男性延迟性高潮和性快感缺失：性医学提供者的实用指南

Male delayed orgasm and anorgasmia: a practical guide for sexual medicine providers

——原载《国际阳痿研究杂志》2024年第36卷第3期——

<International Journal of Impotence Research>, 2024, 36 (3)

【摘要】延迟性高潮（DO）被定义为尽管有足够的性刺激和性欲，但性高潮的潜伏期增加。性快感缺失症（AO）的特征是缺乏性高潮。DO/AO的病因包括药物引起的、心因性的、内分泌性的和生殖盆感觉异常。鉴于这种疾病的多因素复杂性，全面的病史和体格检查代表了临床环境中患者评估的最关键组成部分。由于缺乏FDA批准的标准化药物疗法，治疗DO/AO可能具有挑战性。DO/AO没有标准化的治疗计划，但常见的治疗计划通常是多学科的，可能包括调整不良药物和性治疗。在这篇综述中，我们总结了DO/AO的病因、诊断和治疗。

[Abstract] Delayed orgasm (DO) is defined as increased latency of orgasm despite adequate sexual stimulation and desire. Anorgasmia (AO) is characterized as the absence of orgasm. Etiologies of DO/AO include medication-induced, psychogenic, endocrine, and genitopelvic dysesthesia. Given the multifactorial complex nature of this disorder, a thorough history and physical examination represent the most critical components of patient evaluation in the clinical setting. Treating DO/AO can be challenging due to the lack of standardized FDA-approved pharmacotherapies. There is no standardized treatment plan for DO/AO, though common treatments plans are often multidisciplinary and may include adjustment of offending medications and sex therapy. In this review, we summarize the etiology, diagnosis, and treatment of DO/AO.

论文原文：Vi Nguyen, Isabella Dolendo, Maria Uloko, Tung-Chin Hsieh & Darshan Patel (2024). Male delayed orgasm and anorgasmia: a practical guide for sexual medicine providers. International Journal of Impotence Research, Volume 36, Issue 3, Pages 186–193, May 2024.

https://doi.org/10.1038/s41443-023-00692-7

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