DOCSLIB.ORG

The Sexual Health Inventory for Men (IIEF-5)

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
The Sexual Health Inventory for Men (IIEF-5) International Journal of Impotence Research (1999) 11, 177 ß 1999 Stockton Press All rights reserved 0955-9930/99 $12.00 http://www.stockton-press.co.uk/ijir Letter to the Editor The sexual health inventory for men (IIEF-5) JA Vroege1* 1Department of Psychiatry, Leiden University Medical Centre, Leiden & Netherlands Institute of Social Sexological Research (NISSO), Utrecht, The Netherlands A few days after the Eighth World Meeting on you had erections with sexual stimulation, how Impotence Research in Amsterdam, all members of often were your erections hard enough for penetra- the Netherlands Society for Sexology (NVVS) re- tion?' The word `penetration' does not win the ceived a booklet for patients with erectile problems.1 beauty contest (at least in Dutch) and `sexual On page 12 of this booklet Ð produced in collabora- stimulation' is, in my opinion, too theoretical. More tion with P®zer Ð the authors presented a question- important, however, is that respondents who were naire consisting of ®ve items from the IIEF2: the sexually stimulated but never had an erection, Sexual Health Inventory for Men. In Supplement 3 simply cannot answer this question. Neither `no of the International Journal of Impotence Research sexual activity' or `almost never=never' are options! (Volume 10) the authors give some background As a result of the large number of patients, the information on the IIEF-5. Based on their research sophisticated statistical techniques, and a sensitiv- they conclude that the Sexual Health Inventory for ity and speci®city of 0.98 and 0.88, the published Men is `an excellent diagnostic instrument for information looks quite impressive. It is important discriminating between men with ED and men to realize, however, that the authors probably did without ED in clinical practice or research settings'.3 not use a representative sample of patients in clinical After studying the Dutch version of this question- practice, and that the 15 item version of the IIEF naire, however, I come to a diametrically opposed functioned as `gold standard'. Moreover the time conclusion. In the booklet mentioned above, the frame of the IIEF-5 (the past six months) is different IIEF-5 was presented as a means of ®nding out if the from that in the IIEF (the past four weeks, or the past reader is suffering from erectile problems. For this two weeks).2,4 The most important objection to the purpose, however, using sumscores and cut-off IIEF-5, however, is that in some cases this ques- points is unnecessarily complicated. Besides, such tionnaire produces extremely curious results. The a procedure gives little insight into the diagnostic maximum score for respondents who: (1) do not criteria. Why not explain that the reader of the have a partner; or (2) do not have sexual contact booklet has an erectile problem if, during sexual with their partner; or (3) do have sexual contact but contact or masturbation: (1) his penis does not no sexual intercourse, is 10. Considering the present become as hard as, or remains hard for a shorter time cut-off point of 21, this implies they are all, per than he wants it to; and (2) this is troublesome to de®nition, impotent! That's something we, in The him or his partner? In the IIEF-5, sexual intercourse Netherlands, view quite differently. is the most important sexual situation. As a result of that, some of the items appear a bit clumsy. Take for example item 5: `When you attempted sexual References intercourse, how often was it satisfactory for you?'. For respondents who did not succeed in having sexual intercourse, the answer is so obvious that it 1 Rutgers Stichting. Erectieproblemen (Erectile problems). Utrecht, The Netherlands, 1998. will easily provoke irritation. In respondents who 2 Rosen RC et al. The international index of erectile function did succeed in having sexual intercourse, irritation (IIEF): A multidimensional scale for assessment of erectile will easily be provoked by the word `attempted'. dysfunction. Urology 1997; 49: 822 ± 830. Other items of the IIEF-5 also do not excel in their 3 Rosen RC et al. Constructing and evaluating the ``sexual health inventory for men: IIEF-5'' as a diagnostic tool for erectile transparency. What is one to think of item 2: `When dysfunction (ED). Int J Imp Res 1998; 10 (Suppl. 3): S35. 4 Rosen RC et al. The international index of erectile function (IIEF): A multi-dimensional scale for assessment of male *Correspondence: Jos A. Vroege, M.Sc., Department of erectile dysfunction (MED). Poster presented at the 22nd Psychiatry B1-P, Leiden University Medical Centre, P.O. Box Annual Meeting of the International Academy of Sex Re- 9600, 2300 RC Leiden, The Netherlands. search, Rotterdam, The Netherlands, 1996..
Load more

Recommended publications
  • Spontaneous Erection and Masturbation in Equids. AAEP
    Spontaneous Erection and Masturbation in Equids Sue M. McDonnell, Ph.D.* INTRODUCTION Spontaneous erection accompanied by an activity thought to be and referred to as masturbation occurs in stallions. Spontaneous erection involves extension of the penis from the prepuce with engorgement to its full length and rigidity, in a solitary, rather than heterosexual, context. The activity known as masturbation involves rhyth- mic bouncing, pressing, or sliding of the erect penis against the abdomen achieved by rhythmic contraction of the ischiocavernosus muscles and/or pelvic thrusting (Fig. 1). With such stimulation, the glans penis usually enlarges as during copulation, and pre- sperm fluid may drip from the urethra. This behavior in horses seems analogous to spontaneous erection and masturbation noted in several other mammalian species. I-’ The significance of spontaneous erection and masturbation in horses, as in other species, is not well understood. Traditional views of spontaneous erection and mas- turbation in domestic horses follow those held for similar behavior observed in other domestic and captive wild animals. One theme is that these are aberrant behaviors, similar to other stable vices, resulting from regimentation or restricted activity of cap- tive or domesticexistence. 4-6Another theme is that spontaneous erection and mastur- bation represent an expression or “venting” of sexual frustration resulting either from inherent hypersexuality or from thwarted access to heterosexual activity. 6v7Further, it has been asserted that masturbation limits the potential fertility of an individual stal- lion by depleting semen reserves and sexual energy. Accordingly, spontaneous erec- tion and masturbation in horses are often discouraged. An array of management schemes and devices such as stallion rings, brushes, and cages have been employed to inhibit spontaneous erection and disrupt masturbation.8 Attempts to inhibit sponta- neous erection and masturbation involve considerable management effort as well as risk of genital injury to the horse.
    [Show full text]
  • Masturbation Among Women: Associated Factors and Sexual Response in a Portuguese Community Sample
    View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Repositório do ISPA Journal of Sex & Marital Therapy Masturbation Among Women: Associated Factors and Sexual Response in a Portuguese Community Sample DOI:10.1080/0092623X.2011.628440 Ana Carvalheira PhDa & Isabel Leal PhDa Accepted author version posted online: 14 Feb 2012 http://www.tandfonline.com/doi/full/10.1080/0092623X.2011.628440 Abstract Masturbation is a common sexual practice with significant variations in reported incidence between men and women. The goal of this study was to explore the (1) age at initiation and frequency of masturbation, (2) associations of masturbation with diverse variables, (3) reported reasons for masturbating and associated emotions, and (4) the relationship between frequency of masturbation and different sexual behavioral factors. A total of 3,687 women completed a web-based survey of previously pilot-tested items. The results reveal a high reported incidence of masturbation practices amongst this convenience sample of women. Ninety one percent of women, in this sample, indicated that they had masturbated at some point in their lives with 29.3% reporting having masturbated within the previous month. Masturbation behavior appears to be related to a greater sexual repertoire, more sexual fantasies, and greater reported ease in reaching sexual arousal and orgasm. Women reported a diversity of reasons for masturbation, as well as a variety of direct and indirect techniques. A minority of women reported feeling shame and guilt associated with masturbation. Early masturbation experience might be beneficial to sexual arousal and orgasm in adulthood. Further, this study demonstrates that masturbation is a positive component in the structuring of female sexuality.
    [Show full text]
  • National Health Statistics Reports, Number 104, June 22, 2017
    National Health Statistics Reports Number 104 June 22, 2017 Sexual Activity and Contraceptive Use Among Teenagers in the United States, 2011–2015 by Joyce C. Abma, Ph.D., and Gladys M. Martinez, Ph.D., Division of Vital Statistics Abstract Introduction Objective—This report presents national estimates of sexual activity and Monitoring sexual activity and contraceptive use among males and females aged 15–19 in the United States in contraceptive use among teenagers 2011–2015, based on data from the National Survey of Family Growth (NSFG). For is important because of the health, selected indicators, data are also presented from the 1988, 1995, 2002, and 2006–2010 economic, and social costs of pregnancy NSFGs, and from the 1988 and 1995 National Survey of Adolescent Males, which was and childbearing among the teen conducted by the Urban Institute. population (1,2). Although teen Methods—NSFG data were collected through in-person interviews with nationally pregnancy and birth rates have been representative samples of men and women aged 15–44 in the household population of declining since the early 1990s and the United States. NSFG 2011–2015 interviews were conducted between September reached historic lows at 22.3 per 1,000 2011 and September 2015 with 20,621 men and women, including 4,134 teenagers females aged 15–19 in 2015 (3), U.S. (2,047 females and 2,087 males). The response rate was 72.5% for male teenagers and rates are still higher than those in other 73.0% for female teenagers. developed countries. For example, Results—In 2011–2015, 42.4% of never-married female teenagers (4.0 million) in 2011, the teen birth rate in Canada and 44.2% of never-married male teenagers (4.4 million) had had sexual intercourse was 13 per 1,000 females aged 15–19, at least once by the time of the interview (were sexually experienced).
    [Show full text]
  • A Manual on Navigating Child Masturbation Without Shame
    City University of New York (CUNY) CUNY Academic Works Dissertations, Theses, and Capstone Projects CUNY Graduate Center 2-2021 Is This My Body? A Manual on Navigating Child Masturbation Without Shame Stephanie M. Amis The Graduate Center, City University of New York How does access to this work benefit ou?y Let us know! More information about this work at: https://academicworks.cuny.edu/gc_etds/4179 Discover additional works at: https://academicworks.cuny.edu This work is made publicly available by the City University of New York (CUNY). Contact: [email protected] IS THIS MY BODY? A MANUAL ON NAVIGATING CHILD MASTURBATION WITHOUT SHAME by STEPHANIE AMIS A master’s capstone submitted to the Graduate Faculty in Liberal Studies in partial fulfillment of the requirements for the degree of Master of Arts, The City University of New York 2021 i © 2021 STEPHANIE AMIS All Rights Reserved ii Is This My Body? A Manual on Navigating Child Masturbation without Shame by Stephanie Amis This manuscript has been read and accepted for the Graduate Faculty in Liberal Studies in satisfaction of the capstone project requirement for the degree of Master of Arts. Date: 1/14/21 Carrie Hintz Capstone Project Advisor Date: 1/14/21 Elizabeth Macaulay-Lewis Executive Officer THE CITY UNIVERSITY OF NEW YORK iii ABSTRACT Is This My Body? A Manual on Navigating Child Masturbation without Shame by Stephanie Amis Advisor: Carrie Hintz Children’s natural exploration of their bodies and sexual expression through masturbation is often considered to be taboo by many adults and caregivers. It is important that children are taught that they have the right to explore their own bodies, to express and experience any sexual developments that may be happening.
    [Show full text]
  • A Below-The-Belt Guide to the Male Body 4BOYS
    A Below-the-Belt guide to the male body 4BOYS 3 Sexual development can happen Sexual development is often at any time between ten and 18, marked by a whole range of but usually begins around 13 or 14. It makes no difference when you start. It doesn’t affect what BODY you will be like as an adult. CHANGES you get hair taller grows on and more different MUSCULAR parts of your body - legs, genitals, arms, your face, shoulders chest widen 4 your genitals your nipples and (penis and your breast area can testicles) voice become sensitive get for a shorttime bigger deepens BODY CHANGES joints usually carry may be on into your late painful teens or early 20s. whether you’re an early or late developer or whether you mature slowly or quickly, BODY CHANGES continue until you are fully developed. spots and blackheads may grow on face, neck, chest and back These are some of the more obvious changes. But there are others, emotional as well as physical . The PENIS has two main parts, a head (or glans) and a shaft. The head of the penis – particularly its rim – is much more sensitive than the shaft. Normally a man’s penis is soft and hangs down. But when he gets sexually excited (and often when he's not aware of it), he gets an erection: • the penis goes stiff • it grows longer and wider • it sticks outwards and upwards from the body. A penis is used for two jobs, peeing and sex. When your penis is erect you can’t pee easily because a muscle closes the bladder 5 off.
    [Show full text]
  • Why Humans Have Sex
    Arch Sex Behav (2007) 36:477–507 DOI 10.1007/s10508-007-9175-2 ORIGINAL PAPER Why Humans Have Sex Cindy M. Meston Æ David M. Buss Received: 20 December 2005 / Revised: 18 July 2006 / Accepted: 24 September 2006 / Published online: 3 July 2007 Ó Springer Science+Business Media, LLC 2007 Abstract Historically, the reasons people have sex have Keywords Sexual motivation Á Sexual intercourse Á been assumed to be few in number and simple in nature–to Gender differences reproduce, to experience pleasure, or to relieve sexual tension. Several theoretical perspectives suggest that mo- tives for engaging in sexual intercourse may be larger in Introduction number and psychologically complex in nature. Study 1 used a nomination procedure that identified 237 expressed Why people have sex is an extremely important, but reasons for having sex, ranging from the mundane (e.g., ‘‘I surprisingly little studied topic. One reason for its relative wanted to experience physical pleasure’’) to the spiritual neglect is that scientists might simply assume that the (e.g., ‘‘I wanted to get closer to God’’), from altruistic (e.g., answers are obvious: to experience sexual pleasure, to ‘‘I wanted the person to feel good about himself/herself’’) relieve sexual tension, or to reproduce. Previous research to vengeful (e.g., ‘‘I wanted to get back at my partner for already tells us that the answers cannot be as few or having cheated on me’’). Study 2 asked participants psychologically simple. Leigh (1989), for example, docu- (N = 1,549) to evaluate the degree to which each of the 237 mented seven reasons for sex: pure pleasure, to express reasons had led them to have sexual intercourse.
    [Show full text]
  • Post-Orgasmic Illness Syndrome: a Closer Look
    Indonesian Andrology and Biomedical Journal Vol. 1 No. 2 December 2020 Post-orgasmic Illness Syndrome: A Closer Look William1,2, Cennikon Pakpahan2,3, Raditya Ibrahim2 1 Department of Medical Biology, Faculty of Medicine and Health Sciences, Universitas Katolik Indonesia Atma Jaya, Jakarta, Indonesia 2 Andrology Specialist Program, Department of Medical Biology, Faculty of Medicine, Universitas Airlangga – Dr. Soetomo Hospital, Surabaya, Indonesia 3 Ferina Hospital – Center for Reproductive Medicine, Surabaya, Indonesia Received date: Sep 19, 2020; Revised date: Oct 6, 2020; Accepted date: Oct 7, 2020 ABSTRACT Background: Post-orgasmic illness syndrome (POIS) is a rare condition in which someone experiences flu- like symptoms, such as feverish, myalgia, fatigue, irritabilty and/or allergic manifestation after having an orgasm. POIS can occur either after intercourse or masturbation, starting seconds to hours after having an orgasm, and can be lasted to 2 - 7 days. The prevalence and incidence of POIS itself are not certainly known. Reviews: Waldinger and colleagues were the first to report cases of POIS and later in establishing the diagnosis, they proposed 5 preliminary diagnostic criteria, also known as Waldinger's Preliminary Diagnostic Criteria (WPDC). Symptoms can vary from somatic to psychological complaints. The mechanism underlying this disease are not clear. Immune modulated mechanism is one of the hypothesis that is widely believed to be the cause of this syndrome apart from opioid withdrawal and disordered cytokine or neuroendocrine responses. POIS treatment is also not standardized. Treatments includeintra lymphatic hyposensitization of autologous semen, non-steroid anti-inflamation drugs (NSAIDs), steroids such as Prednisone, antihistamines, benzodiazepines, hormones (hCG and Testosterone), alpha-blockers, and other adjuvant medications.
    [Show full text]
  • Sexual Fantasy and Masturbation Among Asexual Individuals: an In-Depth Exploration
    Arch Sex Behav (2017) 46:311–328 DOI 10.1007/s10508-016-0870-8 SPECIAL SECTION: THE PUZZLE OF SEXUAL ORIENTATION Sexual Fantasy and Masturbation Among Asexual Individuals: An In-Depth Exploration 1 1 2 Morag A. Yule • Lori A. Brotto • Boris B. Gorzalka Received: 4 January 2016 / Revised: 8 August 2016 / Accepted: 20 September 2016 / Published online: 23 November 2016 Ó Springer Science+Business Media New York 2016 Abstract Human asexuality is generally defined as a lack of pants(bothmenandwomen)wereequallylikelytofantasizeabout sexual attraction. We used online questionnaires to investigate topics such as fetishes and BDSM. reasons for masturbation, and explored and compared the con- tentsofsexualfantasiesofasexualindividuals(identifiedusing Keywords Asexuality Á Sexual orientation Á Masturbation Á the Asexual Identification Scale) with those of sexual individ- Sexual fantasy uals. A total of 351 asexual participants (292 women, 59 men) and 388sexualparticipants(221women,167men)participated.Asex- ual women were significantly less likely to masturbate than sexual Introduction women, sexual men, and asexual men. Asexual women were less likely to report masturbating for sexual pleasure or fun than their Although the definition of asexuality varies somewhat, the gen- sexualcounterparts, and asexualmen were less likely to reportmas- erallyaccepteddefinitionisthedefinitionforwardedbythelargest turbating forsexualpleasure than sexualmen. Both asexualwomen online web-community of asexual individuals (Asexuality Visi- andmen weresignificantlymorelikelythansexualwomenand
    [Show full text]
  • FAQ042 -- You and Your Sexuality (Especially for Teens)
    AQ FREQUENTLY ASKED QUESTIONS FAQ042 fESPECIALLY FOR TEENS You and Your Sexuality (Especially for Teens) • What happens during puberty? • What emotional changes occur during puberty? • How are sexual feelings expressed? • What is masturbation? • What is oral sex? • What happens during sexual intercourse? • What can I do if I want to have sexual intercourse but I do not want to get pregnant? • How can I protect myself and my partner from sexual transmitted infections during sexual intercourse? • What is anal sex? • What does it mean to be gay, lesbian, or bisexual? • Can I choose to be attracted to someone of the same sex? • What is gender identity? • When deciding whether to have sex, what are some things to consider? • What if I decide to wait and someone tries to pressure me into sex? • What is rape? • What are some things I can do to help protect myself against rape? • What is intimate partner violence? • Glossary What happens during puberty? When puberty starts, your brain sends signals to certain parts of the body to start growing and changing. These signals are called hormones. Hormones make your body change and start looking more like an adult’s (see FAQ041 “Your Changing Body—Especially for Teens”). Hormones also can cause emotional changes. What emotional changes occur during puberty? During your teen years, hormones can cause you to have strong feelings, including sexual feelings. You may have these feelings for someone of the other sex or the same sex. Thinking about sex or just wanting to hear or read about sex is normal. It is normal to want to be held and touched by others.
    [Show full text]
  • Download Article
    Advances in Social Science, Education and Humanities Research, volume 356 2nd International Conference on Contemporary Education, Social Sciences and Ecological Studies (CESSES 2019) A New Exploration of the Combined Treatment of Symptoms and Social Work Psychology in Male Sexual Addiction Patients Chengchung Tsai Minyi Li School of Management School of Social Sciences Putian University University of Macau Putian, China Macau, China Abstract—Post-Orgasmic Illness Syndrome (POIS) was progesterone, low cholesterol, low dehydroepiandrosterone, first discovered by Professor Waldinger and Schweitzerl in low cortisol, high prolactin or hypothyroidism. Some cases 2002. After publishing several papers such as "POIS Records encountered by the author team indicate that when the of Emotional, Psychological and Behavioral Changes in Male mother was pregnant in the early years, she or her family had Patients" and "POIS Patients", "Clinical Observation Records smoking habits. Some mothers had long-term use of of Psychological and Behavioral Changes" and "POIS Male contraceptives or were used to eating animal internal organs. Disease Self-reports and Treatment Methods", in this paper, Even some cases were diagnosed as male gynecomastia. the author will cite the views of Chinese medicine practitioners on the treatment of POIS, and hope to provide more practical treatment methods and references for future research. TABLE I. SEVEN GROUPS OF POIS SYMPTOMS FOUND BY WALDINGER AND OTHER MEDICAL TEAMS Keywords—POIS; male; ejaculation; mental state; disorder; Body parts Various local sensations emotion Behavioral symptoms extreme fatigue, exhaustion, palpitations, forgetting words, being too lazy to talk, incoherent, inattention, irritability, I. INTRODUCTION photophobia, depression The main research objects of this paper are journalists, Flu symptoms fever, cold, hot, sweaty, trembling writers and other text workers, as well as creative designers Head symptoms head dizziness, groggy, confused and heavy who take creativity as the selling point as the research object.
    [Show full text]
  • Erotica Menu: Ideas for Alternatives to Traditional
    OHSU Program in Vulvar Health Erotica Menu Suggestions for Exploring Intimacy Without Pain Vulvar and vulvovaginal pain affect each woman and her sexuality differently. Some of you have not been able to feel or behave sexually for some time, and you may fear that you have lost your ability to do so. Part of your recovery from your pain is to (re)build your sexual and relationship confidence. We therefore encourage you to consider the kinds of relationship activities and ideas below as part of your treatment for your vulvar symptoms. Vaginal and penetrative intercourse is only one way of being sexual. And, although it is the behavior that most of us consider to be “having sex,” it is often not the most sexually gratifying activity for women. When you have vulvar pain, intercourse can become impossible. Although facing this can be difficult, it can also be an excellent opportunity for women and couples to find out what else they might like to do together that can help them to restore and/or maintain sexual and physical intimacy in their relationship. And for those of you not in relationships, it can be a time to learn a lot about what your own body enjoys and desires. In the spirit of exploration and pleasure enhancement for you and your partner (if you have one), we offer the following “menu.” Some of these activities are genitally/sexually focused, others are not. Please use them as guides and experiments. The list is not exhaustive and we encourage you to use the books, websites and other resources contained in these suggestions in order to further your own sexual research.
    [Show full text]
  • Sex Talk for Self-Advocates #2 Sex and Intimacy Self-Advocacy Educator - Max Barrows Sex Educator - Katherine Mclaughlin
    Sex Talk for Self-Advocates #2 Sex and Intimacy Self-Advocacy Educator - Max Barrows Sex Educator - Katherine McLaughlin www.elevatustraining.com Sex Educator - Erica Thomas Setting the Stage ● Using person first language ● Using participants own words for questions ● Using medical terminology Setting the Stage (Continued) ● Relationships and sexuality are very personal topics ● If you feel uncomfortable or are reminded of bad memories you can call the Crisis Call Center at (775) 784-8090 Chat Box for Comments and Questions Step Step 1 2 How the Webinar Will Work ● Questions from the Sex Talk Self-Advocate survey ● One educator will lead discussion and other will add to the discussion ● Time at end to answer questions What is Sexual Self Advocacy? According to Green Mountain Self Advocates: "Speaking up for yourself, sexually” "Getting information we can understand” "Feeling good about yourself.” "Taking a stand” "Feeling free to tell your partner what you want to do when having sex and what you don’t want to do” "Learning from your mistakes” What is Sexual Self Advocacy? ● Being free about your sexuality like if you are gay, straight or lesbian. ● Knowing your rights and responsibilities when in a relationship. ● Not letting people use you, take advantage of you. ● Privacy is important - so, speak up for it. ● Knowing about birth control and safe sex. Sex Talk for Self-Advocates #1 - Recap https://www.youtube.com/watch?v=4MiVcMz5xFg&feature=youtu.be 1. How do I meet someone? 2. How do you know if someone is your boyfriend or girlfriend? 3. How do I talk to my partner? Sex Talk for Self-Advocates #1 - Recap 4.
    [Show full text]