Obstet Gynecol. 2019 Jul;134(1):e1-e18. doi: 10.1097/AOG.0000000000003324.
Female sexual dysfunction encompasses various conditions that are characterized by reported personal distress in one or more of the following areas: desire, arousal, orgasm, or pain (). Although female sexual dysfunction is relatively prevalent, women are unlikely to discuss it with their health care providers unless asked (), and many health care providers are uncomfortable asking for a variety of reasons, including a lack of adequate knowledge and training in diagnosis and management, inadequate clinical time to address the issue, and an underestimation of the prevalence (). The purpose of this document is to provide an overview of female sexual dysfunction, to outline updated criteria for diagnosis, and to discuss currently recommended management strategies based on the best available evidence.
女性性功能障碍包括各种病症,其特征是在以下一个或多个方面出现个人苦恼的报告:欲望、唤起、高潮或疼痛()。尽管女性性功能障碍相对普遍,但除非被问到,女性不太可能与她们的医疗保健提供者讨论这个问题(),并且许多医疗保健提供者由于各种原因不愿意询问,包括在诊断和管理方面缺乏足够的知识和培训、临床时间不足以解决问题,以及对患病率的低估()。本文件的目的是概述女性性功能障碍,概述更新的诊断标准,并根据现有最佳证据讨论目前推荐的管理策略。