University of British Columbia, Vancouver, BC, Canada.
J Sex Med. 2010 Jan;7(1 Pt 2):314-26. doi: 10.1111/j.1743-6109.2009.01617.x.
Women's sexual dysfunction includes reduced interest/incentives for sexual engagement, difficulties with becoming subjectively and/or genitally aroused, difficulties in triggering desire during sexual engagement, orgasm disorder, and sexual pain.
To update the recommendations published in 2004, from the 2nd International Consultation on Sexual Medicine (ICSM) pertaining to the diagnosis and treatment of women's sexual dysfunctions.
A third international consultation in collaboration with the major sexual medicine associations assembled over 186 multidisciplinary experts from 33 countries into 25 committees. Twenty one experts from six countries contributed to 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.
A comprehensive assessment of medical, sexual, and psychosocial history is recommended for diagnosis and management. Indications for general and focused pelvic genital examination are identified. Evidence based recommendations for further revisions of definitions for sexual disorders are given. An evidence based approach to management is provided. Extensive references are provided in the full ICSM reports.
There remains a need for more research and scientific reporting on the optimal management of women's sexual dysfunctions including multidisciplinary approaches.
女性性功能障碍包括对性接触的兴趣/动机降低、难以主观和/或生殖器唤起、在性接触期间难以引发欲望、性高潮障碍和性疼痛。
更新 2004 年第二届国际性医学咨询会议（ICSM）发布的有关女性性功能障碍的诊断和治疗建议。
第三届国际咨询会议与主要性医学协会合作，召集了来自 33 个国家的 186 名多学科专家组成 25 个委员会。来自六个国家的 21 名专家为女性性功能障碍的建议做出了贡献。
专家意见基于基于证据的医学文献的分级、广泛的内部委员会讨论、公开陈述和辩论。
建议对病史进行全面评估，包括医学、性和社会心理方面。确定了一般和针对性骨盆生殖器检查的适应症。给出了进一步修订性障碍定义的循证建议。提供了基于证据的管理方法。在完整的 ICSM 报告中提供了广泛的参考文献。
仍需要对女性性功能障碍的最佳管理进行更多的研究和科学报告，包括多学科方法。
