Lewis Ronald W, Fugl-Meyer Kersten S, Bosch R, Fugl-Meyer Axel R, Laumann Edward O, Lizza E, Martin-Morales Antonio
Department of Urology, Medical College of Georgia, Augusta, GA, USA.
J Sex Med. 2004 Jul;1(1):35-9. doi: 10.1111/j.1743-6109.2004.10106.x.
Accurate estimates of prevalence/incidence are important in understanding the true burden of male and female sexual dysfunction and in identifying risk factors for prevention efforts.
To provide recommendations/guidelines concerning state-of-the-art knowledge for the epidemiology/risk factors of sexual dysfunctions in men and women.
An International Consultation in collaboration with the major urology and sexual medicine associations assembled over 200 multidisciplinary experts from 60 countries into 17 committees. Committee members established specific objectives and scopes for various male and female 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. Concerning the Epidemiology/Risk Factors Committee, there were seven experts from four countries.
Expert opinion was based on grading of evidence-based medical literature, widespread internal committee discussion, public presentation and debate.
Standard definitions of male and female sexual dysfunctions are needed. The incidence rate for erectile dysfunction is 25-30 cases per thousand person years and increases with age. There are no parallel data for women's sexual dysfunctions. The prevalence of sexual dysfunction increases as men and women age; about 40-45% of adult women and 20-30% of adult men have at least one manifest sexual dysfunction. Common risk factor categories associated with sexual dysfunction exist for men and women including: individual general health status, diabetes mellitus, cardiovascular disease, other genitourinary disease, psychiatric/psychological disorders, other chronic diseases, and socio-demographic conditions. Endothelial dysfunction is a condition present in many cases of erectile dysfunction and there are common etiological pathways for other vascular disease states. Increasing physical activity lowers incidence of ED in males who initiate follow-up in their middle ages.
There is a need for more epidemiologic research in male and female sexual dysfunction.
准确估计患病率/发病率对于了解男性和女性性功能障碍的真实负担以及确定预防工作的风险因素至关重要。
提供有关男女性功能障碍流行病学/风险因素的最新知识的建议/指南。
与主要的泌尿外科和性医学协会合作开展了一次国际咨询会议，来自60个国家的200多名多学科专家组成了17个委员会。委员会成员为各种男性和女性性医学主题确定了具体目标和范围。关于各自性医学主题的最新知识的建议代表了五大洲专家在两年时间里形成的意见。关于流行病学/风险因素委员会，有来自四个国家的七位专家。
专家意见基于循证医学文献的分级、委员会内部广泛的讨论、公开报告和辩论。
需要对男性和女性性功能障碍进行标准定义。勃起功能障碍的发病率为每千人年25 - 30例，且随年龄增长而增加。目前尚无关于女性性功能障碍的类似数据。性功能障碍的患病率随着男性和女性年龄的增长而增加；约40 - 45%的成年女性和20 - 30%的成年男性至少有一种明显的性功能障碍。男性和女性与性功能障碍相关的常见风险因素类别包括：个人总体健康状况、糖尿病、心血管疾病、其他泌尿生殖系统疾病、精神/心理障碍、其他慢性病以及社会人口统计学状况。内皮功能障碍是许多勃起功能障碍病例中存在的一种情况，并且其他血管疾病状态也有常见的病因途径。增加体育活动可降低中年开始随访的男性勃起功能障碍的发病率。
需要对男性和女性性功能障碍进行更多的流行病学研究。
