Department of Medicine, Center for Women's Health Research and Innovation (CWHRI), University of Pittsburgh, 230 McKee Place, Suite 600, Pittsburgh, PA 15213, USA.
Department of Obstetrics and Gynecology, University of Washington, 4245 Roosevelt Way NE, 4th Floor, Seattle, WA 98105, USA.
Obstet Gynecol Clin North Am. 2018 Dec;45(4):709-722. doi: 10.1016/j.ogc.2018.07.013. Epub 2018 Oct 25.
Sexual function is an important component of quality of life for women. Midlife poses several challenges to optimal sexual function and intimacy for women. In addition to anatomic factors related to estrogen deficiency, such as genitourinary syndrome of menopause, vulvovaginal atrophy, and pelvic organ prolaps, psychosocial factors, including prior sexual trauma, play an important role in sexual function in women. Several treatments have emerged for female sexual dysfunction; long-term studies and head-to-head comparisons are lacking.
性功能是女性生活质量的重要组成部分。中年给女性的最佳性功能和亲密关系带来了一些挑战。除了与雌激素缺乏相关的解剖因素,如绝经后泌尿生殖系统综合征、外阴阴道萎缩和盆腔器官脱垂外,心理社会因素,包括先前的性创伤,在女性性功能中也起着重要作用。已经出现了几种治疗女性性功能障碍的方法;但缺乏长期研究和头对头比较。