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首页> 外文期刊>The journal of sexual medicine >Unusual masturbatory practice as an etiological factor in the diagnosis and treatment of sexual dysfunction in young men
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Unusual masturbatory practice as an etiological factor in the diagnosis and treatment of sexual dysfunction in young men

机译：不寻常的手淫练习是诊断和治疗男性性功能障碍的病因

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Introduction: Masturbation is a common sexual activity among people of all ages throughout life. It has been traditionally prohibited and judged as immoral and sinful by several religions. Although it is no longer perceived as a negative behavior, masturbation is often omitted in the diagnostic inquiry of patients with sexual problems. Aims: The aims of this study are to increase the awareness of clinicians to the importance of including questions regarding masturbatory habits in the process of sexual history taking, to analyze cases of male sexual dysfunction (SD) associated with unusual masturbatory practices, and to propose a practical tool for clinicians to diagnose and manage such problems. Methods: A clinical study of four cases that include a range of unusual masturbatory practices by young males who applied for sex therapy is described. An intervention plan involving specific questions in case history taking was devised. It was based on detailed understanding of each patient's masturbatory practice and its manifestation in his SD. Main Outcome Measures: Effects of identifying and altering masturbatory practices on sexual function. Results: The four men described unusual and awkward masturbatory practices, each of which was associated with different kinds of SD. The unlearning of the masturbatory practices contributed notably to improvement of their sexual function. Conclusions: The four cases in this study indicate that the detailed questioning of masturbatory habits is crucial for a thorough assessment and adequate treatment of sexual problems in men. We propose specific questions on masturbatory behavior as well as a diagnostic and therapeutic flowchart for physicians and sex therapists to address those problems. Bronner G and Ben-Zion IZ. Unusual masturbatory practice as an etiological factor in the diagnosis and treatment of sexual dysfunction in young men.
机译：简介：自慰是一生中各个年龄段的人之间常见的性活动。传统上，它被几种宗教禁止和判定为不道德和有罪的。尽管不再将其视为负面行为，但在对有性问题的患者进行诊断性询问时，经常会忽略手淫。目的：本研究的目的是提高临床医生对在性历史记录过程中纳入有关手淫习惯问题的重要性的重要性，分析与异常手淫行为相关的男性性功能障碍（SD）的情况，并提出建议临床医生诊断和处理此类问题的实用工具。方法：描述了四例临床研究，其中包括申请性治疗的年轻男性的一系列异常手淫行为。制定了涉及病例历史记录中特定问题的干预计划。它基于对每个患者的手淫习惯及其在SD中的表现的详细了解。主要观察指标：确定和改变手淫习惯对性功能的影响。结果：这四名男子描述了不寻常且笨拙的手淫习惯，每一种都与不同类型的SD相关。对手淫习性的不了解明显促进了其性功能的改善。结论：本研究中的四个案例表明，详细询问手淫习惯对于彻底评估和适当治疗男性性问题至关重要。我们提出有关手淫行为的具体问题，以及医生和性治疗师解决这些问题的诊断和治疗流程图。布朗纳（Bronner G）和本·锡安（Ben-Zion）不寻常的手淫练习是诊断和治疗年轻男性性功能障碍的病因。

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