Levitt E E
Postgrad Med. 1975 Jul;58(1):91-7. doi: 10.1080/00325481.1975.11714100.
Patients with sexual problems often seek help first from their family physician. Before referring these patients, the physician should determine the kind of dysfunction present and whether it might successfully be treated in the general office setting. Secondary impotence can often be overcome by simple reassurance or by a program of frequent sexual foreplay and avoidance of actual intercourse. A stop-start method of reconditioning has had some success in the treatment of premature ejaculation. Anorgasmia is a commonly reported female complaint. If caused by inadequate foreplay, counseling and interpersonal discussion should lead to successful resolution. There is some evidence that anorgasmia in some cases may result from clitoral adhesion or underdevelopment of the pubococcygeus muscle. Both conditions may be simply remedied.
有性功能问题的患者通常首先会向他们的家庭医生寻求帮助。在将这些患者转诊之前，医生应确定存在何种功能障碍，以及在普通门诊环境中是否可以成功治疗。继发性阳痿通常可以通过简单的安慰，或通过频繁的性前戏计划以及避免实际性交来克服。一种停停再启的调理方法在治疗早泄方面取得了一些成功。性高潮缺失是女性常见的主诉。如果是由前戏不足引起的，咨询和人际讨论应能成功解决问题。有证据表明，在某些情况下，性高潮缺失可能是由阴蒂粘连或耻骨尾骨肌发育不全引起的。这两种情况都可以简单地得到补救。
