Female Sexual Dysfunction: Common Questions and Answers.

IF 3.8 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL
American family physician Pub Date : 2025-05-01
Sarah N Dalrymple, Laura Hoeg, Hannah Thacker
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Abstract

Symptoms of female sexual dysfunction are common, affecting 40% to 50% of women. Most patients would like their physician to actively inquire about sexual dysfunction. When symptoms of female sexual dysfunction are chronic and cause the patient distress, they can be diagnosed as female sexual disorders. This clinical diagnosis is based on a thorough history and physical examination; understanding the patient's symptoms and associated distress is essential. The condition is further categorized into disorders of sexual desire and arousal, orgasmic disorders, and genito-pelvic pain disorders. The Female Sexual Function Index and the Female Sexual Distress Scale-Revised are validated tools that can aid in diagnosis. Treatment should be directed to each patient's symptoms and depends on the presence of comorbid medical or mental health conditions and any concerns discovered during the interview or physical examination. Evidence supports the use of vaginal lubricants and topical estrogen for genito-pelvic pain related to menopause, and pelvic floor physical therapy remains the first-line treatment for other genito-pelvic pain disorders. Cognitive behavior therapy is first-line treatment for disorders of sexual desire and arousal. Orgasmic disorders are treated with cognitive behavior therapy and sex therapy.

女性性功能障碍:常见问题与答案。
女性性功能障碍的症状很常见,影响40%至50%的女性。大多数患者希望他们的医生主动询问性功能障碍。当女性性功能障碍的症状是慢性的并引起患者痛苦时,可以诊断为女性性功能障碍。这种临床诊断是基于彻底的病史和体格检查;了解病人的症状和相关的痛苦是必要的。这种情况又进一步分为性欲和性唤起障碍、性高潮障碍和生殖盆腔疼痛障碍。女性性功能指数和女性性困扰量表是有效的工具,可以帮助诊断。治疗应针对每位患者的症状,并取决于是否存在合并症的医疗或精神健康状况,以及在面谈或体检期间发现的任何问题。有证据支持使用阴道润滑剂和局部雌激素治疗与更年期相关的生殖盆腔疼痛,盆底物理治疗仍然是其他生殖盆腔疼痛疾病的一线治疗方法。认知行为疗法是治疗性欲和性唤起障碍的一线疗法。性高潮障碍可以通过认知行为疗法和性疗法来治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
American family physician
American family physician 医学-医学:内科
CiteScore
2.80
自引率
2.50%
发文量
368
审稿时长
4-8 weeks
期刊介绍: American Family Physician is a semimonthly, editorially independent, peer-reviewed journal of the American Academy of Family Physicians. AFP’s chief objective is to provide high-quality continuing medical education for more than 190,000 family physicians and other primary care clinicians. The editors prefer original articles from experienced clinicians who write succinct, evidence-based, authoritative clinical reviews that will assist family physicians in patient care. AFP considers only manuscripts that are original, have not been published previously, and are not under consideration for publication elsewhere. Articles that demonstrate a family medicine perspective on and approach to a common clinical condition are particularly desirable.
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