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性功能障碍与性治疗:全科医生的作用。

Sexual dysfunctions and sex therapy: The role of a general practitioner.

作者信息

Ramanathan Vijayasarathi, Redelman Margaret

机构信息

MMed, GDipSexHlth, PhD,@FECSM, Lecturer in Sexual Health, Faculty of Medicine @ Health, University of Sydney, NSW; President, Society of Australian Sexologists, NSW.

OAM, MBBS, MPsychotherapy, Medical Sex Therapist, The Male Clinic, NSW.

出版信息

Aust J Gen Pract. 2020 Jul;49(7):412-415. doi: 10.31128/AJGP-02-20-5230.

Abstract

BACKGROUND

Medical management is undeniably an important therapeutic intervention for selected sexual dysfunctions, but it does not serve as a stand-alone approach to treat many common sexual dysfunctions such as lack of interest in sex, sexual performance anxiety, inability to reach orgasm or too quick an orgasm.

OBJECTIVE

The aim of this article is to highlight the role of general practitioners (GPs) in recognising sexual problems, encourage initiation of conversation about sexual dysfunction with patients and raise awareness of sex therapy and presentations that may benefit from referral to sex therapists.

DISCUSSION

GPs in Australia have a significant role in addressing sexual health concerns despite practice-related and doctor-patient-related barriers, thereby promoting the healthy sexuality of Australians. Sex therapy is a specialty comprised of various medical, cognitive, emotional and behavioural interventions. Sex therapists, who are healthcare professionals with tertiary training in human sexuality, can share care with GPs to help individuals and/or couples understand, improve and resolve their sexual dysfunctions.

摘要

背景

药物治疗无疑是针对特定性功能障碍的重要治疗干预措施,但它并非治疗许多常见性功能障碍的独立方法,如对性行为缺乏兴趣、性表现焦虑、无法达到性高潮或性高潮来得过快等。

目的

本文旨在强调全科医生(GP)在识别性问题方面的作用,鼓励与患者展开关于性功能障碍的对话,并提高对性治疗以及可能受益于转诊至性治疗师的症状表现的认识。

讨论

尽管存在与执业相关和医患相关的障碍,但澳大利亚的全科医生在解决性健康问题方面发挥着重要作用,从而促进澳大利亚人的性健康。性治疗是一个由各种医学、认知、情感和行为干预组成的专业领域。性治疗师是在人类性学方面接受过高等培训的医疗保健专业人员,他们可以与全科医生共同提供护理,以帮助个人和/或夫妻理解、改善和解决他们的性功能障碍。

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