Institute of Child Health, University of London, UK.
J Health Psychol. 1996 Oct;1(4):479-92. doi: 10.1177/135910539600100406.
There has been little detailed study of the sexual outcome of women suffering from congenital adrenal hyperplasia, a condition which results in masculinization of the external genitalia and possible genital ambiguity at birth in chromosomal females. This study, combining qualitative and quantitative methods, reports the sexual outcome for a sample of women with congenital adrenal hyperplasia (CAH; N = 19), compared to that for an age-matched sample of women with early diagnosed diabetes (N =17). The results are given under the headings of sexual interest; sexual activity with partners; reasons for engaging in sexual behaviour; sexual activities; stimuli eliciting a sexual response; physical problems connected with sexual activities, and general issues. CAH women were found to be less sexually experienced in all areas, and reported higher levels of penetration difficulties, pain, and lubrication problems than the diabetic women. It is proposed that the contribution of psychological factors to these problems may be at least as great as that of medical/ surgical factors. Implications for management are considered.
对于患有先天性肾上腺增生症（CAH）的女性，其生殖器在出生时可能会出现男性化，也可能存在生殖器模糊的情况，但是目前对于该病症女性的性结果还缺乏详细的研究。本研究采用定性和定量相结合的方法，对一组患有先天性肾上腺增生症（CAH）的女性（N=19）和一组年龄匹配的早期诊断为糖尿病的女性（N=17）的性结果进行了报告。结果分为以下几部分：性兴趣；与伴侣的性行为；参与性行为的原因；性行为；激发性反应的刺激物；与性行为相关的身体问题，以及一般性问题。研究发现，CAH 女性在所有方面的性经验都较少，与糖尿病女性相比，她们报告了更多的插入困难、疼痛和润滑问题。研究人员提出，心理因素对这些问题的影响至少与医疗/手术因素一样大。研究还考虑了管理方面的影响。
