Basson Rosemary
Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada.
Endocrinol Metab Clin North Am. 2021 Mar;50(1):125-138. doi: 10.1016/j.ecl.2020.12.001.
A critique of the literature that androgen deficit underlies women's sexual dysfunctions is provided. Although there is scant evidence that androgens are responsible, many aspects of androgen activity remain to be investigated. Research does link serum levels of dehydroepiandrosterone (DHEA) to women's sexual desire but apparently not via DHEA's androgenic activity. Current assessment and management of women's sexual dysfunction are summarized.
对认为雄激素缺乏是女性性功能障碍基础的文献进行了批判。尽管几乎没有证据表明雄激素是病因,但雄激素活性的许多方面仍有待研究。研究确实将血清脱氢表雄酮(DHEA)水平与女性性欲联系起来,但显然不是通过DHEA的雄激素活性。总结了目前对女性性功能障碍的评估和管理。