Frequency of sexual activity and prostatic health: Fact or fairy tale?

Steven J. Jacobsen, Debra J. Jacobson, Daniel E. Rohe, Cynthia J. Girman, Rosebud O Roberts, Michael M. Lieber

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Objectives. To evaluate whether the symptoms associated with benign prostatic hyperplasia can be aggravated by infrequent sex, which has been suggested historically, using cross-sectional data from the Olmsted County Study of Urinary Symptoms and Health Status Among Men. Methods. In 1989 and 1990, 2115 white men between the ages of 40 and 79 years were recruited from a random sample of Olmsted County residents (55% participation rate). During follow-up, these men completed a self-administered questionnaire that assessed lower urinary tract symptom severity, and 81% reported the frequency of ejaculation during the previous month. Results. Overall, men who reported ejaculating at least once a week were less likely to have moderate to severe (International Prostate Symptom Score greater than 7) symptoms than men reporting no ejaculations (odds ratio 0.62, 95% confidence interval 0.51 to 0.75). The dose-response relation was strong, with men who reported more frequent ejaculations having the lowest prevalence of moderate to severe symptoms. Similar associations were seen for peak urinary flow rates, prostate volume, and health-related quality of life. The associations with urologic measures did not exist within the age decade, however. Thus, after adjusting for age, the odds ratio for ejaculation frequency and symptom severity was 0.99 (95% confidence interval 0.79 to 1.24) and was similar for peak urinary flow rates and prostate volume. Conclusions. These cross-sectional data suggest that the frequency of ejaculation has no effect on lower urinary tract symptoms, peak urinary flow rates, or prostate volume; the apparent protective association appears to be an artifact caused by the confounding effects of age.

Original languageEnglish (US)
Pages (from-to)348-353
Number of pages6
JournalUrology
Volume61
Issue number2
DOIs
StatePublished - Feb 1 2003

Fingerprint

Ejaculation
Sexual Behavior
Prostate
Health
Lower Urinary Tract Symptoms
Odds Ratio
Confidence Intervals
Prostatic Hyperplasia
Artifacts
Health Status
Quality of Life

ASJC Scopus subject areas

  • Urology

Cite this

Jacobsen, S. J., Jacobson, D. J., Rohe, D. E., Girman, C. J., Roberts, R. O., & Lieber, M. M. (2003). Frequency of sexual activity and prostatic health: Fact or fairy tale? Urology, 61(2), 348-353. https://doi.org/10.1016/S0090-4295(02)02265-3

Frequency of sexual activity and prostatic health : Fact or fairy tale? / Jacobsen, Steven J.; Jacobson, Debra J.; Rohe, Daniel E.; Girman, Cynthia J.; Roberts, Rosebud O; Lieber, Michael M.

In: Urology, Vol. 61, No. 2, 01.02.2003, p. 348-353.

Research output: Contribution to journalArticle

Jacobsen, SJ, Jacobson, DJ, Rohe, DE, Girman, CJ, Roberts, RO & Lieber, MM 2003, 'Frequency of sexual activity and prostatic health: Fact or fairy tale?', Urology, vol. 61, no. 2, pp. 348-353. https://doi.org/10.1016/S0090-4295(02)02265-3
Jacobsen SJ, Jacobson DJ, Rohe DE, Girman CJ, Roberts RO, Lieber MM. Frequency of sexual activity and prostatic health: Fact or fairy tale? Urology. 2003 Feb 1;61(2):348-353. https://doi.org/10.1016/S0090-4295(02)02265-3
Jacobsen, Steven J. ; Jacobson, Debra J. ; Rohe, Daniel E. ; Girman, Cynthia J. ; Roberts, Rosebud O ; Lieber, Michael M. / Frequency of sexual activity and prostatic health : Fact or fairy tale?. In: Urology. 2003 ; Vol. 61, No. 2. pp. 348-353.
@article{301b717739a44d518399d3511076f746,
title = "Frequency of sexual activity and prostatic health: Fact or fairy tale?",
abstract = "Objectives. To evaluate whether the symptoms associated with benign prostatic hyperplasia can be aggravated by infrequent sex, which has been suggested historically, using cross-sectional data from the Olmsted County Study of Urinary Symptoms and Health Status Among Men. Methods. In 1989 and 1990, 2115 white men between the ages of 40 and 79 years were recruited from a random sample of Olmsted County residents (55{\%} participation rate). During follow-up, these men completed a self-administered questionnaire that assessed lower urinary tract symptom severity, and 81{\%} reported the frequency of ejaculation during the previous month. Results. Overall, men who reported ejaculating at least once a week were less likely to have moderate to severe (International Prostate Symptom Score greater than 7) symptoms than men reporting no ejaculations (odds ratio 0.62, 95{\%} confidence interval 0.51 to 0.75). The dose-response relation was strong, with men who reported more frequent ejaculations having the lowest prevalence of moderate to severe symptoms. Similar associations were seen for peak urinary flow rates, prostate volume, and health-related quality of life. The associations with urologic measures did not exist within the age decade, however. Thus, after adjusting for age, the odds ratio for ejaculation frequency and symptom severity was 0.99 (95{\%} confidence interval 0.79 to 1.24) and was similar for peak urinary flow rates and prostate volume. Conclusions. These cross-sectional data suggest that the frequency of ejaculation has no effect on lower urinary tract symptoms, peak urinary flow rates, or prostate volume; the apparent protective association appears to be an artifact caused by the confounding effects of age.",
author = "Jacobsen, {Steven J.} and Jacobson, {Debra J.} and Rohe, {Daniel E.} and Girman, {Cynthia J.} and Roberts, {Rosebud O} and Lieber, {Michael M.}",
year = "2003",
month = "2",
day = "1",
doi = "10.1016/S0090-4295(02)02265-3",
language = "English (US)",
volume = "61",
pages = "348--353",
journal = "Urology",
issn = "0090-4295",
publisher = "Elsevier Inc.",
number = "2",

}

TY - JOUR

T1 - Frequency of sexual activity and prostatic health

T2 - Fact or fairy tale?

AU - Jacobsen, Steven J.

AU - Jacobson, Debra J.

AU - Rohe, Daniel E.

AU - Girman, Cynthia J.

AU - Roberts, Rosebud O

AU - Lieber, Michael M.

PY - 2003/2/1

Y1 - 2003/2/1

N2 - Objectives. To evaluate whether the symptoms associated with benign prostatic hyperplasia can be aggravated by infrequent sex, which has been suggested historically, using cross-sectional data from the Olmsted County Study of Urinary Symptoms and Health Status Among Men. Methods. In 1989 and 1990, 2115 white men between the ages of 40 and 79 years were recruited from a random sample of Olmsted County residents (55% participation rate). During follow-up, these men completed a self-administered questionnaire that assessed lower urinary tract symptom severity, and 81% reported the frequency of ejaculation during the previous month. Results. Overall, men who reported ejaculating at least once a week were less likely to have moderate to severe (International Prostate Symptom Score greater than 7) symptoms than men reporting no ejaculations (odds ratio 0.62, 95% confidence interval 0.51 to 0.75). The dose-response relation was strong, with men who reported more frequent ejaculations having the lowest prevalence of moderate to severe symptoms. Similar associations were seen for peak urinary flow rates, prostate volume, and health-related quality of life. The associations with urologic measures did not exist within the age decade, however. Thus, after adjusting for age, the odds ratio for ejaculation frequency and symptom severity was 0.99 (95% confidence interval 0.79 to 1.24) and was similar for peak urinary flow rates and prostate volume. Conclusions. These cross-sectional data suggest that the frequency of ejaculation has no effect on lower urinary tract symptoms, peak urinary flow rates, or prostate volume; the apparent protective association appears to be an artifact caused by the confounding effects of age.

AB - Objectives. To evaluate whether the symptoms associated with benign prostatic hyperplasia can be aggravated by infrequent sex, which has been suggested historically, using cross-sectional data from the Olmsted County Study of Urinary Symptoms and Health Status Among Men. Methods. In 1989 and 1990, 2115 white men between the ages of 40 and 79 years were recruited from a random sample of Olmsted County residents (55% participation rate). During follow-up, these men completed a self-administered questionnaire that assessed lower urinary tract symptom severity, and 81% reported the frequency of ejaculation during the previous month. Results. Overall, men who reported ejaculating at least once a week were less likely to have moderate to severe (International Prostate Symptom Score greater than 7) symptoms than men reporting no ejaculations (odds ratio 0.62, 95% confidence interval 0.51 to 0.75). The dose-response relation was strong, with men who reported more frequent ejaculations having the lowest prevalence of moderate to severe symptoms. Similar associations were seen for peak urinary flow rates, prostate volume, and health-related quality of life. The associations with urologic measures did not exist within the age decade, however. Thus, after adjusting for age, the odds ratio for ejaculation frequency and symptom severity was 0.99 (95% confidence interval 0.79 to 1.24) and was similar for peak urinary flow rates and prostate volume. Conclusions. These cross-sectional data suggest that the frequency of ejaculation has no effect on lower urinary tract symptoms, peak urinary flow rates, or prostate volume; the apparent protective association appears to be an artifact caused by the confounding effects of age.

UR - http://www.scopus.com/inward/record.url?scp=0037320899&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0037320899&partnerID=8YFLogxK

U2 - 10.1016/S0090-4295(02)02265-3

DO - 10.1016/S0090-4295(02)02265-3

M3 - Article

C2 - 12597946

AN - SCOPUS:0037320899

VL - 61

SP - 348

EP - 353

JO - Urology

JF - Urology

SN - 0090-4295

IS - 2

ER -