Kathryn Korkidakis Ann, Reid Robert L
Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynaecology, Queen's University, Kingston, ON.
Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynaecology, Queen's University, Kingston, ON.
J Obstet Gynaecol Can. 2017 Mar;39(3):124-130. doi: 10.1016/j.jogc.2017.01.006.
Androgens, both in excessive and depleted states, have been implicated in female reproductive health disorders. As such, serum testosterone measurements are frequently ordered by physicians in cases of sexual dysfunction and in women presenting with hirsutism. Commercially available androgen assays have significant limitations in the female population. Furthermore, the measurements themselves are not always informative in patient diagnosis, treatment, or prognosis. This article reviews the limitations of serum androgen measurements in women suspected to have elevated or reduced androgen action. Finally, we consider when therapeutic use of androgen replacement may be appropriate for women with sexual interest/arousal disorders.
雄激素，无论是处于过量还是缺乏状态，都与女性生殖健康紊乱有关。因此，在性功能障碍病例以及出现多毛症的女性中，医生经常会要求检测血清睾酮水平。市面上现有的雄激素检测方法在女性群体中存在显著局限性。此外，这些检测结果本身在患者的诊断、治疗或预后方面并不总是具有参考价值。本文综述了疑似雄激素作用增强或减弱的女性血清雄激素检测的局限性。最后，我们探讨了雄激素替代疗法何时可能适用于患有性兴趣/性唤起障碍的女性。
