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女性性健康:筛查与评估

Female Sexual Health: Screening and Evaluation.

作者信息

Parish Sharon J, Pope Rachel

机构信息

Departments of Medicine and Psychiatry, Weill Cornell Medical College, New York, NY, USA.

Division of Female Sexual Health, University Hospitals Cleveland Medical Center, Urology Institute, 11100 Euclid Avenue, Lakeside 4th Floor, Cleveland, OH 44106, USA.

出版信息

Obstet Gynecol Clin North Am. 2024 Jun;51(2):223-239. doi: 10.1016/j.ogc.2024.03.002.

Abstract

Female sexual dysfunction is highly prevalent, affecting 30% to 50% of cisgender women globally. Low sexual desire, sexual arousal disorder, and orgasm disorder affect 10% to 20%, 6% to 20%, and 4% to 14% of women, respectively. Dyspareunia or pain with intercourse affects 8% to 22% of women. Universal screening is recommended; and a thorough medical history and physical examination are the foundations of evaluation and assessment. Laboratory tests and imaging are sometimes warranted, but referral to a sexual medicine expert is suggested if the practitioner is unfamiliar or uncomfortable with treatment.

摘要

女性性功能障碍非常普遍,全球30%至50%的顺性别女性受其影响。性欲低下、性唤起障碍和性高潮障碍分别影响10%至20%、6%至20%和4%至14%的女性。性交困难或性交疼痛影响8%至22%的女性。建议进行普遍筛查;完整的病史和体格检查是评估的基础。有时需要进行实验室检查和影像学检查,但如果从业者对治疗不熟悉或不自在,建议转诊至性医学专家处。

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