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Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility

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Smartphone-Based Therapeutic Exercises for Men Affected by Premature Ejaculation: A Pilot Study.

Gabriele Optale¹, Stefano Burigat², Luca Chittaro²

¹Male and Female Sexual Dysfunctions Center of the Regione Veneto, ASL3, Mestre-Venezia, Italy.

Sexual Medicine

|June 23, 2020

Summary

A mobile coaching app significantly improved treatment outcomes for premature ejaculation (PE) compared to standard care. This digital approach enhanced ejaculatory control and self-confidence in men with PE.

Keywords:

App Coaching Mobile Premature Ejaculation Psychotherapy Smartphone

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Area of Science:

Sexual Medicine
Digital Health
Psychotherapy

Background:

Mobile health (mHealth) apps offer on-demand patient support, enhancing motivation and adherence in healthcare interventions.
The application of mHealth in sexual medicine remains underexplored, particularly for conditions like premature ejaculation (PE).

Purpose of the Study:

To assess the efficacy of integrating a mobile coaching app with psychological treatment for premature ejaculation (PE).
The study aimed to evaluate the impact of app-guided therapeutic exercises on PE management.

Main Methods:

A pilot study involving 35 heterosexual men diagnosed with primary psychogenic PE.
Participants received 15 sessions of psychodynamic psychotherapy combined with behavioral therapy.
Patients were randomized into two groups: treatment as usual (TAU) with verbal/printed instructions, and an app group receiving guided exercises via smartphone.

Main Results:

The mobile app group demonstrated statistically significant improvements in both the Premature Ejaculation Diagnostic Tool and Premature Ejaculation Profile scores compared to the TAU group (P < .01).
A significantly higher proportion of patients in the app group achieved a 'no-PE' condition post-treatment compared to the TAU group (P < .001).

Conclusions:

Integrating a mobile coaching app into psychological treatment significantly enhances outcomes for premature ejaculation (PE).
The app-guided intervention proved superior to standard care in improving ejaculatory delay and sexual self-confidence.
Further research should explore long-term effects and the integration of mobile coaching with pharmacotherapy.