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性腺发育不全女性的性发育与生活

Sexual development and life of women with gonadal dysgenesis.

作者信息

Raboch J, Kobilková J, Horejsí J, Stárka L, Raboch J

出版信息

J Sex Marital Ther. 1987 Summer;13(2):117-27. doi: 10.1080/00926238708403884.

DOI:10.1080/00926238708403884
PMID:3612822
Abstract

The sexual development and behavior of 37 women suffering from the gonadal dysgenesis syndrome were investigated. It was found that their sexual development was significantly retarded compared with a control group of 50 fertile patients of the same age. This retardation was greater in a subgroup of 19 women with the Turner syndrome than in a subgroup of 18 women with pure gonadal dysgenesis. The levels of gonadotrophins LH and FSH, estradiol, progesterone and testosterone in blood were similar in these two subgroups. In two-thirds of the gonadal dysgenesis syndrome patients, the estradiol level was mostly at the low end of normal. The assessment of their sexual life using the Sexual Activity of Women (SAW) and Sexual Function of Women (SFW) questionnaires indicated a lower sexual desire, a reduced orgastic capacity, and a weaker sexual activity in the pathological group. However, 24 patients living in a permanent and stable partner relationship at the time of the examination, did not significantly differ from the control group in their responses to the SFW questionnaire. The patients with gonadal dysgenesis syndrome were surprisingly well adapted to their shortcomings. The occurrence and intensity of most neurotic symptoms assessed by the N5 Questionnaire were scored lower by the patients with gonadal dysgenesis syndrome than by the control group.

摘要

对37名患有性腺发育不全综合征的女性的性发育和性行为进行了调查。结果发现,与50名同龄可育患者的对照组相比,她们的性发育明显迟缓。在19名患有特纳综合征的女性亚组中,这种迟缓比18名患有单纯性腺发育不全的女性亚组更为明显。这两个亚组血液中性腺激素LH和FSH、雌二醇、孕酮和睾酮的水平相似。在三分之二的性腺发育不全综合征患者中,雌二醇水平大多处于正常范围的下限。使用女性性活动(SAW)和女性性功能(SFW)问卷对她们的性生活进行评估表明,病理组的性欲较低、性高潮能力下降且性活动较弱。然而,在检查时处于长期稳定伴侣关系的24名患者,在对SFW问卷的回答上与对照组没有显著差异。性腺发育不全综合征患者对自身缺陷的适应能力惊人地良好。通过N5问卷评估的大多数神经症症状的发生率和严重程度,性腺发育不全综合征患者的得分低于对照组。

相似文献

1
Sexual development and life of women with gonadal dysgenesis.性腺发育不全女性的性发育与生活
J Sex Marital Ther. 1987 Summer;13(2):117-27. doi: 10.1080/00926238708403884.
2
Management of phenotypic female patients with an XY karyotype.对具有XY核型的表型女性患者的管理。
J Reprod Med. 1986 Jul;31(7):611-5.
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[Studies on sexual development, sexual behavior and ability to experience sex of young women with Ullrich-Turner syndrome].[关于 Ullrich-Turner 综合征年轻女性性发育、性行为及性体验能力的研究]
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[Disorder of gender identity in a child with asymmetric gonadal dysgenesis with complex karyotype abnormality].[一名患有不对称性腺发育不全并伴有复杂核型异常的儿童的性别认同障碍]
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