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Effects of regular physical exercise on ejaculatory control: a comparative and interventional study among male
Jiedong Zhou1,2, Min Liu1,2, Shian Hu1,2
1First Affiliated Hospital of Gannan Medical University, Ganzhou, China.
Background:
Intravaginal ejaculatory latency time (IELT) is a key indicator for evaluating premature ejaculation (PE). While physical exercise is beneficial for male sexual health, evidence specifically linking structured exercise programs to IELT improvement is limited.
Aim:
To compare IELT between athletes and non-athletes, and to examine whether a 3-month guided structured exercise program improves IELT in non-athletes.
Methods:
A mixed-design study included 67 male university students (30 athletes, 37 non-athletes). Non-athletes underwent a 3-month, guided, home-based structured exercise program. IELT was assessed via self-report.
Outcomes:
Primary outcome was change in IELT; secondary outcomes included PE prevalence and regression modeling.
Results:
Athletes had significantly longer median IELT than non-athletes (8.0 vs. 5.0 min, P = 0.003). Among adherent non-athletes (n = 20), median IELT increased from 5.0 to 6.25 min post-intervention (P < 0.001). Exercise frequency was the strongest predictor of IELT (β = 0.41, P = 0.002).
Clinical Implications:
Guided structured exercise program may serve as a feasible, non-pharmacological candidate strategy for improving ejaculatory control in young men, though its efficacy requires confirmation in randomized controlled trials.
Conclusion:
Regular physical activity is associated with longer IELT. Preliminary findings suggest that a brief guided structured exercise program is associated with IELT improvement in non-athletes, though causal inference is limited by the lack of a concurrent control group. However, these preliminary findings require confirmation in larger, adequately powered randomized controlled trials due to the limited sample size and high attrition rate in this exploratory study.
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