Male sexual dysfunction: diagnosis and treatment from a sexological and interdisciplinary perspective.
Male sexual dysfunction: diagnosis and treatment from a sexological and interdisciplinary perspective.
复制标题
男性性功能障碍：从性学和跨学科角度进行诊断和治疗。
DOI：
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发表时间：
2009
期刊：
影响因子：
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通讯作者：
K. Beier
中科院分区：
文献类型：
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作者：
D. Rösing;K. Klebingat;H. Berberich;H. Bosinski;K. Loewit;K. Beier
背景
在所有类型的男性性障碍中，性功能障碍在临床实践中是最重要的。这些都是分类的部分性反应周期中，他们出现（食欲，唤醒，性高潮，和决议）。部分功能损害必须与引起严重痛苦和需要治疗的功能障碍区分开来。
方法
作者的临床经验是补充性功能障碍，其与基础疾病的关系，其对性和关系满意度的影响的文献的选择性审查。
结果
性生活史（包括伴侣的性生活史，只要能够获得）在性功能障碍的诊断评估中是最重要的。这种评价必须考虑到人类性行为的多层面性和多功能性。对接受、亲密和安全的基本心理社会需求的长期挫折是一个非常重要的因素，但迄今为止，这一因素一直被性障碍病因和发病机制的流行概念所忽视。他们的治疗包括性医学和心理治疗的结合，如果需要，沿着躯体医学和药物干预。结合性治疗的目标是满足这些基本需求，从而改善患者的性功能，加深他对整个关系的满意度。
结论
必须了解不同类型的性障碍在其生物心理社会背景以及性行为对个人和夫妻的意义，关于生殖，性快感和结合。性障碍很常见，因此患者希望他们的医生精通性医学。德国医学本科生和研究生教育中这一主题的覆盖面有待提高。
BACKGROUND
Among all types of sexual disturbance in men, disturbances of sexual function are the most important in clinical practice. These are classified by the segment of the sexual reaction cycle in which they arise (appetence, arousal, orgasm, and resolution). Partial functional impairment must be distinguished from dysfunction causing significant suffering and requiring treatment.
METHODS
The authors' clinical experience is supplemented with a selective review of the literature on sexual dysfunction, its association with underlying diseases, and its impact on sexual and relational satisfaction.
RESULTS
The sexual history (including the partner's sexual history, as far as this can be obtained) is of prime importance in the diagnostic evaluation of sexual disturbances. This evaluation must take the multidimensionality and multiple functions of human sexuality into account. Chronic frustration of the fundamental psychosocial needs for acceptance, closeness, and security is a very important factor that has been neglected until now by the prevailing conceptions of the etiology and pathogenesis of sexual disturbances. Their treatment involves a combination of elements from sexual medicine and psychotherapy, along with somatic medical and pharmacotherapeutic intervention, if needed. The goal of syndyastic sex therapy, a further development of the previous therapies, is to fulfill these fundamental needs and thereby to improve the patient's sexual function and deepen his satisfaction with the relationship in its entirety.
CONCLUSIONS
It is essential to understand the different types of sexual disturbance in their biopsychosocial context as well as the significance of sexuality for the individual, and for the couple, with respect to reproduction, sexual pleasure, and bonding. Sexual disturbances are common, and patients therefore expect their physicians to be proficient in sexual medicine. The coverage of this subject in both undergraduate and postgraduate medical education in Germany needs to be improved.
影响因子：
120.7
作者：
Laumann, EO;Paik, A;Rosen, RC
通讯作者：
Rosen, RC