Persistent sexual arousal syndrome associated with increased soy intake
Persistent sexual arousal syndrome associated with increased soy intake
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DOI：
10.1111/j.1743-6109.2005.20358.x
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发表时间：
2005-05-01
影响因子：
3.5
通讯作者：
Krychman, M
中科院分区：
文献类型：
--
作者：
Amsterdam, A;Abu-Rustum, N;Krychman, M
介绍。持续性性唤起综合征是一种罕见的性疾病。患有这种疾病的患者可能会因骨盆区域紧张的升级而感到痛苦，并且普遍需要通过自我刺激来减少压力。患者经常感到内疚或羞愧，往往不寻求医疗护理。这种疾病有许多潜在的原因；然而，一个明确的病因尚未阐明。患者是一名44岁的女性，她向妇科医生提出了痛经和月经过多的评估。在系统检查期间，患者报告了5-6个月的骨盆张力增加，与需要每天自我刺激达到性高潮约15次的性欲增加无关。经进一步询问，患者透露她的饮食方案包括在症状出现前大约一个月开始每天摄入超过4磅的大豆。治疗包括支持性咨询和饮食调整。在3个月的随访中，患者的月经困难和性抱怨得到了解决。尽管迄今为止还没有发现持续性性唤起综合征的已知原因或治疗方法，但在该患者中成功减少植物雌激素的饮食可能为了解该疾病的病因提供了新的思路，并提出了潜在的治疗方法。
Introduction. Persistent sexual arousal syndrome is an uncommon sexual complaint. Patients with this disorder can be distressed by the escalation of tension in the pelvic region and the prevailing necessity to diminish the pressure by self-stimulation. Patients frequently suffer from guilt or shame and often do not seek medical care. There are many potential causes of this disorder; however, a definitive etiology has yet to be elucidated.Case. The patient is a 44-year-old female who presented to her gynecologist for evaluation of dysmenorrhea and menometrorrhagia. During the review of systems, the patient reported 5-6 months of increased pelvic tension, not associated with an increase in desire that required her to self-stimulate to orgasm approximately 15 times daily. Upon further inquiry, the patient disclosed that her dietary regimen included soy intake in excess of 4 pounds per day that began approximately I month prior to the onset of symptoms.Results. Treatment consisted of supportive counseling and dietary modification. At the 3-month follow-up visit, the patient's menstrual difficulties and sexual complaints resolved.Conclusions. Although no known cause or cure of persistent sexual arousal syndrome has been identified to date, the success of reducing dietary of phytoestrogens in this patient may provide insight into the etiology of the disorder and suggest potential treatments.