Medical College of Xi'an Pei Hua University, Shaanxi Xi'an 710125, China.
Joint Laboratory of Traditional Natural Medicine, Yunnan Minzu University, Kunming, 650500, China.
Biomed Pharmacother. 2019 Apr;112:108585. doi: 10.1016/j.biopha.2019.01.046. Epub 2019 Feb 21.
Sexual dysfunction (SD) is a disorder of sexual behavior and sexual sensation that appears as an abnormality or absence of sexual psychology and physiological reaction. It is a general term for many different symptoms includes several aspects, erectile dysfunction (ED), failure of sexual intercourse and loss of libido/desire. According to statistics, 52% of 40˜70 year old men suffer from varying degrees of SD. And these diseases caused by a variety of biological and psychological factors. In world about 15% of couples are affected by sexual disharmony among these 40 to 50% are because of male factors. Considering the sensitivity of male reproduction system, it is being easily affected by multiple risk factors, such as chronic diseases, environmental contaminants, drug toxicity and unhealthy lifestyle and so on. In the last few years, significant progress have been made toward understanding the various forms of male SD and the possible potential pathological mechanisms. However, for the time being, the exact cause of SD is not fully understood from the literature. What is also significant about there are quite limited treatments in reproductive medicine being directed against these lesions. The purpose of this review is to summarize the current findings of pathogenic factors of SD in clinical or animal studies, to elaborate the underlying mechanisms of these diseases from studies in vivo and in vitro, to analyses the risk factors, and to describe the management strategies traditionally recommended of male sexual dysfunction. The review findings elucidate a systematic strategies for effectively preventing these diseases.
性功能障碍(SD)是一种性行为和性感觉的紊乱,表现为性心理和生理反应的异常或缺失。它是许多不同症状的总称,包括勃起功能障碍(ED)、性交失败和性欲/欲望丧失。据统计,40~70 岁的男性中有 52%患有不同程度的 SD。这些疾病由多种生物和心理因素引起。在世界范围内,大约 15%的夫妇受到性和谐问题的影响,其中 40%到 50%是由于男性因素。考虑到男性生殖系统的敏感性,它容易受到多种危险因素的影响,如慢性病、环境污染物、药物毒性和不健康的生活方式等。在过去的几年中,人们对男性 SD 的各种形式及其可能的潜在病理机制有了显著的认识。然而,就目前而言,从文献中还不完全了解 SD 的确切原因。值得注意的是,生殖医学中针对这些病变的治疗方法相当有限。本文综述了临床或动物研究中 SD 的发病因素的最新发现,从体内和体外研究阐述了这些疾病的潜在机制,分析了危险因素,并描述了传统上推荐的男性性功能障碍的管理策略。综述结果阐明了有效预防这些疾病的系统策略。