McElhiney Janice, Kelly Sarah, Rosen Raymond, Bachmann Gloria
Women's Health Institute, UMDNJ-Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
J Sex Med. 2006 Jan;3(1):161-3. doi: 10.1111/j.1743-6109.2005.00171.x.
From ancient times, through the Middle Ages, and well into the 19th century, physicians concentrated on catastrophic medical conditions and illnesses rather than on quality of life issues. Wars, plagues, and pestilence left little time, energy, or concern for "discomfort" problems. Therefore, it is not surprising that women's conditions that caused distressing symptoms but fell short of major morbidity and mortality were not given a prominent position in medicine until relatively recently. This is especially the case with vulvodynia, a condition that has been reported to affect approximately 15% (and in some studies up to 27%) of the female population at some point in their lives. Despite its high prevalence, this condition was not discussed or reported in traditional medical textbooks until the end of the 1800s. Now, we propose another viewpoint on when the first description of vulvodynia appeared; that is, that vulvodynia was described as far back as the 1st century CE. From our review of the ancient medical literature, we believe that the condition described by Soranus as "satyriasis in females" was actually vulvodynia.
从古代到中世纪，一直到19世纪，医生们专注于灾难性的医疗状况和疾病，而非生活质量问题。战争、瘟疫和鼠疫几乎没有留下时间、精力或对“不适”问题的关注。因此，直到相对较近的时候，那些引起令人痛苦的症状但未达到严重发病和死亡程度的女性疾病才在医学中占据显著地位，这并不奇怪。外阴痛就是一个特别的例子，据报道，这种疾病在女性一生中的某个阶段会影响大约15%（在一些研究中高达27%）的女性人群。尽管其患病率很高，但直到19世纪末，这种疾病才在传统医学教科书中被讨论或报道。现在，我们对首次描述外阴痛的时间提出另一种观点；也就是说，外阴痛早在公元1世纪就被描述过。通过对古代医学文献的回顾，我们认为索拉努斯所描述的“女性色情狂”实际上就是外阴痛。
