Department of Systems Medicine, University of Rome Tor Vergata, Via Montpellier 1, 00133, Rome, Italy.
Department of Experimental Medicine, Section of Medical Pathophysiology, Food Science and Endocrinology, Sapienza - University of Rome, Viale Regina Elena 324, Rome, 00161, Italy.
Reprod Biol Endocrinol. 2020 Feb 17;18(1):10. doi: 10.1186/s12958-019-0557-9.
Sexual health is strictly related with general health in both genders. In presence of a sexual dysfunction, the expert in sexual medicine aims to discover the specific weight of the physical and psychological factors can cause or con-cause the sexual problem. At the same time, a sexual dysfunction can represent a marker of the future development of a Non-communicable diseases (NCDss) as cardiovascular or metabolic diseases.In the evaluation phase, the sexual health specialist must focus on these aspects, focusing especially on the risk and protective factors that could impact on both male and female sexuality.This article presents a review of researches concerning healthy and unhealthy lifestyles and their contribute in the development of sexual quality of life in a gender-dependent manner.Among the unhealthy lifestyle, obesity contributes mostly to the development of sexual dysfunctions, due to its negative impact on cardiovascular and metabolic function. Tobacco smoking, alcohol - substance abuse and chronic stress lead to the development of sexual dysfunction in a med-long term.In order to guarantee a satisfying sexual quality of life, sexual health specialists have the responsibility to guide the patient through the adoption of healthy lifestyles, such as avoiding drugs, smoke and excessive alcohol, practicing a regular physical activity, following a balanced diet and use stress-management strategies, even before proposing both pharmaco- and/or psychotherapies.
性健康在两性中与整体健康密切相关。当存在性功能障碍时，性医学专家的目标是发现导致或促成性问题的生理和心理因素的具体权重。同时，性功能障碍可能是心血管或代谢等非传染性疾病（NCDss）未来发展的一个标志物。在评估阶段，性健康专家必须关注这些方面，特别关注可能影响男性和女性性健康的风险和保护因素。本文回顾了有关健康和不健康生活方式的研究，并以性别依赖的方式探讨了它们对性健康质量发展的影响。在不健康的生活方式中，肥胖对性功能障碍的发展影响最大，因为它对心血管和代谢功能有负面影响。烟草使用、酒精和物质滥用以及慢性压力会导致性功能障碍在中长期内发展。为了保证满意的性健康质量，性健康专家有责任指导患者采取健康的生活方式，如避免使用药物、吸烟和过量饮酒、定期进行身体活动、遵循均衡饮食和使用压力管理策略，甚至在提出药物和/或心理治疗之前。
