Accupuncture premature ejaculation-Acupuncture for premature ejaculation

Premature ejaculation is a common sexual dysfunction disease in adult males. It can be divided into primary and secondary premature ejaculation. Acupuncture is widely used in the treatment of premature ejaculation in China. There are many clinical trials confirmed that acupuncture can prolong the ejaculation latency in the vagina. We aim to use a meta-analysis to evaluate the efficacy and safety of acupuncture for premature ejaculation.

Accupuncture premature ejaculation

Accupuncture premature ejaculation

Accupuncture premature ejaculation

Ethics and Communication: Because this research is based prematkre a meta-analysis of published research, ethical recognition and patient consent are unnecessary. You are using a browser version with limited support for Accupuncture premature ejaculation. Methods This is a systematic review and ethical approval was not necessary. Search methods for the identification of studies 2. Ann Gen Psychiatry ; 14 Effect of fluoxetine alone and in combination with sildenafil in patients with Accupuncture premature ejaculation ejaculation. In the past, premature ejaculation PE has been considered a psychogenic condition, treated with psychotherapy. The language is limited to Chinese Fat women for sex English. Unit of analysis issue We will only extract the first experimental period data of crossover trials to avoid carryover effects. Please review our privacy policy.

Diabeties and impotence. Acupuncture could stave off premature ejaculation, experts claim

If the thought of getting stuck with needles makes you ejaculatioon, SSRIs or an opioid pain-reliever tramadol Accupuncture premature ejaculation help you last longer in bedtoo. The International Society for Sexual Medicine defines premature ejaculation as ejaculating within one minute of vaginal penetration for primary, premtaure a decrease in time it takes to ejaculate, usually within three minutes, for acquired. The extent of ejaculation delay caused by Accupuncture premature ejaculation was significant greater than that of acupuncture, the researchers found. Leave a Reply Cancel reply Your email address will not be published. In a study of 90 PE patients, the therapy proved superior to a sham treatment but less effective than paroxetine, a selective serotonin-reuptake inhibitor known to be a known therapeutic effect on PE, according to an online report in European Urology. Bookmark the permalink. In order to meet criteria for diagnosis, you also must be unable to Accupuncture premature ejaculation your ejaculation, and the issue must cause prenature some kind of emotional distress. Breast cancer patient claims thermal imaging camera at Edinburgh museum ejaculztion to her diagnosis after it Back to top Home News U. For example, the five Chinese medicine studies Accupujcture different substances, including Qilin pills, Yimusake and Uighur. Paroxetine, acupuncture, and placebo acupuncture increased IELTs by Some studies suggest that between 20 and 30 percent of men report early ejaculation concerns, but the International Society for Sexual Medicine estimates that about 4 percent of men have a lifelong condition.

The International Society for Sexual Medicine defines premature ejaculation as ejaculating within one minute of vaginal penetration for primary, or a decrease in time it takes to ejaculate, usually within three minutes, for acquired.

  • The International Society for Sexual Medicine defines premature ejaculation as ejaculating within one minute of vaginal penetration for primary, or a decrease in time it takes to ejaculate, usually within three minutes, for acquired.
  • Acupuncture may be another treatment option for premature ejaculation PE , new findings suggest.
  • But the good news is, there are a number of options out there now that work to delay ejaculation.

Thank you for visiting nature. You are using a browser version with limited support for CSS. In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript. Help us improve our products. Sign up to take part. A Nature Research Journal. In the past, premature ejaculation PE has been considered a psychogenic condition, treated with psychotherapy.

Our growing understanding of PE pathophysiology has increased the scientific community's interest in a symptom that is seen across many sexual pathologies. Is it possible to approach PE with traditional medicine approaches, such as acupuncture?

Jannini, E. Sexological approach to ejaculatory dysfunction. Ejaculatory disorders: epidemiology and current approaches to definition, classification and subtyping. World J. Sunay, D. Acupuncture versus paroxetine for the treatment of premature ejaculation: a randomized, placebo-controlled clinical trial.

Screponi, E. Prevalence of chronic prostatitis in men with premature ejaculation. Urology 58 , — Fabbri, A. Neuroendocrine control of male reproductive function. The opioid system as a model of control at multiple sites.

Steroid Biochem. Abdel-Hamid, I. Premature ejaculation: focus on therapeutic targets. Expert Opin. Targets 13 , — Hatzimouratidis, K. Guidelines on male sexual dysfunction: erectile dysfunction and premature ejaculation.

Salonia, A. Acceptance of and discontinuation rate from paroxetine treatment in patients with lifelong premature ejaculation. Clinical challenges in the management of premature ejaculation. European Urological Review 5 , 48—54 Download references. Correspondence to Andrea Lenzi. Reprints and Permissions. Fertility and Sterility Arab Journal of Urology Advanced search. Skip to main content.

Subjects Sexual dysfunction Therapeutics. Rent or Buy article Get time limited or full article access on ReadCube. References 1 Jannini, E. Article Google Scholar 3 Sunay, D. Article Google Scholar 8 Salonia, A. Google Scholar Download references. Ethics declarations Competing interests E. Rights and permissions Reprints and Permissions. Further reading Premature ejaculation: old story, new insights Emmanuele A.

Jannini Arab Journal of Urology Nature Reviews Urology menu. Nature Research menu. Search Article search Search. Sign up for Nature Briefing. Close banner Close.

Median PEDT scores of paroxetine, acupuncture, and placebo groups were Over 20, guides sold to date! Please login or register first to view this content. Acupuncture may be another treatment option for premature ejaculation PE , new findings suggest. In addition, the authors write, the studies are so different, it's tough to draw conclusions about the different options.

Accupuncture premature ejaculation

Accupuncture premature ejaculation

Accupuncture premature ejaculation

Accupuncture premature ejaculation

Accupuncture premature ejaculation

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Is acupuncture a therapeutic option for premature ejaculation? | Nature Reviews Urology

Premature ejaculation is a common sexual dysfunction disease in adult males. It can be divided into primary and secondary premature ejaculation.

Acupuncture is widely used in the treatment of premature ejaculation in China. There are many clinical trials confirmed that acupuncture can prolong the ejaculation latency in the vagina. We aim to use a meta-analysis to evaluate the efficacy and safety of acupuncture for premature ejaculation. We will systematically search all randomized controlled trials RCTs by electronic and manual search, until June 31, Manual search will retrieve gray literature, including unpublished conference articles.

Two reviewers will independently read the articles, extract the data information, and give the assessment of risk of bias. Data analysis will be used the special software like RevMan version 5.

This systematic review will evaluate the efficacy and safety of acupuncture for premature ejaculation. This review does not require ethical approval and will be reported in a peer-reviewed journal. The mainstream view suggests that it may be related to serotonin neurotransmitters, [ 4 ] penile head sensitivity, [ 5 ] abnormal thyroid function, [ 6 ] and emotional factors. Treatments for PE mainly include drug therapy [ 9 ] and psychological and behavioral therapy.

However, the side effects of SSRIs, such as nausea, vomiting, and dry mouth are somewhat confusing for clinicians. As a part of traditional Chinese medicine, acupuncture therapy has been widely used in clinical trials of PE in recent years. Recent studies have shown that acupuncture can extend the ejaculation latency to a certain extent. Studies have shown that acupuncture tianshu ST25 , zusanli ST36 , and taichong LR3 can adjust neurotransmitter 5-HT levels and reduce nerve sensitivity.

In the preliminary searches of the electronic databases, we found that randomized controlled trials RCTs of acupuncture for PE are on the rise. Besides, the publication of the similar systematic review has not been retrieved in the database.

Therefore, this review hopes to adopt meta-analysis to evaluate the efficacy and safety of acupuncture in the treatment of PE and provide evidence for its application in clinical practice. The language is limited to Chinese and English. The cases included are adult male patients over 18 years old who have diagnosed PE.

The region, nation, ethnic, and sources are not limited. Acupuncture therapies as experimental groups can be included, such as acupuncture, manual acupuncture, electro-acupuncture, fire needle, plum blossom needle, skin needle, and acupressure massage. Pharmaco-acupuncture and acupoint injection will be rejected, as their methods and theories are different from TCM. The treatment duration and frequency are not limited.

The control groups can be using no treatment, sham acupuncture, and placebo acupuncture. The literature search will be conducted in both electronic and manual search, by June 31, Following the following terms will be chosen: acupuncture, manual acupuncture, electroacupuncture, fire needle, plum blossom needle, skin needle and acupressure massage, PE, and sexual dysfunction.

The search term in the Chinese database is the translation of the above word. The manual search is mainly for dissertations, ongoing experiments, and grey literature. We will look for abstracts of dissertations, conference papers, and conference papers related to acupuncture and PE. Potential gray literature will be elected in OpenGrey. Before the literature screening, the team members will be trained by experienced experts BW to ensure the risk of bias ROB in human factors during screening.

We will use EndNote X7 literature management during the screening process. Two reviewers QZ and HHD read the title, abstract, and keywords and obtain the full text if necessary. The literature screening will be strictly followed the inclusion criteria. If there is disagreement during the screening process, it will be decided by another reviewer HSL through discussion. We will record the causes of each excluded article and submit a summary of reasons for exclusion.

PLoS Med 6 6 : e Two reviewers LW and MRC will extract the necessary information for the systematic review from the documents included. This information will form a detail extraction form. The following data will be extracted:. Study methods: study design, sample size, randomization method, allocation concealment, blinding, incomplete report or selecting report, other sources of bias.

Participants: inclusion criteria and exclusion criteria, age of patients, gender, PE diagnostic criteria, severity, race, research site, baseline of ejaculation time.

Interventions: type of acupuncture, needles, acupoints, the dose of the medicine, treatment duration and frequency. Outcomes: primary, secondary and safety outcomes as described above in the type of outcome measures part.

Notes: financial support, conflicts of interest, ethical approval, important citations. The quality assessment of the literature will be assessed using the ROB assessment tool in the Cochrane. Evaluation criteria include random sequence generation selection bias , allocation concealment selection bias , blinding of outcome assessment detection bias , incomplete outcome data attrition bias , selective reporting reporting bias , and others bias. Two reviewers XHG and LW will evaluate each article on their own and give each index an evaluation, such as low risk, unclear, or high risk.

If the result is disagreeable, it will be decided after discussion with another reviewer BW. We will only extract the first experimental period data of crossover trials to avoid carryover effects. With multiple intervention groups, we will combine all similar experimental groups and control groups into 1 group to prevent a unit of analysis issue.

If we find that data information is missing when we include the data, first, we will consider the reason for the information loss. If the missing information is not up-to-date, we analyze only the available data and describe it in the discussion. We will use complete case data as analysis data. Subgroup analysis will be performed and the potential reasons will be analyzed to explore the causes of heterogeneity.

If meta-analysis is not appropriate, we may use narrative synthesis. Obviously, asymmetric funnel plots indicate the risk of publication bias. For the primary outcome, when there is significant heterogeneity in the meta-analysis, subgroup analysis is performed on different interventions, controls, and outcome measures. We will perform sensitivity analysis for primary outcomes to test the robustness of the review conclusions, and we will still evaluate the impact of methodological quality, sample size, and missing data.

The evaluation included bias risk; heterogeneity; indirectness; imprecision; publication bias. In recent years, attention has been paid to the pathogenesis of neurobiology of PE, especially the 5-HT theory has become a hot topic. Thereafter, sertraline, paroxetine, dapoxetine, and clomipramine are widely used in the treatment of PE.

As an external treatment with low side effects and environmental protection, acupuncture has long been used to treat male diseases such as erectile dysfunction [ 29 ] and chronic prostatitis. The current clinical evidence of acupuncture for the treatment of PE is not sufficient. Therefore, we will use systematic review and meta-analysis to evaluate the efficacy and safety of acupuncture for the treatment of PE.

It should be noted that there might be limitations in this review. First, the use of language including English and Chinese may induce the bias of the study. Second, different types of acupuncture, acupoints, duration, frequency, the age of patients, and degree of PE may cause high heterogeneity. Third, it is difficult to undertake single or double-blind experiment measures during acupuncture therapy. QZ is the guarantor of the article. QZ and HHD will screen the titles, abstracts, keywords of all retrieved records and extract data independently.

LW and MRC will deal with the missing data. HSL and BW will arbitrate any disagreements in the review. All review authors approved the publication of the protocol.

The authors have no conflicts of interest in this work. National Center for Biotechnology Information , U. Published online Aug Find articles by Qi Zhao. Find articles by Hengheng Dai. Find articles by Xihao Gong. Find articles by Lu Wang. Find articles by Haisong Li. Find articles by Bin Wang. Author information Article notes Copyright and License information Disclaimer.

Received Jul 25; Accepted Jul Published by Wolters Kluwer Health, Inc. This is an open access article distributed under the Creative Commons Attribution License 4.

Abstract Background: Premature ejaculation is a common sexual dysfunction disease in adult males. Method: We will systematically search all randomized controlled trials RCTs by electronic and manual search, until June 31, Ethics and dissemination: This systematic review will evaluate the efficacy and safety of acupuncture for premature ejaculation. Keywords: acupuncture, premature ejaculation, protocol, systematic review.

Inclusion criteria for study selection 2. Types of participants The cases included are adult male patients over 18 years old who have diagnosed PE. Types of interventions 2. Experimental interventions Acupuncture therapies as experimental groups can be included, such as acupuncture, manual acupuncture, electro-acupuncture, fire needle, plum blossom needle, skin needle, and acupressure massage. Control interventions The control groups can be using no treatment, sham acupuncture, and placebo acupuncture.

Accupuncture premature ejaculation