Papalia Mary-Anne, Burger Henry
Women's Health Program, Department of Medicine, Monash University, Alfred Hospital, Commercial Road, Prahran, Victoria 3181, Australia.
Semin Reprod Med. 2006 Apr;24(2):86-96. doi: 10.1055/s-2006-939567.
The assessment of female sexual dysfunction (FSD) is often challenging in the clinical setting. Although androgen deficiency is regarded as a major cause for FSD, the causes of this condition are multifactorial. Women presenting with FSD require thorough clinical evaluation to determine the cause of FSD. Androgen therapy should be used in women only when clinical and biochemical parameters indicate that FSD stems from androgen deficiency. This review outlines the various causes of FSD, clinical and biochemical investigations required to diagnose androgen deficiency, and options for treatment of the woman found to have androgen deficiency as a cause of FSD.
在临床环境中，女性性功能障碍（FSD）的评估往往具有挑战性。尽管雄激素缺乏被认为是FSD的主要原因，但这种情况的病因是多因素的。出现FSD的女性需要进行全面的临床评估以确定FSD的病因。只有当临床和生化指标表明FSD源于雄激素缺乏时，才应在女性中使用雄激素治疗。本综述概述了FSD的各种病因、诊断雄激素缺乏所需的临床和生化检查，以及对被发现因雄激素缺乏导致FSD的女性的治疗选择。
