女性性功能低下何时会成为问题？
女性性功能低下何时会成为问题？
一项关于性功能低下相关困扰因素的系统性综述
When is low sexual function problematic for women? A systematic review of factors associated with distress about low sexual function
——《性医学杂志》第22卷第10期，2025年10月——
【摘要】引言：虽然许多女性会经历性欲和性唤起水平低下、性高潮困难或性交疼痛，但只有相对较少的女性会因此感到性功能障碍而感到困扰。对性功能低下的困扰是诊断性功能障碍的必要条件。然而，目前尚不清楚为什么有些女性会感到困扰，而有些女性则不会。目的：本研究旨在系统地回顾与绝经前女性性功能低下困扰相关的因素。方法：于2025年1月1日检索了六个数据库（CINAHL、心理学和行为科学文集、PubMed、Web of Science、PsycNET、Scopus）。使用混合方法评估工具对每项研究的质量进行评估。结果：共有19项研究符合纳入标准。大多数样本由异性恋女性组成，且大多数文章集中于性交疼痛障碍。与性功能低下困扰相关的因素可归纳为四个方面：性因素、心理因素、关系因素和伴侣相关因素。性困扰与性功能低下程度、抑郁或焦虑症状、性不满意、不良的伴侣沟通、伴侣支持不足以及伴侣的性困扰和性不满意呈正相关。结论：性满意度和伴侣关系因素会影响女性是否将性功能低下视为问题。然而，还需要更多研究来调查非异性恋女性以及在性唤起、性欲和性高潮方面报告性功能低下的女性的性困扰情况。
【关键词】女性性功能障碍，女性，性困扰，性问题，性功能
[Abstract] Introduction: While many women experience low levels of sexual desire and arousal, difficulty orgasming, or pain during intercourse, relatively few reports distress about their sexual functioning. Distress about low sexual function is necessary for a sexual dysfunction to be diagnosed. However, it is not clear why some women report distress while others do not. Objectives: The aim of the current study was to review systematically factors associated with distress about low sexual function among premenopausal women. Methods: Six databases (CINAHL, Psychology and Behavioural Sciences Collection, PubMed, Web of Science, PsycNET, Scopus) were searched on January 1, 2025. The quality of each study was evaluated using the Mixed Methods Appraisal Tool. Results: Nineteen studies met the inclusion criteria. Most samples consisted of women in a heterosexual relationship, and the majority of articles focused on sexual pain disorders. Factors associated with distress about low sexual function were grouped into four factors: sexual, psychological, relationship, and partner-related. Sexual distress was positively associated with severity of low sexual function, depressive, or anxiety symptoms, sexual dissatisfaction, poor relationship communication, low partner support, and partner’s sexual distress and dissatisfaction. Conclusion: Sexual satisfaction and relational factors influence whether women experience low sexual function as problematic. However, more research is needed to investigate sexual distress among women who are not in a heterosexual relationship, and those reporting low sexual functioning in domains of sexual arousal, desire, and orgasm.
[Key words] female sexual dysfunction, women, sexual distress, sexual problems, sexual function
论文原文：Teagan Stotz, Jessica L Mackelprang, Astrid Harkin, Danielle Hunt, Simone Buzwell (2025). When is low sexual function problematic for women? A systematic review of factors associated with distress about low sexual function. The Journal of Sexual Medicine, Volume 22, Issue 10, Pages 1827–1838, October 2025.
https://doi.org/10.1093/jsxmed/qdaf192
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