国际妇产科学杂志

国际妇产科学杂志 ›› 2013, Vol. 40 ›› Issue (5): 402-404.

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女性性功能障碍的诊断

张 渺   

  1. 100034 北京大学第一医院妇科
  • 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

The Diagnosis of Female Sexual Dysfunction

ZHANG Miao   

  1. Department of Gynecology, Peking University First Hospital，Beijing 100034，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）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。

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

Abstract: The fourth edition of the Diagnostic and Statistical Manual of Mental Disorders （DSM-Ⅳ） 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.

Key words: Female, Sexual dysfunction, physiological, Sexual dysfunctions, psychological, Diagnosis