Koochakzai Maryam, Moghadam Zahra Behboodi, Siahkal Shahla Faal, Arbabi Hayedeh, Ebrahimi Elham
Department of Midwifery, School of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, Iran.
Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Medicine (Baltimore). 2025 May 9;104(19):e42421. doi: 10.1097/MD.0000000000042421.
Sexual function is a multidimensional phenomenon affected by many different physical, physiological, and mental factors. Sexual dysfunction (SD) can affect the different aspects of personal and familial health. Non-pharmacological interventions for SD management have received great attention in recent years, though SD is still mostly managed using pharmacological interventions.
In this scoping review, we searched the PubMed/Medline, Web of Science, Scopus, and Google Scholar databases to find relevant studies published between January 2014 and February 2024.
Twenty articles were included in the review. Non-pharmacological interventions such as cognitive-behavioral therapy, sexual education and counseling based on theories and models, mindfulness-based cognitive-behavioral sex therapy, phytotherapy and vaginal electrical stimulation, multimedia applications, and sexual health education programs can improve women's sexual function.
Given the effectiveness of non-pharmacological interventions and the heavy costs of pharmacological interventions, non-pharmacological interventions can be used for SD management in low- and middle-income countries.
性功能是一种受多种不同身体、生理和心理因素影响的多维度现象。性功能障碍（SD）会影响个人和家庭健康的不同方面。尽管性功能障碍目前大多通过药物干预进行治疗，但近年来，用于性功能障碍管理的非药物干预措施受到了广泛关注。
在本综述中，我们检索了PubMed/Medline、科学网、Scopus和谷歌学术数据库，以查找2014年1月至2024年2月期间发表的相关研究。
本综述纳入了20篇文章。认知行为疗法、基于理论和模型的性教育与咨询、正念认知行为性疗法、植物疗法和阴道电刺激、多媒体应用以及性健康教育项目等非药物干预措施可以改善女性的性功能。
鉴于非药物干预措施的有效性以及药物干预措施的高昂成本，非药物干预措施可用于中低收入国家的性功能障碍管理。
