University of Colorado at Denver, Medicine, Physiology and Biophysics, Aurora, and Denver Veterans Affairs Medical Center, Endocrinology, Denver, CO, USA.
J Sex Med. 2010 Jan;7(1 Pt 2):561-85. doi: 10.1111/j.1743-6109.2009.01629.x.
Endocrine changes during aging as well as endocrine disorders may either directly or indirectly modulate female sexual function by altering sex hormones, or by impacting on vascular, neurogenic, or psychologic factors.
To review information on the impact of the hormonal changes associated with aging or those caused by endocrine disorders on female sexual function and current information on the risks and benefits of hormonal treatments.
Committee members outlined topics and reviewed the published literature on endocrine aspects of female sexual function over a 2-year period. Presentation of the recommendations were presented at the International Consultation on Sexual Medicine Paris, France 2009 and revised accordingly.
Quality of data published in the literature and recommendations were based on the GRADES system.
Recommendations and guidelines concerning the role of sex hormones and endocrine disorders in female sexual function were derived.
Hormones are only one component of the many factors that contribute to normal sexual function in women. Further research is needed as to the impact of hormones and endocrine disorders on female sexual dysfunction and the benefits and risks of hormonal therapies.
衰老过程中的内分泌变化以及内分泌紊乱可能通过改变性激素,或通过影响血管、神经或心理因素,直接或间接地调节女性性功能。
综述与衰老相关的激素变化或内分泌紊乱对女性性功能的影响,以及激素治疗的风险和益处的最新信息。
委员会成员在两年内概述了与女性性功能内分泌方面相关的主题,并回顾了已发表的文献。于 2009 年在法国巴黎举行的国际性医学咨询会议上展示了建议,并进行了相应的修订。
文献中发表数据的质量和建议均基于 GRADE 系统。
得出了关于性激素和内分泌紊乱在女性性功能中的作用的建议和指南。
激素只是影响女性正常性功能的众多因素之一。需要进一步研究激素和内分泌紊乱对女性性功能障碍的影响,以及激素治疗的益处和风险。