麻豆传媒

News — Researchers at the Desai Sethi Urology Institute at the University of Miami Miller School of Medicine noticed an uptick in young men with psychogenic erectile dysfunction during the pandemic. This is erectile dysfunction that has no physical cause, but rather is anxiety induced, according to , associate professor of urology and director of reproductive urology at the Desai Sethi Urology Institute.

 “Most of the studies we do aim to solve patients’ problems, and this is a big concern among young men,” Dr. Ramasamy said. “We know that getting anxious before having intercourse results in a rise in heart rate and the release of adrenaline. When anxiety levels are high, even medications like Cialis or Viagra simply don’t work.”

 To better understand the problem, Dr. Ramasamy and colleagues would first have to determine what normal rises in heart rate look like in couples that do not have sexual dysfunction. They measured heart rate using Fitbit technology to noninvasively record heart rate changes during sexual activities. Many studies on physiological parameters during sex have relied on cumbersome research protocols or participants’ self-reports. Miller School researchers looked at whether they could overcome these limitations by having the subjects (3 men and 3 women with no sexual dysfunction concerns) wear the Fitbit Versa 3 device for the six-week study, recording when they had engaged in intercourse.

 The , and Dr. Ramasamy is presenting the data April 28 during the American Urological Association (AUA) 2023 meeting in Chicago.  

 “Basically, we found that the heart rates during sexual intercourse of young couples with normal sexual function fluctuate in patterns similar to those reported in the 1960s by Masters and Johnson,” Farhan Qureshi, a medical student at the University of Miami Miller School of Medicine and first author on the study, said. “Another exciting and important finding in this that wearable device technology is a convenient, privacy-preserving and reliable technology to measure physiologic changes during sexual activity.”

 Famous for their studies in human sexuality, observed subjects engaged in sexual activities and monitored physiologic changes during sex using devices that required wires connecting subjects to the technologies, as well as internal cameras.

 Interestingly, their controversial research methods identified four sexual arousal stages, excitement, plateau, orgasm, and resolution, which Miller School researchers confirmed decades later impact heart rate much like Master and Johnson reported.  

Dr. Ramasamy and colleagues found an initial rise in heart rate during the excitement phase, peak heart rate during the plateau and orgasm phases, and a decrease in heart rate (back to normal) during the resolution phase. 

“Now that we’ve captured ‘normal’ changes in heart using wearable technology, we have gotten approval to start recruiting patients with psychogenic sexual dysfunction to do similar research,” Farah Rahman, a medical student and MARS scholar at the Desai Sethi Urology Institute said. “We will gather data to help these men and women better understand why their sexual dysfunction is happening, why the medications don’t work and what they can do about it.”

This is only the beginning of sexual research using noninvasive wearable technology, according to Dr. Ramasamy.

“The outcomes from this study show promise in helping to diagnose problems with not only sexual dysfunction but also other psychological factors that impact sexual quality, such as premature ejaculation, and hypoactive sexual desire disorder” he said.