Brotto Lori A, Krychman Michael, Jacobson Pamela
University of British Columbia-Obstetrics/Gynaecology, Vancouver, British Columbia, Canada.
J Sex Med. 2008 Dec;5(12):2741-8; quiz 2749. doi: 10.1111/j.1743-6109.2008.01071.x.
A significant proportion of women report unsatisfying sexual experiences despite no obvious difficulties in the traditional components of sexual response (desire, arousal, and orgasm). Some suggest that nongoal-oriented spiritual elements to sexuality might fill the gap that more contemporary forms of treatment are not addressing.
Eastern techniques including mindfulness, acupuncture, and yoga, are Eastern techniques, which have been applied to women's sexuality. Here, we review the literature on their efficacy.
Our search revealed two empirical studies of mindfulness, two of acupuncture, and one of yoga in the treatment of sexual dysfunction.
Literature review of empirical sources.
Mindfulness significantly improves several aspects of sexual response and reduces sexual distress in women with sexual desire and arousal disorders. In women with provoked vestibulodynia, acupuncture significantly reduces pain and improves quality of life. There is also a case series of acupuncture significantly improving desire among women with hypoactive sexual desire disorder. Although yoga has only been empirically examined and found to be effective for treating sexual dysfunction (premature ejaculation) in men, numerous historical books cite benefits of yoga for women's sexuality.
The empirical literature supporting Eastern techniques, such as mindfulness, acupuncture, and yoga, for women's sexual complaints and loss of satisfaction is sparse but promising. Future research should aim to empirically support Eastern techniques in women's sexuality.
相当一部分女性报告称,尽管在性反应的传统组成部分(欲望、唤起和高潮)方面没有明显困难,但她们的性体验并不令人满意。一些人认为,性取向中不以目标为导向的精神元素可能填补了当代更多治疗形式未涉及的空白。
包括正念、针灸和瑜伽在内的东方技巧已被应用于女性的性方面。在此,我们回顾关于其疗效的文献。
我们的检索发现了两项关于正念、两项关于针灸以及一项关于瑜伽治疗性功能障碍的实证研究。
对实证来源的文献综述。
正念显著改善了性反应的多个方面,并减轻了患有性欲和唤起障碍女性的性困扰。对于患有诱发性前庭痛的女性,针灸显著减轻疼痛并改善生活质量。还有一个针灸案例系列显示,针灸显著改善了患有性欲减退障碍女性的性欲。尽管瑜伽仅经过实证检验且发现对治疗男性性功能障碍(早泄)有效,但众多历史书籍都提及了瑜伽对女性性方面的益处。
支持将正念、针灸和瑜伽等东方技巧用于解决女性性方面的抱怨和满意度缺失问题的实证文献虽少,但前景乐观。未来的研究应旨在从实证上支持东方技巧在女性性方面的应用。