Debunking Kris Taylor a "Zochepa Zoona Zovuta Zokhudza Kugonana ndi Erectile Dysfunction"

Introduction

Ndinadabwa ndikudabwa kwambiri ndi ophunzira a Kris Taylor posachedwapa VICE nkhani kugwiritsa ntchito zolaula komanso zovuta zogonana. Mu nkhani yake Taylor sanangopotoza zomwe zili m'bukuli Kufufuza kwa 2016 mabuku omwe ndalemba nawo 7 madokotala a navy US, anasankha kusiya maphunziro a 40 omwe akugwiritsira ntchito zolaula kugonana ndi kuchepetsa kugonana. Ndisanayambe kulongosola zigawo zina za nkhani ya Kris Taylor apa pali maphunziro ndi nkhani zomwe adapatsidwa, komabe anasankha kunyalanyaza nkhani yake:

1. Pa kafukufuku wa 40 wolumikiza kugwiritsa ntchito zolaula kapena zolaula pazovuta zakugonana & kutsitsimula pang'ono. The Zotsatira za 7 zoyambirira mumndandanda ukuwonetsa zovuta, monga momwe ophunzira adachotsera kugwiritsira ntchito zolaula ndi kuchiza matenda opatsirana pogonana.
2. Phunziro la 80 lomwe limagwirizanitsa zolaula limagwiritsira ntchito kugonana kosachepera komanso kugonana.
3. Nkhani, zokambirana ndi mavidiyo omwe akunena za akatswiri a 150 (urology aphunzitsi, a urologists, a mafupa a maganizo, a psychologists, a sexologists, a MDs) omwe amavomereza ndipo achita bwino kupembedza zolaula-anachititsa ED ndi zolaula-zomwe zinachititsa kuti asayambe kugonana.
4. Pa maphunziro a 60 Kufotokozera zomwe zapezeka zikugwirizana ndi kuchuluka kwa zolaula (kulolerana), chizolowezi zolaula, komanso zisonyezo zakusiya.
5. Maphunziro onse a ubongo omwe amafalitsidwa pa ogwiritsa ntchito zithunzi zolaula / kugonana: Maphunziro a 55 asayansi (MRI, fMRI, EEG, neurospychological, hormonal) zimapereka chithandizo cholimba cha mtundu wa mankhwala osokoneza bongo.
6. Ndemanga za 31 pamabuku & ndemanga ndi ena mwa apamwamba a sayansi ya sayansi padziko lapansi. Onse amapereka chithandizo ku zolaula zolaula.
7. Pafupi nkhani za 3,000 za anthu oyambirira zowonongeka ku mavuto opatsirana pogonana (Kubwezeretsanso ma akaunti 1, Kubwezeretsanso ma akaunti 2, Kubwezeretsanso ma akaunti 3, Nkhani Zokonzanso za PIED).

Zonse za chidutswa ichi zidzakhala ndi zolemba zochokera ku chithunzi cha Kris Taylor zotsatiridwa ndi ndemanga za YBOP, ndi zolemba kuchokera ku Kufufuza kwa 2016 mabuku omwe ndalemba nawo 7 madokotala a navy US.

Zoona zenizeni zokhudzana ndi kugonana pakati pa anyamata ndi anyamata.

KRIS TAYLOR: "Okonda zolaula: Konzekerani ndi tsunami wa anthu owonongeka," adachenjeza Herald chaka chatha. Iwo akunena za katswiri wazogonana ku Brisbane Liz Walker, kuti "Asanatuluke intaneti, machitidwe osokonekera a erectile pakati pa amuna pansi pa 40 adanenedwa kuti anali pafupi 2-5 peresenti, tsopano chiwerengerochi chadutsa pakati pa 27 ndi 33 peresenti."

Zomwe zidaperekedwa ndi Liz Walker zinali zolondola ndipo zinalembedwa zonsezi m'nkhaniyi.Kafukufuku amatsimikizira kuti kulimbana ndi kugonana kwachinyamata kumakula) komanso pakufufuza kwakukulu kwa mabuku okhudzana ndi madokotala a 7 US Navy ndi ine ndekha: Kodi Zithunzi Zolaula za pa Intaneti Zimayambitsa Mavuto Ogonana? Kubwereza ndi Malipoti a Clinic (2016). Mmodzi mwa olemba asanu ndi atatuwa anali madokotala asanu ndi aŵiri omwe ali ndi luso lotsatira: a urologist, katswiri wa zamaganizo, ndi achipatala aŵiri, ndi dokotala wamkulu wa zachipatala. "Wolemba wina, Dr. Klam, ndiye Mtsogoleri wa Mental Health ku Naval Medical Center - San Diego. Madokotala asanu ndi awiriwa akhala akugwira ntchito yochuluka (makamaka) anyamata.

KRIS TAYLOR: “Koma mukamayesetsa kupeza kafukufuku yemwe akunena, zithandizireni kumvetsa. Gwero lake ndi izi pepala, zomwe zimapereka manambala omwe amachotsedwa awiri mapepala - sizomwe zimafotokoza zolaula ngati zomwe zimayambitsa. Osatchulidwa kuti wolemba wachiwiri wa pepalayo ndi Gary Wilson, munthu wodziwika bwino wotsutsa zolaula. ”

Taylor amalembera pepala la American Navy ndipo amapitiriza kunena molakwika zomwe zilipo (mwinamwake akuyembekeza kuti palibe Dinani pa chiyanjano). Taylor "akusonyeza kuti" pepala lathu linatchulidwa okha Maphunziro a 2 apadera omwe amatsimikizira kuti madera a ED omwe ali amuna omwe ali pansi pa 40 awonjezeka kuyambira pakufika phukusi lamasamba (2006). Zoonadi, tinkafufuza zonse Adasankhidwa zofalitsidwa zomwe zatulutsidwa kale zomwe zinapereka chiwerengero cha kugonana kwa amuna omwe ali pansi pa 40.

Tinayambanso kufufuza zonse zaMPMed sourced study and meta-analysis kufufuza ma ED EDA amuna onse ndi pansi pa 40. Kusanthula meta ndi phunziro lomwe limawerengera maphunziro onse akale pa phunziro lina, ndipo limalemba deta yoyenera. (Taylor sangadziwe kuti meta-analytical is iye adalumikizana ndi imodzi ya meta-analysis tinatchula.)

Kodi pepala lathu linatanthauzanji mu 2?^nd ndime kuti zitsimikizire kuti mbiri ya ED ya amuna omwe akhala pakati pa 2-5%? (Masamba otsatirawa otsatirawa ndi maumboni awo oyambirira amaperekedwa.)

• [2] - (2000) Meta-analysis yomwe inawonanso maphunziro a 93 padziko lonse lapansi.
• [3] - (1992) kufufuza kwakukulu kwambiri ku United States.
• [5] - (2001) ED mitengo kuchokera m'maiko 29 otukuka (maphunziro 13,000).
• Osatchulidwa: The Nkhani ya Kinsey inatha kuti kufalikira kwa ED kunali kochepa kuposa 1% mwa amuna ochepa kuposa zaka 30, zosakwana 3% mwa 30-45.

Taylor analephera kupereka phunziro limodzi kuti asatsutse zomwe timanena kuti ED a amuna omwe ali pansi pa 40 akhala akudziwika kuti ali pakati pa 2-5%. M'malo mwake, adayesa kusocheretsa wowerenga ndi phunziro limodzi la 2013, kutanthawuza kuti kuchuluka kwa machitidwe osokonekera kwa erectile mwa anyamata nthawi zonse kunali kozolowereka. Komabe, pepala imathandizanso zonena zathu. Iye anati:

KRIS TAYLOR: "Malinga ndi kuyerekezera kwina, 'kukanika' kwa erectile kumatha kuchitika pafupifupi theka la anthu onse, ndi 1 mu amuna a 4 akufuna thandizo la mankhwala osokoneza bongo ndidzakwanitsa zaka 40. ”

Komabe, olemba nyuzipepalayi adadabwitsidwa kuwona kuti 25% ya amuna omwe amapita kuchipatala chifukwa chofooka kwa erectile anali pansi pa 40. Dzinalo la kafukufukuyu likunena izi: Mmodzi Wodwala Wochokera Kumayi ndi Wopanda Kuzindikira Erectile Watsopano Akudziwika Ndi Wachinyamata-Wopweteka Chithunzi cha Kuchokera Patsiku Tsiku Lililonse. (Phunziro silinayang'anire mitengo ya ED mwa anthu ambiri.)

Komanso, mapepala athu adanena chiyani mu 3^rd ndime kuti zitsimikize kuti mafukufuku aposachedwapa amasonyeza kuti palipamwamba kwambiri za kugonana kwa amuna omwe ali pansi pa 40?

• [9] - (2013). Kafukufuku pamwambapa. Mitengo ya ED yovuta pafupifupi 10% yokwera kuposa amuna opitilira 40.
• [6] - (2015). Azungu, 18-40, ED mitengo idachokera ku 14% -28%. Low libido mpaka 37%.
• [8] - (2012). Mayendedwe a ED a 30% m'magulu a anthu a ku Switzerland omwe ali ndi zaka 18-24.
• [10] - (2014). Amuna achikulire a 16-21: ED (27%), chilakolako chogonana (24%), mavuto ndi zisokonezo (11%).
• [11] - (2016). Kuphunzira kwa zaka za 2 zaka zomwe anapeza kuti, pa zaka zingapo za zaka 2, zaka zotsatirazi za amuna a 16-21 a zaka zakubadwa: kukhutira kugonana kochepa (47.9%), chikhumbo chochepa (46.2%), mavuto mu erectile function ( 45.3%).
• [12] - (2014). Matenda atsopano a ED mu ntchito yogwira ntchito servicemen adanena kuti mitengoyi idapitirira kawiri pakati pa 2004 ndi 2013.
• [13] - (2014). Kufufuza kwapakati pa gawo la asilikali ogwira ntchito ogwira ntchito akuluakulu a 21-40 adapeza mlingo wa ED wa 33.2%.
• [16] - (2010). Kufufuza kwa amuna a ku Brazil 18-40 kunanenetsa ED mitengo ya 35%.

Chotsatiracho: Zotsutsa kuti mbiri yakale ya ED yachinyamata yayambira pa 1-5 peresenti, ndipo maphunziro kuyambira 2010 adanena kuti kuwonjezeka kwakukulu kwa ED chiwerengero kumathandizidwa ndi mabuku owonedwa ndi anzawo. Umboni wonse wa pamwamba (ndi zina) unaperekedwa m'masamba oyambirira a 3 a pepala la US Navy. Izi zikusonyeza kuti Kris Taylor anasocheretsa mwachindunji VICE ndi owerenga ake.

Pa maphunziro a 40 Lumikizani kugwiritsa ntchito zolaula / zolaula pazovuta zakugonana & kutsitsimutsa pang'ono (zonse zomwe Taylor wasiya)

KRIS TAYLOR: "Pomwe ndimafufuza pachabe kafukufuku yemwe amathandizira kuti zolaula zimayambitsa vuto la erectile, ndidapeza zifukwa zingapo zomwe zimayambitsa matenda osokoneza bongo. Zithunzi zolaula zilibe pakati pawo. Izi zimaphatikizapo kukhumudwa, kuda nkhawa, kuchita mantha, kumwa mankhwala, kusuta, kumwa mowa mwauchidakwa komanso kugwiritsa ntchito mankhwala osokoneza bongo, komanso zinthu zina zathanzi monga matenda ashuga ndi matenda amtima. Ngakhale kukwera njinga kwa nthawi yayitali kumatha kuyambitsa vuto lokhalitsa kwa nthawi yayitali ngati mpando wa njinga umapanikiza mitsempha mu perineum. ”

Choyamba tidzakambirana ndi a Kris Taylor "osafufuza pachabe kuti athandizire kuti zolaula zimayambitsa vuto la erectile." Izi ndizovuta kuzizindikira monga Taylor adapatsidwa kale tsamba ili la YBOP lolemba Liz Walker. Ili ndi maphunziro opitilira 40 omwe amalumikiza kugwiritsa ntchito zolaula kapena kugwiritsa ntchito zolaula pazolakwika zachiwerewere komanso kukongola pang'ono. The zoyamba za 7 m'ndandanda onetsani kuwonetsa, monga momwe ophunzira adachotsera kugwiritsira ntchito zolaula ndi kuchiza matenda opatsirana pogonana (imodzi mwa itatuyi inali pepala la Navy la US, lomwe linali ndi malipoti a milandu). Maphunziro khumi ndi asanu ndi limodzi mwa maphunzirowa adawapanga mu pepala la 2016 US Navy, ndipo adafotokozedwa ndi ndimeyi:

Ngakhale kuti maphunziro oterewa angakhale ounikira kwambiri, kuyambiranso kwathu kwa mabukuwa kumapeza maphunziro angapo omwe agwirizana ndi zolaula zimagwiritsidwa ntchito ndi kukweza, kukopa, ndi mavuto a kugonana [27, 31, 35, 36, 37, 38, 39, 40, 41, 42, 43], kuphatikizapo zovuta zolaula, kuchepetsa libido kapena erectile ntchito [27, 30, 31, 35, 43, 44], zotsatira zovulaza pa kugonana kosiyana pakati [37], adachepetsa chisangalalo cha kugonana [37, 41, 45], osakhutira ndi kugonana ndi chiyanjano [38, 39, 40, 43, 44, 45, 46, 47], zokonda kugwiritsa ntchito zolaula pa Intaneti kuti zikhale ndi zokondweretsa pokhala ndi bwenzi [42], komanso kuchitidwa ubongo kwambiri poyang'ana zolaula kwa anthu amene amaonetsa zochepa zogonana ndi anzawo [48].

Phunziro lotsatira lachidziwitso linasindikizidwa pambuyo polemba nyuzipepala ya US Navy: Zizoloŵezi za kugonana ndi kugonana, 2016. Monga mapepala athu, iwonso adawonetsa kuti ali ndi amuna omwe ali ndi 35 omwe adayambitsa matenda osokoneza bongo komanso / kapena anorgasmia amayesa kusiya zolaula ndi kuchepetsa kugonana. Phunzirolo linanena kuti amuna a 19 adasintha kwambiri panthawi yomwe wolembayo analemba pepala. Wolembayo ndi wodwala matenda a maganizo a ku France amene ali purezidenti wamakono wa European Federation of Sexology. Iye sakhala "wotsutsa zolaula zolaula," komabe iye ananena kuti ambiri mwa amuna omwe anawafufuza anali oledzera ku zolaula.

Kutsiliza: Kugonana ndi maliseche, omwe nthawi zambiri kumakhala ndi kudalira pa zolaula, kumawoneka kuti zimathandiza kuti anthu azikhala ndi matenda enaake osokoneza bongo.

Zomwe zimatengedwa: Kris Taylor adapatsidwa maphunziro angapo omwe amalumikiza zolaula ndi zovuta zakugonana komanso kugona pang'ono pa maphunziro a 80 kugwirizanitsa ntchito zolaula kuti athetse kugonana ndi kukondana. Apanso, Taylor amanyenga mwadala VICE ndi owerenga ake.

A 500% kapena kotero kuwonjezeka kwa ED achinyamata m'zaka zapitazi za 10 sangathe kufotokozedwa ndi zinthu zomwe zimakhalapo nthawi zonse

Kris Taylor akuti kuwonjezeka kwaposachedwapa kwa ED achinyamata kumachitika chifukwa cha zosiyana zomwe zimagwirizanitsidwa ndi ED pakati pa amuna pa 40.

KRIS TAYLOR: Pamene ndikufufuza zopanda pake zafukufuku zomwe zinkatsimikizira kuti zolaula zimayambitsa matenda osokoneza bongo, ndinapeza zifukwa zosiyanasiyana zomwe zimayambitsa erectile malingaliro. Zithunzi zolaula siziri pakati pawo. Izi zikuphatikizapo kuvutika maganizo, nkhawa, mantha, kumwa mankhwala ena, kusuta, kumwa mowa komanso kugwiritsa ntchito mankhwala osokoneza bongo, komanso zinthu zina monga matenda a shuga ndi matenda a mtima. Ngakhale kukwera njinga kwa nthawi yayitali kungayambitse vuto la erectile losagwira ntchito ngati sitima ya njinga imaphatikizira mitsempha mu perineum.

Monga tafotokozera m'mapepala athu, kusuta, shuga ndi matenda a mtima sizimayambitsa ED mwa amuna omwe ali pansi pa 40 (ndemanga 16). Zimatengera zaka za kusuta kapena shuga yosadziteteza kuti ziwonetsere kuwononga kwachisokonezo chachikulu cha matenda a E ED. Kuchokera patsamba lathu:

Mwachikhalidwe, ED yawonedwa ngati vuto lodalira zaka [2], komanso kufufuza kufufuza za EDZI mwa amuna omwe ali pansi pa 40 kawirikawiri sadziwa zinthu zomwe zimagwirizanitsidwa ndi ED mwa amuna akuluakulu, monga kusuta, uchidakwa, kunenepa kwambiri, moyo wautali, shuga, matenda a mtima, matenda a mtima, ndi hyperlipidemia [16].

Koma "kumwa mankhwala ena, kusuta, kumwa mowa ndi kugwiritsa ntchito mankhwala osokoneza bongo" Palibe malipiro a zinthu izi zowonjezera zomwe zawonjezeka pa zaka zotsiriza za 15 (kusuta kwachepetsedwa kwenikweni). Kuchokera patsamba la US Navy:

Komabe, palibe zidziwitso zomwe zimagwirizanitsidwa ndi ED imakhala zokwanira kuti ziwerengere kuwonjezereka kowonjezereka pa zovuta zogonana zaunyamata. Mwachitsanzo, ochita kafukufuku ena amaganiza kuti mavuto omwe amabwera chifukwa chokhala ndi moyo wathanzi, monga kunenepa kwambiri, kugwiritsa ntchito mowa mopitirira muyeso ndi kusuta fodya (zochitika zakale zimagwirizana ndi organic ED). Komabe zowopsya zamoyozi sizinasinthe mofanana, kapena zatsika, m'zaka zapitazi za 20: Kulemera kwambiri kwa amuna a ku America a zaka 20-40 kunakula kokha 4% pakati pa 1999 ndi 2008 [19]; Kugwiritsa ntchito mankhwala osokoneza bongo pakati pa nzika za US zakubadwa za 12 kapena zakale zakhala zochepa pa zaka zapitazi za 15 [20]; ndi kusuta fodya kwa akuluakulu a ku America adachoka ku 25% mu 1993 mpaka 19% mu 2011 [21].

Koma "kukhumudwa, kuda nkhawa, kuchita mantha, ” palibe mwa izi chifukwa Erectile malingaliro, iwo amangokhala ochepa kugwirizana kwa ED. Ndipotu, maphunziro ena amanena kuti odwala ndi ovutika maganizo ali ndi Apamwamba chilakolako cha kugonana. Kafukufuku wina akuwonetsa zowonekeratu: kukhumudwa sikuyambitsa ED; kukhala ndi ED kumachulukitsa zambiri pamayeso okhumudwa. Kuchokera patsamba la US Navy:

Olemba ena amalongosola zifukwa zamaganizo. Komabe, ndizotheka bwanji kuti nkhawa ndi kupsinjika maganizo zimakhala zovuta kuwonjezeka pa mavuto aunyamata achichepere omwe amapereka mgwirizano wovuta pakati pa chilakolako chogonana ndi kupsinjika maganizo ndi nkhawa? Odwala ena opsinjika maganizo ndi oda nkhawa amapereka chilakolako chochepa chogonana pamene ena akusimba chilakolako chogonana chowonjezeka [22, 23, 24, 25]. Sikuti kugwirizana pakati pa kuvutika maganizo ndi ED kumakhala koyenderana komanso kumagwirizanitsa, kungakhalenso chifukwa cholephera kugonana, makamaka kwa anyamata [26].

Monga tidanenera kumapeto kwa pepala lathu:

Zinthu zachikhalidwe zomwe poyamba zinkalongosola zovuta zokhudzana ndi kugonana kwa amuna zikuwoneka zosakwanira kuti ziwerengere chifukwa cha kukwera kwakukulu kwa kugonana ndi chilakolako chogonana pakati pa amuna pansi pa 40.

Kafukufukuyu wa 2018 pa orology odwala omwe ali ndi zaka za 40 adapeza kuti odwala omwe ali ndi ED sanali osiyana ndi amuna opanda ED, motero akusowa chonena cha Kris Taylor (Zinthu Zopweteka Erectile Pakati pa Achinyamata-Zomwe Zilipo Phunziro Lenizeni la Moyo):

Zonsezi, 229 (75%) ndi 78 (25%) odwala anali ndi Erectile Function (EF) yabwino komanso yovuta; pakati pa odwala omwe ali ndi ED, 90 (29%) anali ndi chiwerengero cha IIEF-EF chosonyeza kuti ED. Odwala omwe alibe ndi ED sanaleke mosiyana kwambiri ndi zaka zapakatikati, BMI, kuchulukitsidwa kwa matenda oopsa kwambiri, chikhalidwe chaumoyo, mbiri ya fodya), kugwiritsa ntchito mowa, ndi mapiritsi apakati a IPSS. Mofananamo, palibe kusiyana komwe kunanenedwa ponena za mahomoni ogonana a seramu ndi mbiri yamkati pakati pa magulu awiriwa.

Zomwe anapezazi zikusonyeza kuti anyamata omwe ali ndi ED samasiyana ndi zochitika zapakati pa zaka zapakati pa zaka zofanana ndi zaka za EF, koma zikuwonetsa ziwerengero zochepa zokhudzana ndi kugonana, pofuna kupereka chithandizo chachikulu cha matenda a ED.

Pazifukwa zina omwe ali ndi ED anali ndi chilakolako chogonana (ayenera kuti anafunsa za zolaula!) Kuti abwereze, Kris Taylor, monga ena omwe amatsutsa zolaula a ED, amati ED ya anyamata amayamba chifukwa cha zomwezi zomwe zimakhudzana ndi ED mwa amuna opitilira 40. Izi sizikugwirizana ndi zolemba zowunikiridwa ndi anzawo.

Pomaliza, Taylor akuti kukwera njinga kumalumikizidwa ndi ED posachedwapa zadetsedwa. Chidule cha nkhaniyi:

"Pomwe kupalasa njinga kumayamba kutchuka, monga zosangalatsa komanso masewera olimbitsa thupi, ndikofunikira kuti anthu adziwe kuti alibe chodalirika chokhudzana ndi matenda am'magazi kapena kutha kwa kugonana," atero Dr. Kevin McVary, mneneri wa American Urological Mgwirizano.

Pogwiritsa ntchito mapepala awiri a Kris Taylor adatchula (zonsezi zinakambidwa mozama mu ndemanga ya US Navy)

Kunyalanyaza mapepala a 7 akuwonetsa kutha kwa zolaula za pa intaneti zomwe zimapangitsa kuti anthu azigonana, komanso maphunziro ena a 35 omwe amalumikizana ndi zolaula pa intaneti ndizovuta zakugonana komanso kukakamira, Taylor adatchula mapepala awiri ngati "kafukufuku wabwino kwambiri":

Koma kafukufuku wabwino kwambiri yemwe tili nawo mpaka pano sichikugwirizana ndi izi. Mwachitsanzo, gawo la 2015 pamtanda phunziro a 3,948 Croatian, Norwegian, ndi Portuguese Amuna amalembedwa Journal of Medical Medicine inanena kuti "mosiyana ndi zomwe zimayambitsa nkhawa za anthu, zolaula sizikuwoneka ngati chiwopsezo chachikulu kwa anyamata, zovuta, kapena zovuta zamankhwala." Wina 2015 phunziro, nthawi ino ya 208 yopanda chithandizo kufunafuna amuna a ku America adawonetsa kuti kuwonera zolaula "sikungakhudze machitidwe ogonana, popeza mayankho anali olimba kwambiri kwa iwo omwe amawawona [zolaula]".

Palibe pepala lomwe linali kuphunzira kwenikweni, ndipo onse awiri adatsutsidwa mwatsatanetsatane m'mabuku owunikiridwa ndi anzawo. Mapepala onsewa adakambirana nthawi yayitali pakuwunika kwa US Navy - zomwe ndalemba pansipa. Ndili ndi zambiri zonena pamapepala onse awiriwa, chifukwa chake ndapanga magawo osiyana a aliyense. Ndiyamba ndi pepala lachiwiri lomwe Taylor adatchula, chifukwa tidaligwiritsa ntchito koyamba Kupenda kwathu kwa mabukuwa.

PAPER 2: Pembedzero & Pfaus, 2015.

KRIS TAYLOR EXCERPT: Wina 2015 phunziro, nthawi ino ya 208 yopanda chithandizo kufunafuna amuna a ku America anasonyeza izo Kuwona zolaula "sikungakhudze mchitidwe wogonana, popeza mayankho anali olimba mwa iwo omwe amawonera [zolaula]".

Ndimapereka chithandizo cha Richard Isenberg, MD ndi ndondomeko yowonjezera, ndikutsatiridwa ndi ndemanga zanga ndi ndemanga zochokera pamapepala a US Navy:

• M'magazini yomweyi monga pepala: Kalata kwa mkonzi wa Richard A. Isenberg MD (2015)
• Zambiri zowunika: Palibe Chinanso Chimene Chikuwonjezera pa Kuphunzira Kwachibwana: Achinyamata Achinyamata 'ED Otsala Osadziwika (2015)

Chidziwitso: Mosiyana ndi zomwe Taylor ananena (ndi Prause & Pfaus), amuna omwe amaonera zolaula analibe "mayankho olimba." Palibe maphunziro a 4 omwe amachititsa kuti pepalalo liziwunikanso mayankho ogonana kapena ogwirira ntchito labu. Zomwe a Prause & Pfaus adanena m'mapepala awo ndikuti amuna omwe amawonera zolaula adawonetsa chisangalalo chawo pang'ono poyang'ana zolaula. Mawu ofunika ndi poyang'ana zolaula - osati pogonana ndi munthu weniweni. Kuwonetsa kukondwerera pamene mukuwonera zolaula sikutiuza chilichonse chokhudza zomwe mungachite mukamayang'ana zolaula. Sitiuza chilichonse chokhudza zolaula zomwe zidapangitsa ED, komwe ndikulephera kudzutsidwa mokwanira popanda kugwiritsa ntchito zolaula. Izi zati, zambiri za Prause & Pfaus, 2015 zikuwulula kuti sakanatha kuwunika molondola zomwe ophunzira awo akuchita (zochulukirapo pansipa).

Pazokambirana tiyeni tiyerekeze kuti amuna omwe amaonera zolaula adadzutsa kukweza kwawo kuposa amuna omwe samawona zochepa. Njira ina, yovomerezeka, yotanthauzira kusiyana kwakukondweretsaku pakati pamagulu awiriwa ogwiritsa ntchito zolaula ndikuti amuna omwe amawonera zolaula adakumana ndi zokulirapo zolakalaka kugwiritsa ntchito zolaula. Izi ndi umboni weniweni wa kulimbikitsa, omwe ndi dera lalikulu (mphotho) kuyambitsa ndi chilakolako pamene akuwonetsedwa (zolaula) cues. Kusintha (cue-reactivity ndi zikhumbo) ndi vuto loyamba lachiwerewere limasintha.

Kafukufuku waposachedwa kwambiri kuubongo wa Cambridge University adawonetsa kukhudzidwa ndi ogwiritsa ntchito zolaula. Ubongo wa omwe adatenga nawo mbali adadzutsidwa kwambiri chifukwa chakuwonera makanema olaula, ngakhale sanakonde "zina mwazakugonana koposa kuwongolera omwe akutenga nawo mbali. Mwa chitsanzo chochititsa chidwi cha momwe kukhudzidwa kumakhudzira magwiridwe antchito, 60% ya maphunziro aku Cambridge adanenedwa mavuto okhwima / erectile ndi abwenzi koma osati ndi zolaula. Kuyambira kuphunzira kwa Cambridge:

"[Osokoneza bongo] adatinso chifukwa chogwiritsa ntchito kwambiri zolaula ... .. adakumana ndi kuchepa kwa libido kapena magwiridwe antchito a erectile makamaka pamagonana ndi akazi (ngakhale sanali ogwirizana ndi zolaula)."

Mwachidule, Wogwiritsa ntchito zolaula wochuluka akhoza kunena zapamwamba zowutsa (zolakalaka) komanso amakumana ndi mavuto okhwima ndi wokondedwa. Zachidziwikire, kudzuka kwake poyankha zolaula si umboni wa "kuyankha kwake kogonana" kapena kugwira ntchito ndi mnzake. Kafukufuku wopereka chidziwitso pakulimbikitsa / kulakalaka kapena kuyambiranso kuchita zolaula / ogwiritsa ntchito zolaula: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21 , 22, 23, 24.

Chowonadi chakumbuyo kwa Prause & Pfaus 2015: Uku sikunali kuphunzira kwa amuna omwe ali ndi ED. Sikunali kuphunzira konse. M'malo mwake, Pembedzero akuti adapeza deta kuchokera m'maphunziro ake anayi am'mbuyomu, ndipo palibe yomwe idafotokoza zovuta za erectile. Ndizosokoneza kuti pepalali lolembedwa ndi Nicole Prause ndi Jim Pfaus adapereka zowunikiranso anzawo popeza palibe zomwe zidafotokozedwa pamapepala awo zomwe zikufanana ndi zomwe zidafunsidwa pamaphunziro anayi omwe pepalalo linanena kuti lidachokera. Kusiyanaku sikuli mipata yaying'ono, koma mabowo otchinga omwe sangazimitsidwe. Kuphatikiza apo, pepalali lidanenanso zinthu zingapo zomwe sizinali zoona kapena zosagwirizana ndi zomwe zidasungidwazo.

Timayambira ndi zonena zabodza zopangidwa ndi awiri Chithunzi cha Nicole & Jim Pfaus. Nkhani zambiri za atolankhani zokhudzana ndi kafukufukuyu zati kugwiritsa ntchito zolaula kumayambitsa bwino zolemba, komabe si zomwe pepalalo linapeze. Pa zofunsidwazo, Nicole Prause ndi Jim Pfaus ananamizira kuti anayeza zoyezera mu labata, komanso kuti amuna omwe ankagwiritsa ntchito zolaula ankachita bwino kwambiri. Mu Pemphero la Jim Pfaus Pfaus anati:

"Tidawona kulumikizana kwa kuthekera kwawo kuti akonzekeretsere labu."

"Tapeza kulumikizana kwapafupi ndi kuchuluka kwa zolaula zomwe amaziwona kunyumba, ndipo zotulukapo zomwe amalandira erection ndizothamanga."

In kuyankhulana kwa radiyo iyi Nyuzipepala ya Nicole inanenanso kuti mayendedwe amawerengedwa mu labu. Ndemanga yeniyeni yochokera kuwonetsero:

"Anthu ambiri akamayang'ana zochitika panyumba amakhala ndi mayankho olimba pakati pa labu, osachepetsedwa."

Komabe pepala ili silinaphunzire khalidwe la erection mu labu kapena "kuthamanga kokwanira." Pepala lokha ankadzinenera kuti afunse anyamata kuti awonetsere "kukondwerera" atawona zolaula mwachidule (ndipo sizikudziwika kuchokera pamapepala oyambira kuti lipoti losavutalo lidafunsidwa pamitu yonse). Mulimonsemo, mawu ochokera papepala palokha adavomereza kuti:

"Palibe chidziwitso chokhudzana ndi maliseche chomwe chidaphatikizidwa kuti chithandizire zomwe amuna adanenapo."

Pachifukwa chachiwiri chosagwirizana, mlembi wamkulu Nicole Prause tweeted maulendo angapo ponena za phunziroli, kulola dziko kudziwa kuti nkhani za 280 zimakhudzidwa, komanso kuti "alibe mavuto kunyumba." Komabe, maphunzirowa anayi ali ndi nkhani za amuna 234 okha, choncho "280" ili kutali.

Chigawo chachitatu chosamutsimikiziridwa: Wolemba wa kalata yovuta kwambiri ku Mkonzi wokhudzana ndipamwamba, Dr. Isenberg, anadabwa kuti zingatheke bwanji Pembedzero & Pfaus 2015 kuti ayerekeze mitu yosiyanasiyana 'pamitu itatu zosiyana mitundu yonyansa yogonana idagwiritsidwa ntchito mu 4 yopitiliza maphunziro. Maphunziro awiri omwe anagwiritsa ntchito filimu ya 3-imodzi, kafukufuku wina anagwiritsa ntchito filimu yachiwiri ya 20, ndipo phunziro limodzi linagwiritsabe ntchito zithunzi. Zatsimikiziridwa bwino kuti Mafilimu amaukweza kwambiri kuposa zithunzi, kotero palibe gulu lochita kafukufuku lovomerezeka lomwe lingagwirizane pamodzi kuti lipereke zonena za mayankho awo. Chodabwitsa ndichakuti pamapepala awo Prause & Pfaus sazindikira kuti maphunziro onse a 4 amagwiritsa ntchito makanema ogonana:

"VSS yomwe inapezeka mu maphunzirowo inali mafilimu onse."

Mawu awa ndi abodza, monga akuwonekera poyera pamaphunziro a Prause omwe. Ichi ndi chifukwa choyamba chomwe Prause & Pfaus sanganene kuti pepala lawo lidayesa "kudzutsa." Muyenera kugwiritsa ntchito zolimbikitsira zomwezo kuti munthu aliyense athe kufananiza maphunziro onsewo.

Chigamulo chachinayi chosamutsimikiziridwa: Dr Isenberg adafunsanso kuti Pembedzero & Pfaus 2015 ikhoza kufanizitsa masewera osiyanasiyana okhudzidwa pamene kokha 1 za 4 zomwe zimayambira maphunziro ogwiritsa ntchito 1 ku 9 msinkhu. Wina adagwiritsa ntchito sikelo ya 0 mpaka 7, wina adagwiritsa ntchito 1 mpaka 7, ndipo kafukufuku m'modzi sanafotokozere zakukonda. Apanso Pembedzero & Pfaus sadziwa kuti:

"Amuna adafunsidwa kuti asonyeze kuchuluka kwawo kwa" kugonana "kuchokera ku 1" osati konse "ku 9" kwambiri. "

Izinso ndizabodza monga momwe zikalata zikusonyezera. Ichi ndi chifukwa chachiwiri chomwe Prause & Pfaus sanganene kuti pepala lawo limayesa kuwerengera "kodzutsa" mwa amuna. Kafukufuku ayenera kugwiritsa ntchito muyeso wofanana ndendende kwa munthu aliyense kuti afanize zotsatira zamaphunziro. Mwachidule, mitu yonse yopangidwa ndi Pemphero yokhudzana ndi zolaula imathandizira kukonza kapena kudzutsa, kapena china chilichonse, sizoyenera.

Pembedzero & Pfaus 2015 inanenanso kuti iwo sapeza mgwirizano pakati pa zochitika zambiri za erectile ndi zolaula zomwe zimawonedwa mwezi wathawu. Monga Dr. Isenberg adanenera:

"Chododometsa kwambiri ndichakuti kusiyidwa kwathunthu kwa ziwerengero za zotsatira za ntchito ya erectile. Palibe zotsatira zowerengera zomwe zaperekedwa. M'malo mwake olemba amafunsa wowerenga kuti angokhulupirira zomwe sananene kuti panalibe mgwirizano pakati pa zolaula zomwe zimawonedwa ndi ntchito ya erectile. Popeza malingaliro otsutsana a olembawo akuti erectile imagwira ntchito ndi bwenzi litha kusinthidwa mwa kuwona zolaula pomwe kusowa kwa ziwerengero kuli kochititsa chidwi kwambiri. ”

Poyankha ndi Pfaus poyankha Dr. Isenberg, adalephera kupereka chilichonse kuti chithandizire "mawu osatsimikizika." Monga zolemba izi, yankho la Prause & Pfaus sikuti limangothetsa nkhawa zovomerezeka za Dr. Isenberg, lili ndi zingapo yatsopano ziwonetsero zopanda pake ndi maumboni ambiri onama amodzi. Pomaliza, Kupenda kwathu kwa mabukuwa adayankhapo Pembedzero & Pfaus 2015:

"Ndemanga yathuyi idaphatikizaponso mapepala awiri a 2015 omwe amati zolaula za pa intaneti sizigwirizana ndi zovuta zakukula kwa anyamata. Komabe, zonena izi zimawoneka kuti sizinachitike msanga poyang'anitsitsa mapepalawa ndikutsutsidwa mwatsatanetsatane. Pepala loyamba lili ndi zidziwitso zothandiza pantchito yokhudzana ndi kugonana mu ED yachinyamata [50]. Komabe, bukhu ili lakhala likutsutsidwa chifukwa cha kusiyana kosiyana, kusokonekera ndi njira zolakwika. Mwachitsanzo, sizimapereka zotsatira za chiwerengero cha erectile ntchito zotsatira measure poyerekeza ndi zolaula pa Intaneti ntchito. Komanso, monga dokotala wofufuzira akufotokozera mwatsatanetsatane za pepala, olemba a mapepala, "sadapereke owerenga ndi chidziŵitso chokwanira chodziŵika ndi chiwerengero cha anthu omwe anaphunzira kapena chiŵerengerochi chikufufuza kuti zivomereze zomaliza zawo" [51]. Kuphatikiza apo, ofufuzawo anafufuzira maola olaula a pa Intaneti pokhapokha akugwiritsidwa ntchito mwezi watha. Komabe, kufufuza pa zolaula zolaula za pa Intaneti zapeza kuti maola ambiri a pa Intaneti omwe amagwiritsa ntchito zithunzi zolaula amagwiritsa ntchito paokha amakhala osagwirizana ndi "mavuto a moyo wa tsiku ndi tsiku", malemba ambiri pa SAST-R (Sexual Addiction Screening Test), ndi malemba pa IATsex (chida omwe amawonetsa chizolowezi chogonana pa Intaneti) [52, 53, 54, 55, 56]. Kukonzekera bwino ndiko kugonana kokondweretsa kugonana pamene mukuwonera zolaula za pa intaneti (cue reactivity), chigwirizano chokhazikika cha khalidwe loledzera m'zovuta zonse [52, 53, 54]. Palinso umboni wochuluka wosonyeza kuti nthawi imene amagwiritsidwa ntchito pa masewera a pa Intaneti sakuneneratu kuti munthu amayamba kuchita zinthu zolimbitsa thupi. "Kusokoneza bongo kungayesedwe bwino ngati zolinga, zotsatira ndi zochitika za khalidweli ndizo mbali ya zofufuza" [57]. Magulu atatu ochita kafukufuku, pogwiritsa ntchito mitundu yosiyanasiyana ya "kugonana kosagonana" (osagwiritsa ntchito maola ambiri), adagwirizana kwambiri ndi zovuta zogonana [15, 30, 31]. Kuphatikiza apo, kafukufukuyu akuwonetsa kuti m'malo mongogwiritsa ntchito "maola ogwiritsa ntchito", mitundu ingapo ndiyofunika kwambiri pakuwunika zolaula / chiwerewere, ndipo ndiyofunikanso kwambiri pakuwunika zovuta zokhudzana ndi zolaula. "

Nyuzipepala yaku US Navy idanenanso za kufooka pakulumikiza "maola omwe agwiritsidwe ntchito" kungoneneratu zovuta zakugonana. Kuchuluka kwa zolaula zomwe zimawonedwa pano ndi chimodzi mwazinthu zambiri zomwe zimakhudzidwa ndikupanga zolaula za ED. Izi zingaphatikizepo:

1. Kugonana kwa maliseche ndi zolaula popanda zolaula
2. Kugonana kwa munthu ndi maliseche ku zolaula
3. Ziphuphu m'magulu amtundu wina (pamene munthu amadalira zolaula)
4. Namwali kapena ayi
5. Maola ambiri ogwiritsiridwa ntchito
6. Zaka za ntchito
7. Age anayamba kugwiritsa ntchito zolaula
8. Kuchuluka kwa mitundu yatsopano
9. Kukula kwa zolaula zopangidwa ndi zolaula (kuyambira pakufika ku zolaula zatsopano)
10. Makhalidwe atsopano pa gawo (ie mavidiyo osonkhanitsa, ma tebulo ambiri)
11. Ubongo wokhudzana ndi mowa umasintha kapena ayi
12. Kukhalapo kwa chiwerewere / zolaula

Njira yabwino yofufuzira izi, ndikuchotsa kusinthasintha kwa kugwiritsa ntchito zolaula pa intaneti ndikuwona zotsatira, zomwe zinachitika mu pepala la Navy ndi maphunziro ena awiri. Kufufuza koteroku kumawulula zovuta mmalo mwa mgwirizano wosasinthasintha wotsegulidwa kutanthauzira mosiyana. Malo Anga yatchulidwa amuna zikwi zingapo omwe anachotsa zolaula ndikuchira ku zovuta zogonana zogonana.

Potsiriza, wolemba wothandizira Chithunzi cha Nicole akudandaula ndi debunking PIED, atapanga Nkhondo ya zaka 3 pa pepala ili la maphunziro, uku ndikuzunza pamodzi ndi anyamata omwe achira zomwe zapangitsa kuti achite zachiwerewere. Onani zolembedwa: Gabe Deem #1, Gabe Deem #2, Alexander Rhodes #1, Alexander Rhodes #2, Alexander Rhodes #3, Mpingo wa Nowa, Alexander Rhodes #4, Alexander Rhodes #5, Alexander Rhodes #6, Alexander Rhodes #7, Alexander Rhodes #8, Alexander Rhodes #9, Alexander Rhodes # 10, Alex Rhodes # 11, Gabe Deem & Alex Rhodes pamodzi # 12, Alexander Rhodes # 13, Alexander Rhodes #14, Gabe Deem # 4, Alexander Rhodes #15.

PAPER 1: Landripet & Stulhofer, 2015.

KRIS TAYLOR EXCERPT: Mwachitsanzo, gawo la 2015 pamtanda phunziro a 3,948 Croatian, Norwegian, ndi Portuguese amuna ofalitsidwa mu Journal of Sexual Medicine adawonetsa kuti "Mosiyana ndi kukweza nkhawa pagulu, zolaula sizikuwoneka ngati chiwopsezo chachikulu cha chikhumbo cha anyamata, erectile, kapena zovuta zamagulu. "

Landripet & Stulhofer, 2015 idasankhidwa kuti ndi "kulumikizana mwachidule" ndi Journal, ndipo olemba awiriwa adasankha zina kuti azigawana, ndikusiya zina zofunikira (pambuyo pake). Monga Prause & Pfaus the Journal adasindikiza ndemanga ya Landripet & Sulhofer: Ndemanga pa: Kodi zithunzi zolaula zimagwirizanitsa ndi zovuta zokhudzana ndi kugonana ndi zovuta pakati pa Amuna Amuna Ogonana Amuna Kapena Amuna Kapena Amuna Kapena Amuna Kapena Amuna Kapena Amuna Kapena Amuna Kapena Amuna Kapena Amuna Kapena Amuna Kapena Akazi Amuna Kapena Akazi Amuna Kapena Akazi Amuna Kapena Akazi Amuna Kapena Akazi Amuna Kapena Akazi Amodzi?? ndi Gert Martin Hald, PhD

Ponena za chigamulocho Landripet & Štulhofer, 2015 sinapeze mgwirizano pakati pa kugonana ndi zovuta zogonana. Izi sizowona, monga zolembedwa mu zonsezi YBOP iyi ikutsutsani ndi Kufufuza kwa Navy kwa US. Kuphatikiza apo, pepala la Landripet & Stulhofer silinaphatikizepo kulumikizana kwakukulu katatu komwe adapereka msonkhano wa ku Ulaya (pansipa). Tiyeni tiyambe ndi ndime zoyambirira zitatu kuchokera patsamba lathu zomwe zidalankhulidwa Landripet & Štulhofer, 2015:

Papepala lachiwiri linanena kuti pali kusiyana kwakukulu pakati pa zolaula za pa Intaneti pa chaka chatha ndi ma ED a amuna akugonana ochokera ku Norway, Portugal ndi Croatia [6]. Olemba awa, mosiyana ndi omwe ali pamapepala apitayi, amavomereza kuti ED ali ndi amuna akuluakulu ndi ochepa, ndipo amapezadi ED komanso chilakolako chogonana chokhudzana ndi 40% ndi 31%, motero. Mosiyana ndi zimenezi, kafukufuku wosakanizidwa pa Intaneti pa 37 ndi mmodzi wa mapepalawa analemba kuti ED ya 2004% mwa amuna 5.8-35 [58]. Komabe, polemba kufotokozera, olembawo amanena kuti zolaula za pa Intaneti sizikuwoneka kuti ndizoopsa kwambiri kwa ED. Izi zikuwoneka ngati zowopsya, chifukwa amuna a Chipwitikizi omwe adawafunsa adafotokoza kuti anthu ambiri akugonana ndi a ku Norway, komanso a 40% a Chipwitikizi amatha kugwiritsa ntchito zolaula "pafupipafupi pa sabata kufikira tsiku lililonse", poyerekezera ndi a Norwegiya , 57%, ndi Croatians, 59%. Mapepalawa adatsutsidwa mwatsatanetsatane chifukwa chosagwiritsa ntchito mafanizo osiyanasiyana omwe angaphatikizepo mgwirizano wowongoka ndi wosagwirizana pakati pa mitundu yomwe imadziwika kapena yoganiza kuti ikugwira ntchito [59]. Mwachidziwikire, pamapepala okhudzana ndi zovuta zokhudzana ndi kugonana kuphatikizapo ambiri mwa omwe akufufuza nawo kuchokera ku Portugal, Croatia ndi Norway, amunawa anafunsidwa kuti ndi zifukwa ziti zomwe amakhulupirira kuti zathandiza kuti asakhale ndi chidwi chogonana. Zina mwa zina, pafupifupi 11% -22% anasankha "Ndimagwiritsa ntchito zolaula zambiri" ndipo 16% -26% anasankha "Ndimasewera modzidzimutsa" [60]

Monga momwe ine ndi madokotala a Navy tinafotokozera, pepalali lidapeza kulumikizana kofunikira kwambiri: Ndi 40% yokha ya amuna achi Portuguese omwe adagwiritsa ntchito zolaula "pafupipafupi," pomwe 60% ya anthu aku Norway adachita zolaula "pafupipafupi." Amuna achi Portuguese anali ndi vuto lochepa kwambiri logonana kuposa anthu aku Norway. Ponena za a Croatia, Landripet & Štulhofer, 2015 amavomereza mgwirizano wofunika kwambiri pakati pa kugwiritsira ntchito zolaula kawirikawiri ndi ED, komabe kudalira kukula kwake kuli kochepa. Komabe, izi zikhoza kukhala zonyenga malingana ndi MD yemwe ali wolemba masewera odziwa mbiri ndipo adalemba maphunziro ambiri:

Kusanthula njira ina (Chi squared),… kugwiritsa ntchito pang'ono (vs. kugwiritsa ntchito pafupipafupi) kudawonjezera zovuta (kuthekera) kokhala ndi ED pafupifupi 50% mwa anthu aku Croatia. Izi zikuwoneka zomveka kwa ine, ngakhale zili zochititsa chidwi kuti zomwe adapeza zimangopezeka pakati pa anthu aku Croatia.

Kuphatikiza apo, Landripet & Stulhofer 2015 inasiyanitsa mgwirizano wofunika kwambiri, womwe wa olembawo waperekedwa msonkhano wa ku Ulaya. Adanenanso za kulumikizana kwakukulu pakati pa kukanika kwa erectile ndi "zokonda zamtundu wina wa zolaula":

"Kufotokozera zosankha za mitundu yosiyanasiyana ya zolaula zinkakhudzana kwambiri ndi erectile (koma osati kukondera kapena kukonda chikhumbo) Kugonana kwa amuna. "

Ndikunena izi Landripet & Stulhofer anasankha kuchotsa mgwirizano waukulu pakati pa zovuta za erectile ndi zokonda za zolaula zosiyana siyana zomwe zili pamapepala awo. Zimakhala zachilendo kwa ogwiritsa ntchito zolaula kuti zikhale zosiyana ndi zofuna zawo zoyambirira zogonana, komanso kuti awonetsere ED pamene zolaulazi sizigwirizana ndi kugonana kwenikweni. Monga tafotokozera pamwambapa, ndizofunika kuyesa mitundu yosiyanasiyana yomwe imagwiritsidwa ntchito ndi zolaula - osati maola okha mwezi watha kapena kawirikawiri chaka chatha.

Chotsatira chachiwiri chosapezeka Landripet & Stulhofer 2015 okhudzidwa ndi amayi:

"Kuwonjezera zolaula zimagwiritsidwa ntchito pang'ono koma zimagwirizanitsa kwambiri ndi chiwongoladzanja chochepa cha kugonana pakati pa amayi ndi akazi komanso zachiwerewere zomwe zimafala pakati pa akazi. "

Kuphatikizika kwakukulu pakati pa kugwiritsira ntchito zolaula ndikuchepetsa libido komanso kusowa pogonana kumawoneka kofunikira. Bwanji sanatero Landripet & Stulhofer Lipoti la 2015 kuti apeza kulumikizana kwakukulu pakati pa kugwiritsira ntchito zolaula ndi kukanika kugonana kwa akazi, komanso amuna ochepa? Ndipo bwanji izi sizinafotokozedwe mu iliyonse ya Maphunziro ambiri a Stulhofer Kuchokera ku maselo ofanana omwewa? Magulu ake akuwoneka mofulumira kufalitsa deta omwe amadzinenera debunks-kupangitsa ED, koma mofulumira kwambiri kuuza amayi za zolakwika zogonana pogwiritsa ntchito zolaula.

Pomalizira, wofufuza kafukufuku wa zolaula ku Denmark Ndemanga zoyipa za Gert Martin Hald analongosola kufunikira kofufuza mitundu yambiri (oyanjanitsa, oyang'anira) kusiyana ndi kawirikawiri pa sabata mu miyezi yotsiriza ya 12:

"Kafukufukuyu sakulankhula za oyang'anira omwe angakhale otsogolera kapena oyimira pakati paubwenzi omwe aphunzira kapena kuthana ndi zovuta. Zowonjezerapo, pakufufuza zolaula, chidwi chimaperekedwa pazinthu zomwe zingakhudze kukula kapena kuwongolera maubwenzi omwe aphunziridwa (mwachitsanzo, oyang'anira) komanso njira zomwe zingakhudzire izi (mwachitsanzo, oyimira pakati). Kafukufuku wamtsogolo wokhudzana ndi zolaula komanso zovuta zakugonana atha kupindulanso ndikuphatikizira zina mwazoyang'ana izi.

Mfundo yofunika: Zovuta zonse zamankhwala zimaphatikizira zinthu zingapo, zomwe ziyenera kunyozedweratu zisanachitike zigamulo zili zoyenera. Landripet & Stulhofer ananena kuti, "Zithunzi zolaula sizikuwoneka ngati chiopsezo chachikulu cha chilakolako cha anyamata, mavuto a erectile, kapena zovuta”Imapita patali kwambiri, chifukwa imanyalanyaza zina zonse zomwe zingachitike zokhudzana ndi zolaula zomwe zitha kuyambitsa zovuta zogonana mwa ogwiritsa ntchito - kuphatikiza kuchuluka kwa mitundu ina, yomwe adapeza, koma sanatchulidwe mu" Kulankhulana Kwachidule. " Ndime 2 & 3 pokambirana zathu za Landripet & Stulhofer, 2015:

Apanso, maphunziro otsogolera angakhale othandiza kwambiri. Komabe, pokhudzana ndi maphunziro a mgwirizanowu, zikutheka kuti pali zovuta zosiyanasiyana zofufuzidwa kuti zithetsere zifukwa zomwe zimawopsyeza kuntchito m'masautso osagwirizana ndi achinyamata. Choyamba, mwina chilakolako chogonana, zovuta zolimbana ndi zibwenzi ndi erectile mavuto ndi zofanana ndi zolaula zokhudzana ndi zolaula, ndi kuti mavuto onsewa ayenera kuphatikizidwa pofufuzira zokhudzana zowunikira ndi zithunzi zolaula zimagwiritsidwa ntchito.

Chachiwiri, ngakhale kuti sizikudziwika bwinobwino kuti ndi zinthu ziti zomwe zingathe kuchititsa mavutowa, zowonjezera kuti ziwonetsedwe pamodzi ndi mafupipafupi owonetsa zithunzi zolaula zimagwiritsa ntchito (1) zaka zolaula-zothandizira kuonera zolaula; (2) chiŵerengero cha ejaculations ndi wokondedwa ku ejaculations ndi Internet zolaula; (3) kukhalapo kwa mafilimu owonetsa zolaula / chiwerewere; (4) chiwerengero cha zaka zolaula zolaula pa Intaneti zikugwiritsidwa ntchito; (5) pa nthawi yomwe zakale zogwiritsa ntchito zolaula za pa Intaneti zinayamba ndi ngati zinayambira usanafike msinkhu; (6) chizolowezi chowonetsa zolaula pa Intaneti chikugwiritsidwa ntchito; (7) kupita ku mitundu yoopsa kwambiri ya zolaula za pa Intaneti, ndi zina zotero.

Musanayambe kunena kuti tilibe chodetsa nkhaŵa kuchokera ku zolaula za intaneti, ofufuza akufunikanso kufotokoza za posachedwapa, Kukula kwakukulu ku ED komanso achinyamataNdipo Maphunziro ambiri ogwirizanitsa zolaula amagwiritsa ntchito pazochitika zogonana.

Kris Taylor amayendera ad hominem ndi kuwonetsera zabodza. Ndikuyankha.

KRIS TAYLOR: Gwero lake ndi izi pepala, zomwe zimapereka manambala omwe amachotsedwa awiri mapepala - sizomwe zimafotokoza zolaula ngati zomwe zimayambitsa. Osanena kuti wolemba wachiwiri wa pepalayi ndi Gary Wilson, wotchuka kwambiri wotsutsa zolaula zolaula.

Ine ndimanyalanyaza Taylor's ad hominem Kugonjetsa, koma ziganizo ziŵirizi zapamwamba zikuwonetsa machitidwe ake. Chigamulo choyamba chimasokoneza zomwe taphunzirazo pamabuku athu, pomwe kachiwiri kuyesa kuzitsutsa ndikunyalanyaza "kuyesetsa kutsutsa zolaula zolaula."

Monga tafotokozera, olemba anga aphatikizi amaphatikizapo madokotala a 7 US Navy, pakati pawo odwala matenda a 2, odwala a 2, ndi MD ali ndi PhD mu sayansi kuchokera ku John Hopkins. Olemba anzanga akhala akugwira ntchito yawo yochuluka (makamaka) anyamata. Pepalali linapereka ndondomeko ya chithandizo cha 3 ya servicemen, amene adayambitsa zolaula zogonana. Kodi Taylor adawona odwala chifukwa cha zovuta zogonana? Kodi iye adachitapo kafukufuku wamankhwala? Ziri bwino kuti cholinga cha Taylor chinali kulimbikitsa owerenga kuti asanyalanyaze pepalali, madokotala omwe adalemba, ndikungotenga mawu ake kuti alembedwe ndi pepala.

Ponena za Taylor kuti anditcha kuti "wokonda kwambiri zolaula," ndalongosola pamafunso angapo m'mbiri yanga komanso momwe ndidapangira kupanga www.yourbrainonporn mu 2011. (Kuti mumve zambiri onani izi Kuyankhulana kwa 2016 kwa ine ndi Noah B. Church.) Monga tafotokozera pa webusaitiyi "Pafupi" tsamba, Sindimakhulupirira Mulungu (monga makolo anga ndi agogo anga), ndipo ndale zanga zili owonera kumanzere. Ndinalibe lingaliro pa zolaula.

Zowonjezereka: Kupyolera mu fufu ya injini ya injini, pafupi ndi 2007 (posakhalitsa pambuyo pa kubwereza zithunzi zolaula), abambo akudandaula za zolaula zomwe zimapangitsa kuti erectile iwonongeke komanso kuchepa kwa abwenzi enieni anayamba kutumizira gawo la mkazi wanga lodziwika bwino lomwe linayambitsa zokambirana za kugonana maubwenzi. Kwa zaka zingapo zotsatira, amuna ambiri omwe ali ndi thanzi labwino pamsonkhano umenewu adachiza zovuta zawo za kugonana mwa kusiya zolaula. Pambuyo pake tinagwedeza za zochitika izi, chifukwa anthu ambiri adapeza zochitika zomwe anzanga akuwerenga. Pasanapite nthawi, azimayi anga adakondwera kwambiri ndi anyamata omwe akufuna kuti adziwononge zotsatira zosayembekezereka za kugwiritsa ntchito zolaula pa intaneti. Panthawi imeneyi, sitingathe kuwerengera kangati nthawi yomwe timapempha ophunzira ogonana kuti azitha kuwona zodabwitsazi. Iwo anakana.

N'zomvetsa chisoni kuti ambiri mwa amuna omwe akugonjetsedwa ndi zolaula anadzipha okha, poopa kuti adasweka chifukwa cha moyo wawo. Poyang'anizana ndi kupitiliza kuponyedwa miyala ndi akatswiri omwe ayenera kuti anali kufufuza zochitika za odwalawo, tinamva kuti tikufunikira kupanga malo omwe alipo omwe amapereka sayansi yeniyeni ndi nkhani za amuna omwe adapezekanso ndi zovuta zogonana zokhudzana ndi kugonana ( kuchepetsa kuchepa, kutaya zokopa kwa anthu enieni, ndi zosokoneza zosakhalitsa kapena zosakhulupirika). Www.yourbrainonporn.com anabadwa. Ngati izo zikugwira ntchito pa chirichonse, izo zingakhale zogonana.

Kodi aphunzitsi a Taylor angavomereze njira zake? Ngati afuna, adzipitiliza zambiri pa maphunziro ake.