性医学专家对性高潮后疾病综合征的认知和实践模式

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

——《国际阳痿研究杂志》2025年第37卷第6期 ——

<International Journal of Impotence Research> Volume 37, Issue 6, 2025

【摘要】性高潮后疾病综合征 (POIS) 是一种罕见但令人衰弱的症状群，发生在射精后，其机制和治疗方法均不明确。据我们所知，这项研究被认为是文献中的首例，旨在调查性医学专家对 POIS 的实践模式。2022 年 11 月 14 日至 2023 年 1 月 15 日期间，全球性医学专家受邀通过 SurveyMonkey 匿名参与一项在线公开调查。共有 211 名性医学专家填写了调查问卷。大多数参与者是泌尿科医生 (83.9%)。大多数参与者表示，关于 POIS 的现有信息对于患者和医生来说都是不足的。47.9% 的参与者表示存在心理障碍，46.4% 的参与者表示 POIS 的病理生理是由生物-心理-社会原因造成的。 56.4% 的参与者表示会将患者转介给性科医生进行心理治疗/性治疗，41.7% 的参与者更倾向于使用抗组胺药物来控制症状。只有 18% 的参与者报告超过 30% 的患者症状有所改善。这项针对世界各地性医学专家的调查研究，对全球范围内关于 POIS 的知识、态度和实践模式进行了具有代表性的评估。

[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.

论文原文：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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