Stigma and its associations with self-confidence and sexual relations in 4 types of premature ejaculation

Abstract Background Although men with premature ejaculation (PE) always show more negative emotions, including embarrassment, guilt and worry, this may be related to the stigma of PE. To investigated stigma and its associations with self-confidence and sexual relations in 4 PE syndromes, a survey wa...

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Main Authors: Jishuang Liu, Tong Bao, Qunfeng Wang, Hui Jiang, Xiansheng Zhang
Format: Article
Language:English
Published: BMC 2024-07-01
Series:Basic and Clinical Andrology
Subjects:
Online Access:https://doi.org/10.1186/s12610-024-00226-1
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author Jishuang Liu
Tong Bao
Qunfeng Wang
Hui Jiang
Xiansheng Zhang
author_facet Jishuang Liu
Tong Bao
Qunfeng Wang
Hui Jiang
Xiansheng Zhang
author_sort Jishuang Liu
collection DOAJ
description Abstract Background Although men with premature ejaculation (PE) always show more negative emotions, including embarrassment, guilt and worry, this may be related to the stigma of PE. To investigated stigma and its associations with self-confidence and sexual relations in 4 PE syndromes, a survey was conducted in our hospital from December 2018 to December 2019 among 350 men with self-reported PE and 252 men without self-reported PE. The stigma, self-confidence and sexual relations were assessed by the Social Impact Scale (SIS) and Self-Esteem and Relationship questionnaire (SEAR), respectively. Ejaculation control, sexual life satisfaction and distress caused by PE were evaluated by the Index of PE. Results Men with self-reported PE had higher internalized shame and social isolation scores and lower SEAR scores than control subjects. The highest score of internalized shame and social isolation and the lowest score of SEAR appeared in men with lifelong PE (LPE). After age adjustment, the positive relationships were stronger between distress about PE and internalized shame. Whereas, the stronger negative associations were found between social isolation and sexual satisfaction. The strongest association was observed between social isolation and sexual relationship. Therefore, the stigma associated with PE adversely affects the self-confidence, self-esteem, and sexual relationships of men with PE. Conclusion Men with PE, especially LPE, have a high level of stigma and disharmonious sexual relations, and often lack self-confidence and self-esteem, which have a certain negative impact on their physical and mental health and life. These will be the key issues to be considered when we formulate a personalized treatment plan for PE.
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spelling doaj-art-17ac5c0fa4444d01b7ff4abc59c41faa2025-08-20T02:35:44ZengBMCBasic and Clinical Andrology2051-41902024-07-0134111310.1186/s12610-024-00226-1Stigma and its associations with self-confidence and sexual relations in 4 types of premature ejaculationJishuang Liu0Tong Bao1Qunfeng Wang2Hui Jiang3Xiansheng Zhang4Department of Urology, Anhui Province Key Laboratory of Genitourinary Diseases, The Institute of Urology, The first affiliated hospital of Anhui Medical UniversityDepartment of Urology, Anqing Municipal Hospital, Anqing Medical Center of Anhui Medical UniversityDepartment of Urology, Anqing Municipal Hospital, Anqing Medical Center of Anhui Medical UniversityDepartment of Urology, Peking University First Hospital Institute of Urology, Peking University Andrology Center, Peking University First HospitalDepartment of Urology, The First Affiliated Hospital of Anhui Medical UniversityAbstract Background Although men with premature ejaculation (PE) always show more negative emotions, including embarrassment, guilt and worry, this may be related to the stigma of PE. To investigated stigma and its associations with self-confidence and sexual relations in 4 PE syndromes, a survey was conducted in our hospital from December 2018 to December 2019 among 350 men with self-reported PE and 252 men without self-reported PE. The stigma, self-confidence and sexual relations were assessed by the Social Impact Scale (SIS) and Self-Esteem and Relationship questionnaire (SEAR), respectively. Ejaculation control, sexual life satisfaction and distress caused by PE were evaluated by the Index of PE. Results Men with self-reported PE had higher internalized shame and social isolation scores and lower SEAR scores than control subjects. The highest score of internalized shame and social isolation and the lowest score of SEAR appeared in men with lifelong PE (LPE). After age adjustment, the positive relationships were stronger between distress about PE and internalized shame. Whereas, the stronger negative associations were found between social isolation and sexual satisfaction. The strongest association was observed between social isolation and sexual relationship. Therefore, the stigma associated with PE adversely affects the self-confidence, self-esteem, and sexual relationships of men with PE. Conclusion Men with PE, especially LPE, have a high level of stigma and disharmonious sexual relations, and often lack self-confidence and self-esteem, which have a certain negative impact on their physical and mental health and life. These will be the key issues to be considered when we formulate a personalized treatment plan for PE.https://doi.org/10.1186/s12610-024-00226-1Premature ejaculationStigmaSelf-confidenceSexual relationships
spellingShingle Jishuang Liu
Tong Bao
Qunfeng Wang
Hui Jiang
Xiansheng Zhang
Stigma and its associations with self-confidence and sexual relations in 4 types of premature ejaculation
Basic and Clinical Andrology
Premature ejaculation
Stigma
Self-confidence
Sexual relationships
title Stigma and its associations with self-confidence and sexual relations in 4 types of premature ejaculation
title_full Stigma and its associations with self-confidence and sexual relations in 4 types of premature ejaculation
title_fullStr Stigma and its associations with self-confidence and sexual relations in 4 types of premature ejaculation
title_full_unstemmed Stigma and its associations with self-confidence and sexual relations in 4 types of premature ejaculation
title_short Stigma and its associations with self-confidence and sexual relations in 4 types of premature ejaculation
title_sort stigma and its associations with self confidence and sexual relations in 4 types of premature ejaculation
topic Premature ejaculation
Stigma
Self-confidence
Sexual relationships
url https://doi.org/10.1186/s12610-024-00226-1
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