国际妇产科学杂志

国际妇产科学杂志 ›› 2013, Vol. 40 ›› Issue (5): 395-398.

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女性性功能障碍的分类及定义

廖秦平 ,李 婷   

  1. 100034 北京大学第一医院妇产科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2013-10-15 发布日期:2013-10-15

Female Sexual Dysfunction：Classification and Definitions

LIAO Qin-ping，LI Ting   

  1. Department of Obstetrics and Gynecology，Peking University First Hospital，100034 Beijing，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2013-10-15 Online:2013-10-15

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摘要： 女性性功能障碍（female sexual dysfunction，FSD）是一种十分常见的疾病，严重影响女性的身心健康。国际上常用的女性性功能障碍分类标准有世界卫生组织（WHO）的国际疾病和相关健康问题统计学分类-10（International Classifications of Diseases-10，ICD-10）、精神障碍诊断与统计学手册第4版和第5版（The Diagnostic and Statistical Manual of Mental Disorders-Ⅳ～Ⅴ，DSM-Ⅳ～Ⅴ）和国际专家认可的女性性功能障碍分类（The Consensus-based Classification of Female Sexual Dysfunction，CCFSD）等多个命名系统。这些命名系统均基于性反应周期的线性模型，将FSD分为4大类：性欲障碍、性唤起障碍、性高潮障碍和性交疼痛障碍。ICD-10、DSM-Ⅳ～Ⅴ和CCFSD命名系统及诊断标准随着人们对女性性功能障碍认识的不断深入和临床经验的不断积累而逐渐完善。然而，由于女性性反应十分复杂，这些命名系统均存在一定的缺陷，故需要进一步统一明确FSD的分类，完善FSD定义及诊断标准。

关键词: 性功能障碍, 生理性, 性功能障碍, 心理性, 参考标准, 国际疾病分类法

Abstract: Female sexual dysfunction （FSD） is particularly prevalent among women， adversely affecting on female physical and mental health. The international diagnostic categories of FSD include The World Health Organization International Classifications of Diseases-10 （ICD-10），The Diagnostic and Statistical Manual of Mental Disorders Ⅳ-Ⅴ（DSMⅣ-Ⅴ） and The Consensus-based Classification of Female Sexual Dysfunction（CCFSD）. Based on the four-phase class of the normal female sexual response，these classification systems have classified female sexual dysfunctions into the following major categories：sexual desire disorders，sexual arousal disorders，orgasmic disorders and sexual pain disorders. The diagnostic and classification systems have been developing with our unceasingly expanding knowledge of female sexual dysfunction. However，these diagnostic and classification systems still have some defects in some degree，thus，further revision and new focus need to be launched.

Key words: Sexual dysfunction, physiological, Sexual dysfunctions, psychological, Reference standards, International classification of diseases