Sindine ndekha amene ndikuda nkhawa kwambiri ndi pepala la Nicole Prause & Jim Pfaus ED ( P&P ). Posachedwapa, Sexual Medicine Open Access inafalitsa Kalata kwa Mkonzi yolembedwa ndi Richard A. Isenberg MD , yomwe inanena zambiri zomwezo monga momwe ndinachitira ndi ndemanga yanga.
Monga mwachizolowezi kalata yotsutsa kafukufuku ikasindikizidwa, olemba kafukufukuyu adapatsidwa mwayi woyankha. Yankho la Prause lodzitukumula lotchedwa “ Red Herring: Hook, Line, and Stinker ” silimangopewa mfundo za Isenberg (ndi zanga), lili ndi malingaliro atsopano angapo olakwika komanso mawu angapo abodza. Ndipotu, yankho la Prause ndi utsi wokha, magalasi, mawu onyoza opanda maziko, ndi mabodza. Kuphatikiza apo, onani zokambirana izi pa twitter pomwe Prause amayesa kusintha mawu onyoza okhudza Isenberg m'malo mwa mawu ake ambiri omveka bwino:
" @ DrDavidLey ndithudi kalata yoseketsa kwambiri yomwe ndakhala nayo mwayi wofalitsa. Ndi yosangalatsa pamene wolemba woyamba sangathe kulemba, kuwerengera, kapena kuganiza!"
N'zomvetsa chisoni kuti anasangalala m'malo moyankha nkhawa zake. Akuwoneka kuti akulemba nkhani ya Big Fish Story yodzaza ndi mawu abodza komanso malingaliro olakwika. Ndiyankha zomwe Prause akunena motsatira momwe adayankhira.
Zosowa Zopanda
Pemphero limayamba ndi kunena molimba mtima kuti Isenberg analakwitsa, ndipo anali atawerengera kale anthu 280 omwe adachita nawo:
"Wolembayo akufotokoza za" kusiyana" kwa chiwerengero cha ophunzira, koma palibe kusiyana komwe kulipo. Gome 1 likuwonetsa ophunzira onse 280, kuphatikizapo chitsanzo chachiwiri chokhala ndi zigoli za International Index of Erectile Function (IIEF)."
Iyi ndi yoyamba mwa mawu ambiri abodza a Prause. N'zosakayikitsa kuti panali kusiyana mu pepala lake loyambirira, ndipo izi sizinafotokozedwebe. Mwachitsanzo, kodi Prause tsopano akunena bwanji kuti kuchokera pa maphunziro 234 omwe Dr. Isenberg adawerengera mu maphunziro anayi oyambira kufika pa 280, mitu yonse yomwe adanena? Zosavuta. Tsopano akunena kuti kafukufuku wachisanu ulipo: Moholy ndi Prause (zozunguliridwa pansipa). Uwu ndi kafukufuku wosasindikizidwa womwe sunatchulidwe mu pepala loyambirira la Prause & Pfaus ED. Palibe amene angawone, kotero palibe amene angawuyang'ane kapena kuutsutsa!
Pepala losasindikizidwa, lomwe silingavomerezedwe kuti lisindikizidwe, tsopano lalembedwera mopanda manyazi komanso molakwika papepala lomwe lidalipo, lomwe lidasindikizidwa kale (ndikuwunikiranso kuti anzawo akuwunikanso). Kodi mungasindikize bwanji kafukufuku ndikunena kuti awunikiranso anzanu, pomwe zomwe zili ndizomwe zanenedwa sizinawunikiridwe ndi anzawo? Ndikunenerani zimenezo.
Pepala loyambirira la P&P ED limanena momveka bwino (molakwika) kuti anthu onse ndi deta zinatengedwa kuchokera ku maphunziro anayi awa ( phunziro 1 , phunziro 2 , phunziro 3 , phunziro 4 ):
"Amuna mazana awiri mphambu makumi asanu ndi atatu adatenga nawo mbali pa maphunziro anayi osiyanasiyana omwe adachitidwa ndi wolemba woyamba. Deta iyi yasindikizidwa kapena ikuwunikidwanso [33-36] ,"
Mwina pepala loyambirira la ED ilibe lolondola, kapena yankho lachilendo lomwe likupezeka pa 5th, kuphunzira kosavomerezeka ndi dzanja laling'ono.
Chifukwa chiyani pepala lachinsinsi lachisanu siliwonjezera magawo azinthu zilizonse patebulopo? Onani pansipa mutu wake patebulo lake (pamwambapa) ndipo muwona ma zero awiri akuluakulu. Nsomba kwambiri.
Komabe, monga momwe ndafotokozera mu ndemanga yanga yoyambirira, 280 inali nambala yopanda kanthu, yotchulidwa pamutu wokha. Pepala la P&P linkanenedwa kuti linali lonena za ED mwa amuna 280 (sic), koma linanena kuti ziwerengero zogwirira ntchito za erectile kwa amuna 127 okha (IIEF). Ndipo ngakhale chiwerengero chimenecho (chotsika kale kuposa 280 m'mitu yankhani) sichinathandizidwe ndi maphunziro anayi oyambira omwe pepala la ED likunena kuti ndi okhazikika. Ndiko kuti, P&P mwina inanena kuti amuna 127 (kapena 133) adatenga IIEF, koma maphunziro oyambira adanenanso za anthu 47 okha . Kusiyana kumeneku sikunafotokozedwebe.
Tebulo lake likuwonetsa kupumula kwachiwiri. Prause tsopano akunena kuti amuna 92, ochokera mu kafukufuku m'modzi mwa anayi ( Moholy et al ), adatenga IIEF. Vuto loyamba: kafukufukuyu sanatchulepo za IIEF. Vuto lachiwiri, lalikulu kwambiri: kafukufukuyu amalemba amuna 61 okha (tebulo 1 tsamba 4). Inde, ndikuganiza kuti nsomba 31 zathawa.
Chidule cha mawu atsopano a Prause:
- Pemphero limaphatikiza phunziro la 5th losasindikizidwa palibe amene angayesetse kuyesa nkhani yake-kuwerengera ku 280: Mwaulemu ndi Pembedzero (powunikiridwa). Kukula kwatsopano kumeneku kumatsutsana mwachindunji ndi pepala la P&P ED. Mosakayikira, amuna 52 owonjezerawo sanapezeke kwina kulikonse papepala loyambirira la P&P ED.
- Kuti apite kwa amuna a 127 ku IIEF, Pemphero limalengeza kuti amuna omwe akusowa 92 analipo panopa Moholy et al. Mwatsoka, phunzirolo silinatchulepo za IIEF, ndipo limatchula maphunziro a amuna a 61 okha.
Ndikuganiza kuti ndiyenera kuwonjezera kusiyana kwina ndi zolakwika ziwirizi pa zisanu ndi zitatu zomwe ndalemba mu ndemanga yanga yoyambirira . Mwa njira, 1 ndi 2 pamwambapa zikusonyeza kuti ndime yake yomwe imayamba ndi " Kusanthula kwachiwiri ..." ndi yopanda tanthauzo.
Phunziro Lililonse Linagwiritsidwa Ntchito Zosiyanasiyana Zojambula
Mitu ya nkhani ya P&P ED nthawi zonse inkanena kuti kugwiritsa ntchito zolaula kumawonjezera chilakolako chogonana. Modabwitsa, Jim Pfaus adanama poyankhulana pa TV kuti P&P adayesa luso la amuna lopeza chilakolako chogonana mu labu. Pfaus adatinso zabodza: " Tapeza mgwirizano wapakati ndi kuchuluka kwa zolaula zomwe amaonera kunyumba, komanso nthawi zomwe amapeza chilakolako chogonana zimakhala zachangu ."
Ndipotu, kafukufukuyu anangopempha amuna kuti ayese chilakolako chawo akangoonera zolaula. Palibe kukhwima kapena kuchedwa komwe kunayesedwa. Zomwe anapeza: Amuna omwe amaonera zolaula zambiri adayesa chilakolako chawo cha kugonana kwambiri kuposa amuna omwe amaonera zolaula zochepa. Izi zimatchedwa sensitization , osati "magwiridwe antchito abwino". Ma P&P amanena kuti kugwiritsa ntchito zolaula kumabweretsa chilakolako chachikulu kumadalira maphunziro onse anayi omwe amagwiritsa ntchito sikelo yofanana ya chilakolako ndi chilimbikitso chomwecho. Palibe chomwe chidachitika.
Pembedzero limayesa kufotokozera kuti palibe m'modzi mwa maphunziro ake anayi omwe adagwiritsa ntchito "kukweza" komweko pakuwona zolaula. Nazi zomwe pepala loyambirira la P&P ED lidanenadi:
"Amuna adafunsidwa kuti asonyeze kuchuluka kwa "chilakolako chawo chogonana" kuyambira 1 "osati konse" mpaka 9 "kwambiri ."
Monga momwe ine ndi Isenberg tinanenera, kafukufuku mmodzi yekha mwa anayi omwe analipo adagwiritsa ntchito sikelo ya 1 mpaka 9. Mmodzi adagwiritsa ntchito sikelo ya 0 mpaka 7, wina adagwiritsa ntchito sikelo ya 1 mpaka 7, ndipo kafukufuku wina sananene kuti anali ndi chilakolako chogonana. Chosokoneza kwambiri, chithunzi cha chilakolako chogonana chomwe chili mu pepala la P&P chidagwiritsa ntchito sikelo ya 1 mpaka 7. Zolakwika ziwiri zowonekera bwino mu pepala loyambirira.
M'malo mopepesa chifukwa cha mawu abodza a pepala loyambirira ndi zolakwika za graph, Prause tsopano akupereka phunziro ku Isenberg pa zomwe ofufuza angachite mwachiphunzitso ndi masikelo osiyanasiyana a manambala:
"Wolemba kalatayo adanenanso zabodza kuti:" Zotsatira zamiyeso yosiyanasiyana ya Likert sizingayende ". Inde ali! M'malo mwake, pali njira zosachepera zitatu kusiyanitsa izi. ”
Ndizosangalatsa kudziwa, koma palibe chisonyezero chilichonse chakuti Pembedzero lidalumikiza mamba anayi osiyana siyana. Ndikuganiza kuti sanakhale 1) akananena choncho, 2) imodzi mwamaphunziro ake inali yopanda malire, kotero sakanaphatikizidwa pogwiritsa ntchito njira iliyonse, ndipo 3) adakana kuvomereza zolakwa zake zoyambirira, nanga bwanji kuvomereza ichi?
Maphunziro Amagwiritsa Ntchito Zosiyana Zogonana
Sikuti maphunziro anayi okha omwe anali ndi miyeso yosiyana ya chilakolako cha kugonana (kapena palibe), koma adagwiritsa ntchito zolimbikitsa zosiyanasiyana. Maphunziro awiri mwa awa adagwiritsa ntchito filimu ya mphindi zitatu ; kafukufuku wina adagwiritsa ntchito filimu ya masekondi 20 ; ndipo kafukufuku wina adagwiritsa ntchito zithunzi zokha . Palibe wofufuza amene angachite zimenezo ndikuyembekezera zotsatira zenizeni. Zatsimikizika bwino kuti mafilimu ndi olimbikitsa kwambiri kuposa zithunzi . Chodabwitsa ndichakuti pepala loyambirira la P&P ED limanena zabodza kuti maphunziro onse anayi adagwiritsa ntchito mafilimu ogonana:
"VSS yomwe inapezeka mu maphunzirowo inali mafilimu onse."
Ndiye kodi Prause amathetsa bwanji vuto lodziwika bwino la njira imeneyi ndi mawu abodza a kafukufuku wake? Ndi mawu ena abodza, kapena awiri, olembedwa molimba mtima:
" Wolembayo adanenanso zabodza kuti zolimbikitsa zimasiyana pakati pa maphunziro ndipo izi sizinali " zolamulidwa ". Tinayesa ndikulamulira zolimbikitsa monga momwe tafotokozera m'nkhani yathu yoyambirira ("chilakolako chogonana chomwe chinanenedwa sichinasiyane ndi kutalika kwa filimu, kotero deta idasweka pamaphunziro onse a kusanthula uku", p. E4)."
Mawu abodza oyamba: Palibe paliponse pomwe Dr. Isenberg ananena kuti zoyambitsa "sizinayendetsedwe."
Chiganizo chachiwiri chabodza: Zoyambitsazo zinasiyana malinga ndi kafukufuku: filimu ya mphindi 3, filimu ya masekondi 20, zithunzi.
"Kulamulidwa ndi" sikuli ndi tanthauzo pano, ndipo Prause akukana kunena momwe adakwanitsira kuchita zosatheka mwamatsenga: kulamulira anyamata ena akuonera zithunzi, pomwe ena adawonera makanema olaula a mphindi zitatu.
Zina mwazolembazo zinali Gay
Pemphero limayamba ndime yake yotsatira ndi mawu ena onyenga:
"Pomaliza, mosiyana ndi zomwe wolembayo akunena, panalibe amuna "ogonana amuna anayi" mu kafukufuku aliyense ."
Ponena za "gay" kokha kwa Dr. Isenberg kunali mndandanda wa "kuphatikiza amuna ogonana amuna kapena akazi okhaokha 4" patebulo lake pansi pa kafukufuku wa Prause " Zosankha za Zomwe Zimagwirizana ndi Kugonana mu Multidimensional Scaling Analysis: An Individual Difference Perspective (2013, Prause, Moholy, Staley). Kuchokera patsamba 2 la kafukufukuyu.
"Ophunzira onse azaka 157 ( N = 47 amuna, 1 transgender ) a zamaganizo azaka zoposa 18 adatenga nawo gawo posinthana ndi ngongole ya maphunziro. Ambiri mwa iwo adanenedwa kuti anali amuna kapena akazi okhaokha. Amuna anayi adanenedwa kuti anali amuna kapena akazi okhaokha ndipo anayi adanenedwa kuti anali amuna kapena akazi okhaokha ."
Amuna anayi ogonana amuna okhaokha, monga adanenera Dr. Isenberg. Zikuwoneka kuti Isenberg amatha "masamu" okwanira kudziwa kuti 4 amatanthauza 4.
N’chifukwa chiyani Dr. Isenberg adalemba amuna anayi ogonana amuna kapena akazi okhaokha patebulo? Zadziwika bwino (ndipo ndi nzeru zachibadwa) kuti amuna ogonana amuna kapena akazi okhaokha ndi amuna odziona ngati amuna kapena akazi okhaokha ali ndi mayankho osiyana kwambiri muubongo pa zolaula za amuna kapena akazi okhaokha. Kuphatikiza amuna ogonana amuna kapena akazi okhaokha, monga momwe Prause adachitira, kumasokoneza zotsatira za "chilakolako cha kugonana" ndi ubale wake ndi zomwe zachitika. Izi zimakayikitsa zomwe adapeza.
Mu maphunziro a ubongo okhudza kuledzera, kapena machitidwe okakamiza, zotsatira zenizeni zimadalira anthu ofanana. Mwachidule, anthu ayenera kukhala amuna kapena akazi okhaokha, zaka zofanana, IQ zofanana, ndipo nthawi zambiri, onse okhala ndi dzanja lamanja kuti apange zotsatira zenizeni. Prause amanyalanyaza malamulo wamba mwa kukhala ndi amuna, akazi ndi omwe si amuna kapena akazi okhaokha omwe amaonera zolaula za amuna kapena akazi okhaokha. Simungathe kuchita zimenezo, chifukwa maphunziro ambiri amatsimikizira kusiyana kwakukulu pakati pa amuna ndi akazi poyankha zithunzi zogonana ( 1 , 2 , 3 , 4 , 5 ).
Ichi ndi chimodzi mwa zifukwa zosiyanasiyana zomwe kafukufuku wa Prause wa 2013 EEG wokhudza ogwiritsa ntchito zolaula adatsutsidwa kwambiri . Mitu ya kafukufukuyu inali yosiyana (akazi, amuna, akazi kapena amuna kapena akazi okhaokha, omwe si amuna kapena akazi okhaokha), komabe onse adawonetsedwa zithunzi zofanana za amuna ndi akazi. Izi zokha zimatsimikizira zomwe kafukufukuyu akunena kuti "zimatsutsa chizolowezi cha zolaula." Dziwani kuti Prause walengeza kale kuti wagwiritsa ntchito cholakwika chomwecho (nkhani zosiyanasiyana) mu kafukufuku , yemwe akutsimikiziranso kuti amatsutsa chizolowezi cha zolaula. Kuchokera patsamba lake la SPAN Lab :
Kodi ndi wasayansi uti amene amalengeza pa akaunti yawo ya twitter komanso tsamba lawo lawebusayiti kuti kafukufuku wawo wosasindikizidwa "wosalemba" gawo lonse la kafukufuku?
Maola Ndi Mlungu Sindinatanthauzidwe
Gawoli likufotokoza pang'ono, koma likutitsogolera ku mawu ena abodza a Prause . Mu ndime yotsatirayi, Dr. Isenberg akufotokoza kuti P&P inalephera kufotokoza mokwanira maola ogwiritsira ntchito zolaula pa sabata. Mwa kuyankhula kwina, Prause analephera kunena ngati maola pa sabata amatanthauza sabata yapitayo, kapena mwezi, kapena chaka, kapena ndani akudziwa.
ISENBERG: "Maonekedwe omwe amaonedwa maola okhawo sadziwika bwino. Sitimauzidwa ngati lipoti lodzidziwitsa la sabata yatha, pafupifupi chaka chatha, kapena lidangotsala pang'ono kutanthauzira. Kodi panali anthu omwe kale anali ogwiritsa ntchito zolemetsa omwe anali atangodula kapena kuchotsa zolaula zawo? Ngati palibe chidziwitso chodziwika bwino komanso chosasinthasintha, zogwiritsa ntchito zolaula ndizosamveka. ”
Pemphero limayankha mwa kutiuza zomwe tikudziwa kale - zomwe anati " maola pa sabata ":
"Wolemba akuti sitinafotokozere mokwanira momwe amaonera kanema wogonana. Tinafotokoza zosinthazi m'malo osachepera 13 pamanja. ("Avareji yamlungu")
Apanso, Dr. Isenberg amafuna kudziwa: Kodi mukufunsa mafunso za "sabata lapitalo", kapena "chaka chatha", mwina "kuyambira pomwe mudayamba kuwonera zolaula", kapena nthawi ina? Pembedzero limathetsa kubwereza kwawo kwa ndime ziwiri ndikunena zabodza linanso:
Funso linali lofanana ndi lomwe lafotokozedwa , “ Kodi munagwiritsa ntchito nthawi yochuluka bwanji pa sabata mukugwiritsa ntchito zolaula mwezi watha? ” ndi bokosi la mayankho lomwe lili ndi “maola” ofotokozera omwe angasonyeze ola limodzi.”
Fufuzani pepala la P&P ED ndipo simupeza funso lotere (kutchula mwezi watha).
Pembedzero limatsatira chonama ichi ndimindime ziwiri zotsutsa kuti maola pa sabata ndiyeso yoyenera. Dr. Isenberg sanali kunena za "kuyenera" kwake. Anangonena kuti zomwezo sizingatanthauziridwe osadziwa momwe omvera amvera funso. Popeza amayenera kunama kuti ayankhe zomwe Isenberg ananena, mwina mawu a Prause ndi hering'i ofiira omwe amatchulira ulemu wake.
Zambiri Zambiri Kusiyana Maola Amodzi Pa Sabata
Funso limodzi lofala kwambiri lomwe limafunsidwa pa malo ochezera a pa Intaneti ndi lakuti, “N’chifukwa chiyani ndinayamba kuchita PIED pamene anzanga amaonera zolaula zambiri (kapena zambiri) kuposa ine?” M’malo mwa maola aposachedwa okha pa sabata, kuphatikiza kwa zinthu zosiyanasiyana kumawoneka kuti kumakhudzidwa ndi ED yoyambitsidwa ndi zolaula. Dr. Isenberg akuwonetsa kufunika kofufuza zinthu zina zambiri musananene, monga momwe olembawo amachitira, kuti ED yoyambitsidwa ndi zolaula ndi nthano chabe (ndipo satchulanso zachilendo zowonera zolaula pa intaneti, zomwe mwina ndizofunikira kwambiri):
ISENBERG: "Kuphatikiza apo, olembawo sanena za momwe zithunzi zolaula zimagwiritsidwira ntchito, zaka zomwe zayamba, kuchuluka kwa anthu omwe agonana ndi mnzanu zomwe zingakhudze kugonana kwa amuna [ 11,12 ] ."
Mu chiganizo chomwe chili pamwambapa, Dr. Isenberg akufotokoza maphunziro awiri ngati zitsanzo za kafukufuku omwe adafufuza mitundu iwiri yowonjezera : chidule 11 chomwe chinagwiritsa ntchito 'zaka zogwiritsa ntchito zolaula', ndi chidule 12 chomwe chinagwiritsa ntchito 'zaka zoyambira kugwiritsa ntchito zolaula'. Prause akugwiritsa ntchito ndime yotsatira akutsutsa munthu wosuta , yemwe ndi kuti Dr. Isenberg adati maphunziro onse awiriwa adayesa mtundu uliwonse womwe adalemba. Nchifukwa chiyani sanafotokoze chifukwa chake sanafunse anthu omwe adawaphunzitsa za mitundu yofunika asanaganize kuti zolaula sizoyambitsa vuto la achinyamata?
Avereji Erectile Scores Kwenikweni Awonetseni ED
Pomwe Prause amavomereza kuyang'anira kumodzi kokha, ndizoyenera kuti akuwonjezeranso mawu ena olakwika kupepesa kwake (molimba mtima):
"Timazindikiranso kuti tinanenapo kuti IIEF inali sikelo ya "19-item" (p. E3). Sikeloyo kwenikweni ndi sikelo ya zinthu 15. Tikupepesa kwambiri chifukwa cha kunyalanyaza kwakukulu kumeneku, ngakhale kuti zigoli, zotsatira, ndi ziganizo zinali zolondola komanso zimasonyeza ntchito yabwinobwino ya kugonana "
Monga momwe ndanenera mu ndemanga yanga, P&P inanena kuti chiwerengero chapakati cha 21.4 mwa 30 cha 6-item IIEF (zaka zapakati pa 23). Izi sizikutanthauza kuti "ntchito yachibadwa ya kugonana" mwa azaka 23. Ndipotu, chiwerengerochi chimasonyeza "kulephera kugonana pang'ono" , komwe kumadalira "kulephera kugonana pang'ono".
Komatu Palibe Dongosolo Lotsutsana ndi Ma IIEF Ndi Zogwiritsa Ntchito Zolaula
Isenberg ankadandaula kuti P & P imapereka chidziwitso chokwanira chonena kuti palibe kulumikizana komwe kulipo pakati pa ziwonetsero za IIEF ndi maola owonedwa sabata:
ISENBERG: Chododometsa kwambiri ndichakuti kusiyidwa kwathunthu kwamanambala pazotsatira 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 olemba akuti erectile imagwira ntchito ndi bwenzi litha kusinthidwa ndikuwona zolaula kuti kusowa kwa ziwerengero ndizowopsa kwambiri.
Red Heringer imatisiya tikulendewera pamavuto awa. Talingaliridwa kuti tipeze malingaliro a olemba "mbedza, mzere ndi kununkha."
Mafunso Adadzutsidwa Zokhudza "Strong" za P & P Kupeza
Chotsatira chotsatira, chochokera m'ndime yachiwiri, chimanena kuti Isenberg adalephera kufunsa mafunso za "kulimba" kwa P & P. Werengani mosamala pamene Pembedzero limasintha mawu ofunikira kuti owerenga azinyenga:
"Palibe mafunso omwe adabuka okhudza zomwe zapezeka kuti amuna ambiri akamaonera mafilimu ogonana kunyumba kwawo, chilakolako chogonana chimakula kwambiri . Ndipotu, zotsatirazi zidafotokozedwa kuti 'si zachilendo kwenikweni'."
Kodi zomwe zapezeka zenizeni ndi ziti? Anyamata omwe adaonera zolaula zambiri adapeza chikhumbo chachikulu chofuna kugonana ndi chibwenzi chawo . Mu zomwe zili pamwambapa, Prause sanafunenso kuchita maliseche (mwina zolaula), ndipo zimatipangitsa kukhulupirira kuti mafunso omwe adafunsidwa adafotokoza chilakolako chogonana cha " mnzawo" . Sizinali choncho. Kuchokera ku kafukufuku wa P&P ED:
"Amuna adanena kuti akufuna kugonana ndi mnzawo komanso kuti akufuna kugonana okhaokha "
Pemphero linawonjezera "zawo" ndikuchotsa "kugonana payekha". Popeza mawu a funsoli anali "kugonana ndi mnzawo ", anthu okonda zolaulawa akanathanso kuganiza za kugonana ndi nyenyezi yawo yokonda zolaula. Ndikuganiza kuti ambiri anali, chifukwa ambiri mwa anthuwa analibe okondedwa (50% mu kafukufuku umodzi).
Ndipotu, "chilakolako" chachikulu chodziseweretsa maliseche, kapena kugonana, chingakhale umboni wa kukhudzidwa , komwe kumawonjezera mphamvu ya circuit circuit ndi chilakolako pamene munthu akuona zolaula. Kuzindikira kungakhale chiyambi cha, kapena umboni wa chizolowezi.
Kafukufuku waposachedwa wa ku Cambridge University adapeza kuti ogwiritsa ntchito zolaula kwambiri amatha kukhala ndi chilakolako chachikulu (zilakolako), komanso amakumana ndi mavuto okhudzana ndi kugonana ndi wokondedwa wawo. Ubongo wa ophunzirawo umawala kwambiri akamawonetsa zolaula, komabe 60% mwa iwo adanenanso kuti ali ndi mavuto okhudzana ndi kugonana ndi wokondedwa wawo . Kuchokera ku kafukufuku wa ku Cambridge :
"Mitu ya CSB idatinso chifukwa chogwiritsa ntchito kwambiri zolaula ... ..adakumana ndi kuchepa kwa libido kapena ntchito ya erectile makamaka mu ubale weniweni ndi akazi (ngakhale sanali ogwirizana ndi zolaula)"
Mwachidule, palibe chifukwa chonenera kuti wogwiritsa ntchito zolaula amafuna kwambiri kuseweretsa maliseche ndikugonana kumaneneratu magwiridwe antchito mchipinda chogona. Kumbukirani, kuchuluka kwakukonzekera kwamaphunziro a P&P kukuwonetsa ED.
Pembedzero Tweets & Zolemba Poyankha Kwake
Apa Prause poyamba adalemba pa Twitter za yankho lake ku ndemanga ya Isenberg:
"Red Hering: Hook, Line, ndi Stinker" Zosangalatsa zathu, zosindikizidwa poyankha zonena zamisala zopangidwa ndi magulu odana ndi zolaula
Tsiku lotsatira Mndandanda wamapemphero awa pa webusaiti yake ya SPAN lab:
Zodabwitsa. Monga mwawerenga pamwambapa, zomwe Isenberg ananena ndizovomerezeka, pomwe a Prause amalankhula zabodza pambuyo ponama. Kuphatikiza apo, akuyesera kuwonjezera kafukufuku wosasindikizidwa atakakamizidwa kuti akwaniritse zomwe adafalitsa 280. Amagwiritsa ntchito maphunziro a IIEF omwe sangakhaleko ndi kuvomereza kwawo kale. Kenako amatcha a Uro-gynecologist Isenberg kuti ndi "gulu lotsutsana ndi zolaula." Khalani omasuka ku Google dzina lake. Mudzawona kuti wasindikiza maphunziro owunikiridwa ndi anzawo, komabe sananenepo mawu omwe anali otsutsana ndi zolaula. Spin osalankhula zomwe zili.
Nchifukwa chiyani Sexual Medicine Open Access yalola Prause kufalitsa mawu ambiri abodza mu pepala loyambirira la P&P komanso yankho lake kwa Isenberg? Nchifukwa chiyani mafunso a Isenberg sanatengedwe mozama ndikuyankhidwa mwaukadaulo? Nchifukwa chiyani palibe kafukufuku wozama pa chifukwa cha kukwera kwadzidzidzi kwa chiwerengero cha ED m'zaka zingapo zapitazi? Chiwerengero cha anyamata chakwera kwambiri kufika pafupifupi 30%.