Servei de Reumatologia, Hospital de Sabadell, Parc Taulí, Edifici VII Centenari, 08208 Sabadell, Barcelona, Spain.
Curr Rheumatol Rep. 2009 Dec;11(6):437-42. doi: 10.1007/s11926-009-0064-7.
Several studies have investigated sexual function in patients with fibromyalgia (FM). All reports agree that sexual function seems frequently impaired in this condition. This dysfunction is usually severe and may affect all domains of sexuality. Given the complexity of factors involved in human sexual function and the intricacy of the physiopathology of FM, many factors and mechanisms have been implicated. Per our literature review, depression may be the main contributing factor to FM-related sexual dysfunction. However, prospective studies are needed, as reports have lacked sufficient quality to draw definitive conclusions. Recognition of sexual dysfunction and its inclusion in multidisciplinary management are needed to improve quality of life for patients with FM.
多项研究调查了纤维肌痛（FM）患者的性功能。所有报告均表明，该病症似乎经常导致性功能受损。这种性功能障碍通常较为严重，可能影响到所有性行为领域。鉴于涉及人类性功能的因素复杂，以及 FM 的病理生理学复杂，许多因素和机制都被牵涉其中。根据我们的文献综述，抑郁可能是导致 FM 相关性功能障碍的主要因素。然而，需要进行前瞻性研究，因为目前的报告缺乏足够的质量来得出明确的结论。需要认识到性功能障碍，并将其纳入多学科管理中，以提高 FM 患者的生活质量。
