Hopp til innhold
NHI.no
Annonse

Seksuell dysfunksjon hos kvinner: Klargjøring av problemet

Innhold i artikkelen

Din forklaring og din beskrivelse av problemet er det som teller. Ofte er det gunstig at begge partnerne møter til legen eller terapeuten. For legen er det en del forhold som det er viktig å få avklart, forbered deg derfor på å gi svar på følgende spørsmål:

Annonse
  • Har du i det hele tatt lyst på sex?
  • Kan du bli seksuelt opphisset?
  • Oppnår du orgasme?
  • Er det et godt følelsesmessig forhold mellom deg og din partner?
  • Hvordan er din mentale og følelsesmessige helse?
  • Hva er kvaliteten av dine tidligere seksuelle erfaringer?
  • Har du vært seksuelt misbrukt?
  • Har du spesielle bekymringer knyttet til seksuell aktivitet?
  • Føler du at dere bruker tilstrekkelig lang tid på det erotiske forspillet?
  • Har du seksuelle fantasier?

Blodprøver og andre undersøkelser har ingen plass i utredningen av dette problemet. Forklaringen er svært sjelden unormale hormonelle forstyrrelser.

Vil du vite mer

Dette dokumentet er basert på det profesjonelle dokumentet Seksuell dysfunksjon hos kvinner . Referanselisten for dette dokumentet vises nedenfor

  1. Basson R. Sexual desire and arousal disorders in women. N Engl J Med 2006; 354: 1497-506. PubMed
  2. Hartmann U, Philippsohn S, Heiser K, Rüffer-Hesse C. Low sexual desire in midlife and older women: personality factors, psychosocial development, present sexuality. Menopause 2004; 11: 726-40. PubMed
  3. Braunstein G, Sundwall DA, Katz M, et al. Safety and efficacy of a testosterone patch for the treatment of hypoactive sexual desire disorder in surgically menopausal women: a randomized, placebo-controlled trial. Arch Intern Med 2005; 165: 1582-9. PubMed
  4. Laumann EO, Nicolosi A, Glasser DB, et al. Sexual problems among women and men aged 40-80 y: prevalence and correlates identified in the Global Study of Sexual Attitudes and Behaviors. Int J Impot Res 2005; 17: 39-57. PubMed
  5. Avis NE, Zhao X, Johannes CB, Ory M, Brockwell S, Greendale GA. Correlates of sexual function among multi-ethnic middle-aged women: results from the Study of Women's Health Across the Nation (SWAN). Menopause 2005; 12: 385-98. PubMed
  6. van Lunsen RHW, Laan E. Genital vascular responsiveness in sexual feelings in midlife women: psychophysiologic, brain, and genital imaging studies. Menopause 2004; 11: 741-8. PubMed
  7. Simon J, Braunstein G, Nachtigall L, et al. Testosterone patch increases sexual activity and desire in surgically menopausal women with hypoactive sexual desire disorder. J Clin Endocrinol Metab 2005; 90: 5226-33. PubMed
  8. Segraves RT, Clayton A, Croft H, Wolf A, Warnock J. Bupropion sustained release for the treatment of hypoactive sexual desire disorder in premenopausal women. J Clin Psychopharmacol 2004; 24: 339-42. PubMed
  9. Santoro A, Torrens J, Crawford S, et al. Correlates of circulating androgens in mid-life women: the Study of Women's Health Across the Nation. J Clin Endocrinol Metab 2005; 90: 4836-45. PubMed
  10. Davis SR, Davison SL, Donath S, Bell RJ. Circulating androgen levels in self-reported sexual function in women. JAMA 2005; 294: 91-6. Journal of the American Medical Association
  11. Dennerstein L, Lehert P. Modeling mid-aged women's sexual functioning: a prospective, population-based study. J Sex Marital Ther 2005; 30: 173-83. PubMed
  12. Verhaak CM, Smeenk JMJ, van Minnen A, Kremer JAM, Kraaimaat FW. A longitudinal prospective study on emotional adjustment before, during, and after consecutive fertility treatment cycles. Hum Reprod 2005; 20: 2253-60. PubMed
  13. Panzer C, Wise S, Fantini G, et al. Impact of oral contraceptives on sex hormone-binding globulin and androgen levels: a retrospective study in women with sexual dysfunction. J Sex Med 2006; 3: 104-13. PubMed
  14. Blake J, Belisle S, Basson R, et al. Canadian Consensus Conference on Menopause 2006 update. J Obstet Gynecol Can 2006; 28: Suppl:1-92.
  15. North American Menopause Society. The role of testosterone therapy in postmenopausal women: position statement of the North American Menopause Society. Menopause 2005; 12: 497-511. PubMed
  16. Basson R, Althof S, Davis S, et al. Summary of the recommendations on sexual dysfunctions in women. J Sex Med 2004; 1: 24-34. PubMed
  17. Clayton AH, Valladares Juarez EM. Female Sexual Dysfunction. Med Clin North Am. 2019 Jul;103(4):681-698. PMID: 31078200. PubMed
  18. Hays J, Ockene JK, Brunner RL, et al. Effects of estrogen plus progestin on health-related quality of life. N Engl J Med 2003; 348: 1839-54. New England Journal of Medicine
  19. Buster JE, Kingsberg SA, Aguirre O, et al. Testosterone patch for low sexual desire in surgically menopausal women: a randomized trial. Obstet Gynecol 2005; 105: 944-52. PubMed
  20. Davis SR, van der Mooren MJ, van Lunsen RHW, et al. The efficacy and safety of a testosterone patch for the treatment of hypoactive sexual desire disorder in surgically menopausal women: a randomized, placebo controlled-trial. Menopause 2006. PMID: 16735935 PubMed
  21. Basson R, Brotto LA. Sexual psychophysiology and effects of sildenafil citrate in oestrogenised women with acquired genital arousal disorder and impaired orgasm: a randomised controlled trial. BJOG 2003; 110: 1014-24. PubMed
  22. Basson R, McInnes R, Smith MD, Hodgson G, Koppiker N. Efficacy and safety of sildenafil citrate in women with sexual dysfunction associated with female sexual arousal. J Womens Health Gend Based Med 2002; 11: 367-77. PubMed
  23. Akbarzadeh M, Zeinalzadeh S, Zolghadri J, et al. Comparison of Elaeagnus angustifolia Extract and Sildenafil Citrate on Female Orgasmic Disorders: A Randomized Clinical Trial. J Reprod Infertil 2014; 15:190. PubMed
  24. Taylor MJ, Rudkin L, Hawton K. Strategies for managing antidepressant-induced sexual dysfunction: systematic review of randomised controlled trials. J Affect Disord 2005; 88: 241-54. PubMed
  25. Trudel G, Marchand A, Ravart M, Aubin S, Turgeon L, Fortier P. The effect of a cognitive-behavioral group treatment program on hypoactive sexual desire in women. Sex Relat Ther 2001; 16: 145-64. PubMed
Annonse
Annonse