Mimoun S
Responsable de << l'Unite de Gynecologie Psychosomatique et d'Etudes de la Sexualite Humaine >>, Sce de gynecologie-obstetrique psychosomatique de l'Hopital Robert Debre.
Contracept Fertil Sex. 1996 Jan;24(1):62-6.
Many researchers have noted a direct correlation between sexual difficulties and E2 level, when E2 < 50 pg/ml. But sexual behavior also interferes with sexuality. In Bachmann and coll. study, sexually active women ranging from 60 to 70, without HRT had higher mean levels of E2 and T than sexually inactive women. Of course the numerous complaints of that period (hot flushes, asthenia, tachycardia...) are creating physical and psychological conditions rather damaging for sexuality. They may also induce a state of true suffering with a loss of self esteem resulting in a more introverted way of life. In other cases, it is the psychological context in it self (depression, anxiety, relational difficulty with the partner or even male sexual problems) which is interfering. An actual amelioration of sexual life can be obtained with HRT plus or a minima percutaneous androgenotherapy in some cases. The treatment is indeed an asset for the therapeutic support, even from the psychotherapeutic point of view.
许多研究人员指出，当雌二醇（E2）水平低于50皮克/毫升时，性功能障碍与E2水平之间存在直接关联。但性行为也会干扰性功能。在巴赫曼等人的研究中，60至70岁未接受激素替代疗法（HRT）的性活跃女性，其E2和睾酮（T）的平均水平高于性不活跃女性。当然，那个时期出现的众多不适症状（潮热、乏力、心动过速等）会造成对性功能相当有害的生理和心理状况。它们还可能引发真正的痛苦状态，导致自尊丧失，从而使生活方式更加内向。在其他情况下，干扰性功能的是心理背景本身（抑郁、焦虑、与伴侣的关系问题，甚至男性性功能问题）。在某些情况下，通过激素替代疗法加用或最低限度的经皮雄激素疗法，确实可以改善性生活。从治疗支持的角度来看，即使从心理治疗的角度而言，这种治疗确实是一项有益的措施。
