Davis Susan R, Jane Fiona
School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria.
Aust Fam Physician. 2011 May;40(5):274-8.
Sexual difficulties are common across the female lifespan, increasing at midlife. Although changing hormone levels at menopause may contribute to the development of female sexual dysfunction, other factors, including relationship issues; psychological wellbeing; physical wellbeing; and medication use, such as antidepressants, need to be taken into consideration. The most common sexual difficulties reported by women across the perimenopause include dyspareunia, diminished desire, arousal capacity and difficulty in achieving orgasm.
This article summarises female sexual dysfunction in the perimenopausal woman, and discusses advice the general practitioner can offer women and possible treatment options.
Many women experience loss of libido, reduced desire, difficulty in achieving orgasm and dyspareunia during their late reproductive and perimenopausal years. It is important that a woman is assessed in the context of her personal circumstances, partnership status, sexual experiences and cultural expectations. Management options range from informative discussions through to counselling and therapeutic intervention.
性方面的困扰在女性一生中都很常见，在中年时期会增加。虽然更年期激素水平的变化可能导致女性性功能障碍的发生，但其他因素，包括关系问题、心理健康、身体健康以及药物使用（如抗抑郁药）也需要考虑在内。围绝经期女性报告的最常见性困扰包括性交疼痛、性欲减退、性唤起能力下降和难以达到性高潮。
本文总结了围绝经期女性的性功能障碍，并讨论了全科医生可以为女性提供的建议以及可能的治疗选择。
许多女性在生殖后期和围绝经期会经历性欲丧失、欲望降低、难以达到性高潮和性交疼痛。重要的是要在女性的个人情况、伴侣关系状况、性经历和文化期望的背景下对其进行评估。管理选择范围从提供信息的讨论到咨询和治疗干预。
