Trimel Pharmaceuticals Corporation, Mississauga, ON, Canada.
J Sex Med. 2013 Sep;10(9):2251-4. doi: 10.1111/jsm.12218. Epub 2013 Jun 19.
Female orgasmic disorder (FOD) is the second most frequently reported sexual dysfunction in women. According to the Diagnostic and Statistical Manual of Mental Disorders, the term "marked distress" is central to the diagnosis of FOD.
Objectives of this study were to explore terminology used by women diagnosed with FOD to describe their associated feelings and establish a correlation between patient ratings of question 15, "How often do you feel frustrated by problems with orgasm" on the Female Sexual Distress Score/Desire Arousal Orgasm (FSDS-DAO) with clinician evaluations of FOD.
Research was performed at one sexual medicine facility. Recruited participants were patients diagnosed with FOD. Fifteen women meeting inclusion/exclusion criteria were enrolled, completed the FSDS-DAO and a structured interview to assess terminology associated with orgasm difficulties.
Patient reported terminology for characterization of FOD, validity of question 15 of FSDS-DAO.
When asked to describe their orgasm difficulties, 60% of participants said "frustrated." Other terms included disappointed, pariah, subhuman, desperate, and concerned. Fifty-three percent (53%) claimed their inability to orgasm affected day-to-day life. In participants where FOD did not affect day-to-day life, 57% actively suppressed thoughts about inability to orgasm. Responses to question 15 of the FSDS-DAO ranged from 2-4 (mean 3.6) indicating participants were very frustrated.
To diagnose FOD, clinicians assess the level of associated distress through individualized patient interviews with no standardized tool. The term "distressed" is a medical construct and did not resonate with participants when describing their experience. participants used "frustrated" as an emotional descriptor to their sexual experience and scored high on question 15 of the FSDS-DAO. This study demonstrates the FSDS-DAO, specifically question 15, correlates well with the clinician diagnosis of marked distress and may be an appropriate tool for evaluating treatment benefit in the FOD population.
女性性高潮障碍（FOD）是女性报告的第二常见性功能障碍。根据《精神障碍诊断与统计手册》，术语“明显痛苦”是 FOD 诊断的核心。
本研究旨在探讨诊断为 FOD 的女性用来描述相关感受的术语，并确定女性性困扰/欲望唤起性高潮评分/渴望（FSDS-DAO）第 15 题“您感到性高潮问题困扰的频率如何”的患者评分与临床医生评估 FOD 之间的相关性。
研究在一个性医学中心进行。招募的参与者为被诊断为 FOD 的患者。符合纳入/排除标准的 15 名女性患者入组，完成了 FSDS-DAO 和一项结构化访谈，以评估与性高潮困难相关的术语。
患者报告的 FOD 特征描述术语，FSDS-DAO 第 15 题的有效性。
当被要求描述自己的性高潮困难时，60%的参与者表示“感到沮丧”。其他术语包括失望、被排斥、低等人、绝望和担忧。53%的参与者表示，她们无法达到性高潮会影响日常生活。在 FOD 没有影响日常生活的参与者中，57%的人会主动抑制无法达到性高潮的想法。FSDS-DAO 第 15 题的回答范围为 2-4（平均 3.6），表明参与者感到非常沮丧。
为了诊断 FOD，临床医生通过与患者的个体化访谈评估相关痛苦程度，没有标准化的工具。“痛苦”是一个医学概念，在描述参与者的性体验时没有引起共鸣。参与者使用“沮丧”作为对性体验的情感描述，并在 FSDS-DAO 的第 15 题中得分较高。这项研究表明，FSDS-DAO，特别是第 15 题，与临床医生诊断的明显痛苦密切相关，可能是评估 FOD 患者治疗效果的合适工具。
