Finger W W, Lund M, Slagle M A
Mountain Home Veterans Affairs Medical Center, Johnson City, Tennessee, USA.
J Fam Pract. 1997 Jan;44(1):33-43.
Approximately 15% to 25% of family practice patients have concerns about sexual function and are most comfortable discussing these issues with their family physician. While many physicians have avoided this topic in the past, citing lack of knowledge and skill, the family practice setting is ideal for a preliminary evaluation of sexual dysfunction and treatment for certain etiologies. This especially is true for changes in sexual function secondary to medication effects. This article provides basic guidelines designed to assist physicians in evaluating the effects of medications and other substances on sexual function. Also included are lists of medications known or suspected to have adverse effects on sexual function. Physicians are encouraged to address the sexual concerns of their patients and to incorporate these guidelines and the medication lists into their evaluation.
大约15%至25%的家庭医疗患者对性功能存在担忧,并且与他们的家庭医生讨论这些问题时最为自在。尽管过去许多医生以缺乏知识和技能为由回避这个话题,但家庭医疗环境对于性功能障碍的初步评估以及某些病因的治疗而言是理想的。对于继发于药物作用的性功能变化尤其如此。本文提供了一些基本指南,旨在帮助医生评估药物和其他物质对性功能的影响。其中还包括已知或疑似对性功能有不良影响的药物清单。鼓励医生关注患者的性方面担忧,并将这些指南和药物清单纳入他们的评估中。