女性性功能障碍的诊断  

The Diagnosis of Female Sexual Dysfunction

作　　者：张渺[1] 

机构地区：[1]北京大学第一医院妇科,100034

出　　处：《国际妇产科学杂志》2013年第5期402-404,409,共4页Journal of International Obstetrics and Gynecology

摘　　要：女性性功能障碍(female sexual dysfunction,FSD)根据精神障碍诊断下统计手册第4版(DSM-Ⅳ)标准主要分为:性欲障碍、性唤起障碍、性高潮障碍和性交疼痛。2013年5月DSM-Ⅴ正式发布,主要变化包括将性厌恶归为焦虑症,改变了女性性高潮障碍的定义,合并性欲障碍和性唤起障碍为性兴趣/唤起障碍,合并性交疼痛和阴道痉挛为生殖器-盆腔疼痛/插入障碍。妇科医生应能够做出女性性功能障碍基本诊断,将重点放在发现器质性病变以及对阴道痉挛患者的治疗,而对性欲障碍、性唤起障碍和性高潮障碍患者仍建议转诊至心理科治疗。The fourth edition of the Diagnostic and Statistical Manual of Mental Disorders （DSM-1V） classified female sexual dysfunction （FSD） into the following categories：Sexual Desire Disorders,Sexual Arousal Disorders, Orgasmic Disorders and Sexual Pain Disorders. The DSM-V was officially published in May 2013. The proposed changes include：deletion of sexual aversion disorder and classified it as an anxiety disorder; redefining female orgasmic disorder; merging desire and arousal disorders into one definition as sexual interest arousal disorder;combine vaginismus and dyspareunia into genito-pelvic pain disorder. Gynecological doctors should be able to make FSD diagnosis,pay more attention to the discovery＂ of organic disease and the desensitization treatment of vaginismus ,and provide referral to a clinical psychologist for the patients with sexual desire disorder, sexual arousal disorder or orgasmic disorder.

关 键 词：女(雌)性 性功能障碍 生理性 性功能障碍 心理性 诊断 精神障碍诊断和统计手册 

分 类 号：R711.77[医药卫生—妇产科学]