(449) Exploring the Impact of Sexual Positions on Ejaculation: Insights from a Survey Study by the Andrology Working Group of the Society of Urological Surgery in Turkey

Introduction Ejaculation is a complex physiological process influenced by both psychological and behavioral factors. Although premature ejaculation (PE) has been extensively studied, the potential impact of sexual positions on ejaculatory control remains poorly understood. Exploring these dynamics may provide insights for non-pharmacological strategies to improve sexual satisfaction and control. Objective To investigate the relationship between various sexual positions and ejaculation control among adult men, focusing on how position changes during intercourse influence the likelihood of premature ejaculation. Methods A web-based cross-sectional survey was conducted among 1,904 heterosexual men aged 18–65 years. Participants completed a 25-item questionnaire assessing demographic, behavioral, and sexual characteristics, including preferred sexual positions (Figure-1) and positional changes during intercourse. The Premature Ejaculation Diagnostic Tool (PEDT) was used to classify participants as having PE or non-PE. Statistical analyses included chi-square, t-tests, and Mann–Whitney U tests, with significance set at p < 0.05. Results Of the participants, 19.4% were classified as having PE, 13.5% possible PE, and 67.1% as non-PE. The two groups did not differ in age or circumcision age, but the age at first sexual experience was higher in the PE group (p < 0.001). Men with PE reported fewer weekly ejaculations and shorter foreplay durations compared to non-PE men (p < 0.001 for both). The most preferred sexual position across all participants was the “doggy style” position. When feeling close to ejaculation, non-PE participants were significantly more likely to change positions than PE participants (74% vs. 67.2%; p < 0.05). Moreover, non-PE men tended to switch to shallow thrust positions more often than PE men (27.1% vs. 18%; p < 0.05). No significant difference was observed in preferred positions between the groups, but the activity role (male-active vs. female-active) and thrust depth were related to ejaculation control.13.55% Conclusions This study suggests that sexual positions and position changes play a meaningful role in ejaculation control. Men who change to shallower thrusting positions when approaching ejaculation may achieve better control, indicating that behavioral modification through position adjustment could represent a practical, non-pharmacological strategy for managing premature ejaculation. Further prospective studies are warranted to evaluate position-based behavioral interventions as adjunctive therapies for PE. Disclosure No