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Effects of regular physical exercise on ejaculatory control: a comparative and interventional study among male university students

Zhou J, Liu M, Hu S, Ouyang Y, Kong Y

Frontiers in public health, 2026

20 participants

Abstract

Background: Intravaginal ejaculatory latency time (IELT) is a key indicator for evaluating premature ejaculation (PE). While physical exercise is beneficial for male sexual health, evidence specifically linking structured exercise programs to IELT improvement is limited.

Aim: To compare IELT between athletes and non-athletes, and to examine whether a 3-month guided structured exercise program improves IELT in non-athletes.

Methods: A mixed-design study included 67 male university students (30 athletes, 37 non-athletes). Non-athletes underwent a 3-month, guided, home-based structured exercise program. IELT was assessed via self-report.

Outcomes: Primary outcome was change in IELT; secondary outcomes included PE prevalence and regression modeling.

Results: Athletes had significantly longer median IELT than non-athletes (8.0 vs. 5.0 min, P = 0.003). Among adherent non-athletes (n = 20), median IELT increased from 5.0 to 6.25 min post-intervention (P P = 0.002).

Clinical implications: Guided structured exercise program may serve as a feasible, non-pharmacological candidate strategy for improving ejaculatory control in young men, though its efficacy requires confirmation in randomized controlled trials.

Conclusion: Regular physical activity is associated with longer IELT. Preliminary findings suggest that a brief guided structured exercise program is associated with IELT improvement in non-athletes, though causal inference is limited by the lack of a concurrent control group.…

How strong is the evidence?

Evidence Hub reads this as a randomized trial, done in people. Its evidence level is 3 of 5 (Moderate · trial / cohort / secondary analysis). Trials without a large randomized design, cohorts and secondary analyses give moderate evidence. Reported size: 20 participants or records.

How the five levels of evidence work. The level is assigned automatically from the abstract and can be wrong, so check the paper.

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