Practice Patterns of Sexual Medicine Experts Towards POIS

Dear Colleague,

Thank you very much for taking the time to answer this online survey on Post-Orgasmic Illness Syndrome (POIS). As you know, POIS is a rare, but debilitating cluster of symptoms, occurring after ejaculation with unknown mechanism and uncertain treatment. This global survey aims to investigate the practice patterns of sexual medicine experts towards POIS. This is an attempt to understand how the medical experts around the world view and manage with POIS patients, how these practices may differ amongst experts.

The survey may take between 5 to 10 minutes and the results will help to standardize evaluations and treatments to serve patients in a best way. We hope you will be able to take the time to answer. By submitting your answers, you consent to participate in this survey.
Please note that your responses will not be saved as you go along, and you will need to complete in one sitting.

Please contact with me (Mesut Berkan Duran, drberkanduran@gmail.com) in case of any problem in accessing the survey.

Thank you once again for your time and contribution; we plan to share the results as soon as it is completed.

Sincerely,

Mesut Berkan Duran, MD, FEBU

Assistant Professor
Pamukkale University School of Medicine, Denizli, TURKEY

Ege Can Serefoglu, MD, FECSM

Professor of Urology

Biruni University School of Medicine, Istanbul, TURKEY

Yacov Reisman MD, PhD, FECSM, ECPS

Urologists & Sexologist-NVVS

Flare-Health.NL

Consultant Reuth Rehabilitation Hospital, Tel-Aviv

Program Director & Senior Lecturer Sexology RINO Amsterdam

Rachel S. Rubin, MD, IF, NCMP

Board Certified Urologist and Sexual Medicine Specialist

Assistant Clinical Professor in Department of Urology at Medstar Georgetown University

Clinical Instructor in Department of Urology at George Washington University

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* 1. Please specify your age (year)

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* 2. Please specify your gender

Man

Woman

Non-binary

Prefer not to answer

Other (please specify)

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* 3. Please specify your nationality

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* 4. Please specify your country of practice

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* 5. Please specify your specialty

Urologist

Psychiatrist

Endocrinologist

Psychologist

General practitioner

Internal medicine

Sexual therapist

Other; please specify

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* 6. How long have you been practicing sexual medicine?

<5 years

5-10 years

>10 years

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* 7. Please specify the place of your work

University hospital

State hospital or public health care system

Training and research hospital

Private clinic and private practice

Other; please specify

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* 8. How often do you manage with POIS patient per year?

1-5

6-15

>15

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* 9. Do you consider POIS an important sexual dysfunction that deserves to be treated?

Yes

Only if the patient is really bothered by the condition

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* 10. How do you consider the available information for patients on POIS?

Sufficient; there is no necessity for further information

Quite sufficient; only some information is needed

Largely insufficient; there is a substantial lack of information

I don't have an idea

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* 11. How do you consider the current available literature information for physicians on POIS?

Sufficient; there is no necessity for further information

Quite sufficient; only some information is needed

Largely insufficient; there is a substantial lack of information

I don't have an idea

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* 12. Which of the following do you consider is responsible for the pathophysiology of POIS? (You can mark several answers)

Psychological disorder

Autoimmune or allergic type reaction

An opioid-like withdrawal

A neuroendocrine response

A transient deregulation of the autonomic nervous system

Bio-psycho-social reasons

A Neuro-immune response

Other (please specify)

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* 13. What is your approach for a patient diagnosed with POIS? (You can mark several answers)

Refer the patient for psychotherapy/sextherapy to sexologist

Antihistamine drugs to manage with symptoms

Benzodiazepines

SSRI drugs

NSAI medication

Highly selective Alpha-blocker

Refer the patient for hyposensitization therapy with autologous semen

Alternative therapies such as saw palmetto, olive leaf, niacin, fenugreek

Other; please specify

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* 14. Do you schedule follow-up visits with POIS patients? If yes, when do you schedule the follow-up?

I think there is no need for follow-up visit

I schedule the follow-up after 2 weeks

I schedule the follow-up after 4 weeks

I schedule the follow-up after 3 months

I schedule the follow-up after 6 months

Other; please specify

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* 15. What percent of your POIS patients have improved with your recommendations?

< %10

%10-30

> %30

Practice Patterns of Sexual Medicine Experts Towards POIS

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* 1. Please specify your age (year)

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* 2. Please specify your gender

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* 3. Please specify your nationality

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* 4. Please specify your country of practice

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* 5. Please specify your specialty

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* 6. How long have you been practicing sexual medicine?

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* 7. Please specify the place of your work

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* 8. How often do you manage with POIS patient per year?

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* 9. Do you consider POIS an important sexual dysfunction that deserves to be treated?

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* 10. How do you consider the available information for patients on POIS?

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* 11. How do you consider the current available literature information for physicians on POIS?

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* 12. Which of the following do you consider is responsible for the pathophysiology of POIS? (You can mark several answers)

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* 13. What is your approach for a patient diagnosed with POIS? (You can mark several answers)

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* 14. Do you schedule follow-up visits with POIS patients? If yes, when do you schedule the follow-up?

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* 15. What percent of your POIS patients have improved with your recommendations?

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* 16. If possible, could you please write about your clinical successful and interesting experiences with very short cases?