Thawj coj ntawm Middlebury College Health Center, Dr. Mark Peluso, pom nce hauv ED: blames porn (2012)

Txuas rau PDF - Ib nrab ntawm qhov chaw kho mob pom tau tias nce siab nyob rau hauv erectile kawg

Los ntawm Saadiah Schmidt. Thu, 05 / 03 / 2012

Peb lub xyoos dhau los ua tim khawv tias muaj pes tsawg tus tub ntxhais kawm ntawv uas qhia txog kev ua haujlwm tsis zoo thiab lwm yam teeb meem txog kev sib daj sib deev nyob hauv Parton Health Center, raws li Thawj Coj thiab Tsev Kho Mob Qib Siab Dr. Mark Peluso.

"Lawv tsis tuaj yeem tau txais ib qho erection los yog tuav ib tug erection nrog ib tug poj niam tus khub," Peluso said. "Lawv xav tias lawv xav tau Viagra."

Hauv ib qho chaw ua haujlwm, Peluso nug nws tus neeg mob txog cov lus nug: Koj puas nyiam nrog koj tus khub? Koj puas sib luag? Koj puas muaj kev sib deev rau kev mob nkeeg? Koj puas siv cov tshuaj yeeb dej cawv, xws li dej cawv, uas ua rau muaj kev sib deev? Koj puas xav tias nyiam ua rau lwm tus txiv neej? Raws li Peluso, cov lus teb rau tag nrho cov lus nug feem ntau yog "tsis tau."

Txawm li cas los, "feem ntau ntawm cov neeg mob, cov neeg mob tau saib cov duab liab qab, thiab tsis muaj teeb meem nrog kev sib deev thaum lawv los ntawm lawv tus kheej," Peluso hais.

Kev sau npe ntawm kev siv duab liab qab hauv online, Peluso qhia txog kev sib thooj ntawm kev sib deev thiab kev muaj peev xwm - kev siv liab qab kom muaj zog, thiaj li tsis muaj kev sib deev.

Senior Nurse Practitioner ntawm Parton Health Center Laurel Kelliher feem ntau hais lus rau cov menyuam kawm ntawv txog lawv cov neeg koom tes 'erectile kawg.

"Kuv xav hais tias hauv ob peb lub xyoos tas los no, nws tau ntau dua," Kelliher hais. Nws kuj ntseeg tias kev sib daj sib deev yog qhov tseem ceeb tshaj plaws thiab qhia cov poj niam kom txhawb lawv cov neeg koom tes kom tsis txhob siv nws cov kev siv.

Peluso thiab Kelliher qhia tias feem coob ntawm cov neeg mob uas nrhiav kev pab rau erectile kawg yog pib kev sib raug zoo.

"Kuv pom ob leeg, tiam sis feem ntau cov neeg nyob rau hauv kev sib raug zoo tshaj li random hookups," said Kelliher.

Txiv neej "tuaj vim lawv xav Viagra," hais tias Peluso. "Lawv yuav tsum nrog ib tug poj niam tus khub, mus ntsib ib tug hluas nkauj, pib txoj kev sib raug zoo tshiab thiab xav tsis zoo txog [lawv txoj kev ua haujlwm tsis zoo]."

"Koj xav tias tsis zoo thiab poob ntsej muag," said ib tug txiv neej sophomore uas tau raug kev nyuaj ntawm erectile kawg. "Nws yog qhov xwm txheej heev."

Ua tsaug txawm tias nws yuav yog rau cov txiv neej, erectile kawg ua mob rau cov poj niam thiab.

"Koj cia li xav tias [erectile kawg ua haujlwm] yog koj qhov txhaum," hais tias ib tug poj niam kawm qib siab, "txawm tias nws tsis ua ib qho kev txiav txim zoo, vim hais tias nws yog ib tug txiv leej tub lub cev rau koj."

YOG PUAS YUAV HAIS TIAS?

Yuav ua li cas yuav pornography noj kev cuam tshuam kev sib deev?

"Lub tswv yim qhia tsis tau txiav txim siab," Peluso hais tias, tiam sis tej zaum yuav muaj kev txawv txav ntawm lub paj hlwb uas ua rau muaj kev sib deev ua haujlwm hauv cov neeg siv pornography.

Peluso tau hais txog qhov kev tshawb fawb uas cov neeg tshawb fawb tau siv kho thev naus laus zis hauv Internet nrog naltrexone. Lawv tau pom tias dopamine thiab lwm yam neurotransmitters hauv lub hlwb kuj yuav raug cuam tshuam los ntawm kev siv duab liab qab coj los siv yam zoo li kev quav yeeb quav tshuaj.

Italian urologist Carlo Foresta nqa ib txoj kev tshawb 2011 nyob rau hauv uas nws pom ib qho kev sib txuas ntawm cov duab liab qab thiab erectile kawg. Xya caum feem pua ​​ntawm cov txiv neej nyob rau hauv txoj kev tshawb no uas raug kev txom nyem los ntawm erectile kawg muaj neeg siv cov duab liab qab tas li, thiab kev xam phaj tau pom tias qhov tseeb ntawm lub siab tshaj qhov no. Cov neeg ua haujlwm tau pom zoo tias "niaj hnub siv cov pornography hauv internet ua rau cov neeg mob siab ua rau cov menyuam yaus erotic sensibilities thiab ... desensitization."

Raws li qee tus kws kho mob, kev saib duab liab qab tuaj yeem ua ib qho kev tiv thaiv.

"Cov kev tshawb fawb pom tau hais tias yuav muaj qee tus neeg uas yuav tsis lam tau lam ua rau kev saib duab liab qab vim yog kev cuam tshuam rau lawv lub neej thiab lawv tsis tuaj yeem tswj xyuas lawv cov kev xav," said Executive Director of Health and Counseling Services Gus Jordan.

Raws li pab xib fwb ntawm Spanish Juana Gamero tsib Coca, leej twg tau ua kev tshawb fawb txog lub ntsiab lus ntawm cov duab liab qab thiab qhia thawj xyoo kev kawm hu ua Heterosexual kev sib raug zoo, niaj hnub no kev saib duab liab qab tseem ceeb heev "nyuaj-core" tshaj li nws txawm 15 xyoo dhau los.

"Kev saib duab liab qab yog ua cas hla kev txwv," said Gamero de Coca. "Nws yuav tsum muaj nyob rau hauv thiaj li indulge neeg nrog erotic tswv yim ... Porn tau ua ntau tsausmuag, ntau perverse [nyob rau hauv xyoo dhau los]. Thaum pib ntawm 20th caug xyoo, novels nyiam Madame Bovary thiab Lady Chatterley tus Lover tau raug txhaum cai vim lawv raug xam tias 'pornographic.'

"Kuv xav tias qhov liab qab li peb paub tias nws yuav xaus," nws hais ntxiv. "Torture, rape thiab tus me nyuam ua txhaum yog qhov ua tsis zoo."

Raws li Gamero tsib Coca thiab lwm tus kws tshawb fawb, qhov sib cuam tshuam rau cov neeg siv khoom: cov khoom noj tau hloov ntau dua li lawv ua rau cov neeg ua haujlwm yav dhau los lawv tuaj ua haujlwm.

cov Campus tau tuav tseg cov npe ntawm cov tub ntxhais kawm ntawv uas ntshai tsam cov kev coj noj coj ua.

"Nyob rau hauv thaum pib nws yeej ib txwm duab," said ib tug txiv neej thawj xyoo. "Tam sim no nws cov yeeb yaj kiab hauv Internet. Kuv twv tau yooj yim dua tau ua ntej txoj cai. "

Kev siv cov duab liab qab yuav ntxiv kev sib nrauj ntawm cov tub ntxhais kawm ntawv cov porn-inspired tshoov siab los ntawm kev sib raug zoo nrog lwm tus neeg.

"Rau ntau, kev sib deev tiag tiag tsis yog ib txwm nyob rau ntawm qhov kev xav tau cov duab liab qab," hais tias Peluso. "Yog li ntawd, [cov txiv neej] yuav muaj kev sib deev thaum lawv raug kev nyuaj siab tiag tiag."

Ib tug txiv neej thawj xyoo hais tias nws sib piv kev sib deev tiag rau porn.

"Kuv pom tej yam porn thiab xav sim lawv," nws hais. "Tab sis kuv tsis piv cov ntxhais kuv pw nrog cov ntxhais hauv porn."

"Muaj kev sib txuas lus kaw thaum sib tham txog kev sib deev nrog menyuam," hais tias ib tug poj niam kawm qib kaum ob. "Ntau ntau yam uas peb ua yog raws li peb xav hais mav xav thiab seb peb xav tias lawv saib hauv porn, tab sis koj tsis paub."

Gamero de Coca tau qhia txog txoj kev tshawb no tsis ntev los no uas tau tshwm sim hauv nruab nrab thoob ntiaj teb uas cov tub hluas pib siv duab liab qab yog cuaj.

"Qhov no yog qhov txaus ntshai," nws hais. "Tag nrho cov ntaub ntawv uas lawv tau kawm txog kev sib deev - yog ib qho kev kawm zoo rau txhua tus tub thiab ntxhais - tab tom pub rau lawv los ntawm cov xov xwm thiab cov porn."

Ntau tug txivneej (thiab pojniam) menyuam kawm ntawv hauv lub Tsev Kawm Ntawv lees paub tias lawv tau saib cov duab liab qab ua ntej lawv tau muaj kev sib deev.

"Kuv saib ntau porn ua ntej kuv tau deev thawj zaug," hais tias ib tug txiv neej thawj xyoo.

SKEPTICISM

Qee cov menyuam kawm ntawv nyob twj ywm txog qhov kev sib txuas ntawm porn thiab erectile kawg.

"Kev siv ua hom twg ntawm kev coj noj coj ua yuav ua tau rau ib tug neeg tsis muaj kev ywj pheej ywj pheej, tab sis mus vilify pornography yog misguided," said Claire Sibley '13. "Kuv tsis ntseeg tias qhov teebmeem ntawm peb lub tsev kawm ntawv yog li cas. Nws qhia hais tias peb tab tom tham txog erectile kawg thiab saib duab liab qab - tom qab tag nrho, tus stereotype hais tias txiv neej saib porn.

"Dab tsi kuv xav tias yog raug ignored yog dysfunction feem - tsawg cuab kev tus poj niam, tab sis cia li li tiag. Yog hais tias qhov teeb meem tiag tiag yog porn, kev daws yog - sim masturbating tsis muaj porn. Yog tias qhov ntawd tsis ua haujlwm, tau txais kev pw tsaug zog thiab txo koj txoj kev ntxhov siab. "

LWM YAM TSHWM

Cov txiv neej tseem fim "condom collapse syndrome," los sis tsis muaj peev xwm tswj tau tus kab mob thaum siv cov hnab yas looj. Foresta Italian pab pawg neeg tshawb pom kuj pom tias porn-los cuam tshuam erectile kawg yog txuas rau kev poob qis hauv kev siv.

"Cov hnab looj qog yeej tsis thev plaub, thiab kev tiv thaiv kev porn yuav pab tsis tau qhov teeb meem," said Peluso. "Nyob rau hauv ib txoj kev, koj yog desensitized ob zaug."

"Kuv xav tias tej zaum txiv neej siv [looj] ua ib qho kev zam txim [rau] vim li cas lawv tsis tuaj yeem los yog txhawb nqa erection," said Kelliher. "Txawm li cas los, ntau zaus tshaj tsis muaj ib co porn saib mus zoo li."

Cov plab hnyuv txhaws tuaj yeem ua rau tus cwj pwm phem - ua rau cov neeg sib deev ntxhov siab los ntawm tus txiv neej tsis muaj peev xwm tswj tau tus erection nrog lub hnab looj qee zaum xaiv tau kev tiv thaiv zoo rau kev sib deev tam sim ntawd.

Kelliher cov neeg pabcuam tau pom tias muaj kev nce siab loj tshaj rau cov tswv yim B vim txij li 2005. Nws kuj thov kom tau pom ntau tus neeg mob ntawm qhov chaw mos herpes hauv tsib xyoos dhau los. Qhov kev kuaj rau qhov chaw mos herpes, tom $ 110, yog qhov kev sib tw pub dawb tshaj plaws rau kev sib deev.

"Nws yog kev tu siab rau pom tias [kev porn] kev lag luam tau siv yam yooj yim thiab yooj yim deb ntawm koj tiam neeg," Kelliher said. "Qhov no yuav tsum tsis txhob ua teeb meem rau cov me nyuam hnub nyoog li cas. Peb cia siab tias peb tuaj yeem pib tham txog nws ntxiv thiab ua rau nws muaj kev txaus siab rau cov tub ntxhais kawm tuaj rau yog tias lawv muaj teeb meem. Peb tuaj yeem pab tom qab ntawd thiab peb tuaj yeem tau txais lawv los ntawm qhov no. "

Peluso, Jordan thiab Kelliher txhawb cov menyuam kawm ntawv uas muaj teeb meem erectile kawg los nrhiav kev pab rau erectile kawg ntawm Parton Health Center.