Basson Rosemary, Althof Stan, Davis Susan, Fugl-Meyer Kirsten, Goldstein Irwin, Leiblum Sandra, Meston Cindy, Rosen Raymond, Wagner Gorm
Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada.
J Sex Med. 2004 Jul;1(1):24-34. doi: 10.1111/j.1743-6109.2004.10105.x.
Women's sexual dysfunctions include persistent or recurrent disorders of sexual interest/desire, disorders of subjective and genital arousal, orgasm disorder, pain and difficulty with attempted or completed intercourse. There are limited recommendation/guideline documents pertaining to the diagnosis and treatment of women's sexual dysfunctions.
To provide recommendations/guidelines concerning state-of-the-art knowledge for the clinical management of women's sexual dysfunctions.
An International Consultation in collaboration with the major sexual medicine associations assembled over 200 multidisciplinary experts from 60 countries into 17 committees. Committee members established specific objectives and scopes for various sexual medicine topics. The recommendations concerning state-of-the-art knowledge in the respective sexual medicine topic represent the opinion of experts from five continents developed in a process over a 2-year period. Ten experts from four countries compiled the Recommendations on Sexual Dysfunctions in Women.
Expert opinion was based on grading of evidence-based medical literature, widespread internal committee discussion, public presentation and debate.
Recommendations and guidelines concerning the various sexual dysfunctions were updated. A comprehensive assessment of medical, sexual and psychosocial history is recommended for diagnosis and management planning. Indications for general and focused pelvic genital examination and laboratory testing are included. Recently revised definitions for sexual desire/interest disorder, arousal disorders (genital, subjective, combined and persistent), orgasm disorder, dyspareunia and vaginismus are presented. An evidence-based approach to management is provided.
There is a need for more research and scientific reporting, re-assessment, and management of women's sexual dysfunction including long-term outcome studies.
女性性功能障碍包括持续性或复发性的性兴趣/欲望障碍、主观及生殖器性唤起障碍、性高潮障碍、性交疼痛以及性交尝试或完成困难。关于女性性功能障碍诊断和治疗的推荐/指南文件有限。
提供有关女性性功能障碍临床管理的最新知识的推荐/指南。
一项与主要性医学协会合作开展的国际咨询活动，召集了来自60个国家的200多名多学科专家，组成17个委员会。委员会成员为各个性医学主题确定了具体目标和范围。关于各性医学主题最新知识的推荐意见代表了五大洲专家在两年时间里形成的意见。来自四个国家的十名专家编写了《女性性功能障碍推荐意见》。
专家意见基于循证医学文献的分级、委员会内部广泛讨论、公开报告及辩论。
更新了有关各种性功能障碍的推荐意见和指南。建议对医学、性及心理社会病史进行全面评估，以用于诊断和管理规划。包括了一般及重点盆腔生殖器检查和实验室检测的指征。给出了最近修订的性欲/兴趣障碍、性唤起障碍（生殖器性、主观性、混合性及持续性）、性高潮障碍、性交疼痛及阴道痉挛的定义。提供了基于证据的管理方法。
需要开展更多研究及科学报告，对女性性功能障碍进行重新评估和管理，包括长期结局研究。
