Kockott G, Dittmar F
Fortschr Med. 1976 Dec 2;94(34):2047-50.
Disorders of sexual libido are seldom organic, in general they are of psychological origin. It is, however, difficult to obtain a differential diagnosis. One of the first diagnostic considerations must be the establishment of primary or secondary libidinal dificit, or indeed, whether there is no libido at all. In cases of libido disorders with primary libido dificit, depression, organic disease, or side effects of pharmaca may be the cause. Libido disorders in the presence of functional libido, however, must be regarded as primarily psychologically caused. An exception are libido problems in the presence of diabetes mellitus and peripheral vasculatory defeciencies. In these cases libido is either totally absent or appears only secondarily. The symptomatology of libido disorders in the presence of depression, diabetes melitus, and peripheral vasculatory disturbancies, as well as psychologically caused erectile and ejaculatory difficulties are discussed in detail. These groups are compared with respect to libido and behavior involving erection, ejaculation, anxiety and avoidance.
性欲障碍很少是器质性的，一般来说它们源于心理因素。然而，进行鉴别诊断很困难。首先要考虑的诊断因素之一必须是确定原发性或继发性性欲缺乏，或者实际上是否完全没有性欲。在原发性性欲缺乏导致的性欲障碍病例中，抑郁症、器质性疾病或药物副作用可能是病因。然而，在存在功能性性欲的情况下出现的性欲障碍，必须被视为主要由心理因素引起。糖尿病和外周血管缺陷患者出现的性欲问题是个例外。在这些病例中，性欲要么完全缺失，要么只是继发性出现。本文将详细讨论抑郁症、糖尿病和外周血管紊乱患者出现的性欲障碍症状，以及心理因素导致的勃起和射精困难。将对这些组别在性欲以及涉及勃起、射精、焦虑和回避的行为方面进行比较。
