Arriving at the diagnosis of female sexual dysfunction

Arriving at the diagnosis of female sexual dysfunction
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DOI:
10.1016/j.fertnstert.2013.08.006
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发表时间:
2013-10-01
影响因子:
6.7
通讯作者:
Diamond, Michael P.
Diamond, Michael P.
中科院分区:
医学2区
文献类型:
--
作者:
Latif, Erin Z.;Diamond, Michael P.

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女性性功能障碍包括一组影响所有年龄妇女的性疾病和性功能障碍,其病因和促成因素多种多样。女性性功能障碍的分类系统已经从性欲、性唤起、性高潮和疼痛障碍的线性分类发展到更加复杂和重叠的分类。个人痛苦是将性问题定义为功能障碍的关键因素。最近出版的《精神障碍诊断和统计手册》第5版,推翻了以前对女性性功能障碍的定义,并摆脱了诊断类别的旧线性模型。医生应该开放地与女性讨论性问题,并可以在办公室环境中使用有效的问卷。在研究环境中使用可用于评估妇女性功能的评估工具,以及评估的生理措施。(Fertil Steril(R)2013; 100:898-904. (C)美国生殖医学会(American Society for Reproductive Medicine)
Female sexual dysfunctions include a group of sexual complaints and disorders affecting women of all ages, and stemming from a heterogeneous array of etiologies and contributing factors. The classification system for sexual dysfunctions in the woman has evolved from a linear categorization of sexual desire, arousal, orgasm, and pain disorders to one that is more complex and overlapping. Personal distress is a key factor in defining a sexual problem as a dysfunction. The recently released Diagnostic and Statistical Manual of Mental Disorders, edition 5, collapses former definitions of female sexual disorders and moves away from the older linear model of diagnostic categories. Physicians should be open to discussing sexual problems with women, and may make use of validated questionnaires in the office setting. Evaluation tools available for assessing sexual function in the woman are in use in the research setting, as are physiological measures of assessment. (Fertil Steril (R) 2013; 100: 898-904. (C) 2013 by American Society for Reproductive Medicine.)