasmic illness syndrome

——《國際陽痿研究雜誌》2025年第37卷第6期 ——

Volume 37, Issue 6, 2025

【摘要】性高潮後疾病綜合徵 (POIS) 是一種罕見但令人衰弱的症狀群，發生在射精後，其機制和治療方法均不明確。據我們所知，這項研究被認為是文獻中的首例，旨在調查性醫學專家對 POIS 的實踐模式。2022 年 11 月 14 日至 2023 年 1 月 15 日期間，全球性醫學專家受邀通過 SurveyMonkey 匿名參與一項在線公開調查。共有 211 名性醫學專家填寫了調查問卷。大多數參與者是泌尿科醫生 (83.9%)。大多數參與者表示，關於 POIS 的現有信息對於患者和醫生來說都是不足的。47.9% 的參與者表示存在心理障礙，46.4% 的參與者表示 POIS 的病理生理是由生物-心理-社會原因造成的。 56.4% 的參與者表示會將患者轉介給性科醫生進行心理治療/性治療，41.7% 的參與者更傾向於使用抗組胺藥物來控制症狀。只有 18% 的參與者報告超過 30% 的患者症狀有所改善。這項針對世界各地性醫學專家的調查研究，對全球範圍內關於 POIS 的知識、態度和實踐模式進行了具有代表性的評估。

[Abstract] Post-orgasmic illness syndrome (POIS) is a rare, but debilitating cluster of symptoms, occurring after ejaculation with unknown mechanism and uncertain treatment. To the best of our knowledge, this study, which is thought to be the first in the literature, is aimed to investigate the practice patterns of sexual medicine experts towards POIS. Worldwide sexual medicine experts were invited to participate anonymously in an online, open survey using SurveyMonkey between November 14, 2022, and January 15, 2023. In total 211 sexual medicine experts filled the survey. The majority of the participants were urologists (83.9%). Most participants stated that the available information about POIS was inadequate for both patients and physicians. 47.9% of the participants stated psychological disorder, 46.4% stated bio-psycho-social reasons for the responsibility for the pathophysiology of POIS. 56.4% of the participants stated that they would refer the patient for psychotherapy/sexual therapy to a sexologist, 41.7% would prefer antihistamine drugs to manage symptoms. Only 18% of participants reported symptom improvement in more than 30% of the patients. This survey study among sexual medicine experts from different parts of the world has developed representative estimates of knowledge, attitudes and practice patterns regarding POIS worldwide.

論文原文：Mesut Berkan Duran, Rachel S. Rubin, Yacov Reisman & Ege Can Serefoglu (2025). Recognition and practice patterns of sexual medicine experts towards postorgasmic illness syndrome. International Journal of Impotence Research, Volume 37, Issue 6, Pages 454–457.

https://doi.org/10.1038/s41443-023-00753-x

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