کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
8673275 | 1578837 | 2018 | 21 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
The International Society for the Study of Women's Sexual Health Process of Care for Management of Hypoactive Sexual Desire Disorder in Women
ترجمه فارسی عنوان
انجمن بین المللی بررسی روند سلامت جنسی زنان در مراقبت از اختلال میل جنسی در زنان
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کلمات کلیدی
DHEAHSDDSHBGPHQDsDsCHCdehydroepiandrosteronePOCHCPHypoactive Sexual Desire Disorder - اختلال میل جنسی سوزندهHealth care professional - حرفه مراقبت بهداشتیCNS - دستگاه عصبی مرکزیCBT - رفتار درمانی شناختی Cognitive Behavior Therapy - رفتار درمانی شناختی Level of evidence - سطح شواهدMetabolic syndrome - سندرم متابولیکcentral nervous system - سیستم عصبی مرکزیadverse event - عارضه جانبی یا عوارض جانبیProcess of care - فرایند مراقبتLoE - لئوMETS - متسAromatase inhibitor - مهار کننده آراماتازsex hormone–binding globulin - هورمون جنسی مرتبط گلوبولینPatient Health Questionnaire - پرسشنامه سلامت بیمار
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
کاردیولوژی و پزشکی قلب و عروق
چکیده انگلیسی
The International Society for the Study of Women's Sexual Health process of care (POC) for management of hypoactive sexual desire disorder (HSDD) algorithm was developed to provide evidence-based guidelines for diagnosis and treatment of HSDD in women by health care professionals. Affecting 10% of adult females, HSDD is associated with negative emotional and psychological states and medical conditions including depression. The algorithm was developed using a modified Delphi method to reach consensus among the 17 international panelists representing multiple disciplines. The POC starts with the health care professional asking about sexual concerns, focusing on issues related to low sexual desire/interest. Diagnosis includes distinguishing between generalized acquired HSDD and other forms of low sexual interest. Biopsychosocial assessment of potentially modifiable factors facilitates initiation of treatment with education, modification of potentially modifiable factors, and, if needed, additional therapeutic intervention: sex therapy, central nervous system agents, and hormonal therapy, guided in part by menopausal status. Sex therapy includes behavior therapy, cognitive behavior therapy, and mindfulness. The only central nervous system agent currently approved by the US Food and Drug Administration (FDA) for HSDD is flibanserin in premenopausal women; use of flibanserin in postmenopausal women with HSDD is supported by data but is not FDA approved. Hormonal therapy includes off-label use of testosterone in postmenopausal women with HSDD, which is supported by data but not FDA approved. The POC incorporates monitoring the progress of therapy. In conclusion, the International Society for the Study of Women's Sexual Health POC for the management of women with HSDD provides a rational, evidence-based guideline for health care professionals to manage patients with appropriate assessments and individualized treatments.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Mayo Clinic Proceedings - Volume 93, Issue 4, April 2018, Pages 467-487
Journal: Mayo Clinic Proceedings - Volume 93, Issue 4, April 2018, Pages 467-487
نویسندگان
Anita H. MD, Irwin MD, Noel N. PhD, Stanley E. PhD, Stephanie S. MD, Brooke M. WHNP-BC, Sharon J. MD, James A. MD, Linda MD, Kristin MD, Susan R. MBBS, PhD, Murray A. MD, Sheryl A. PhD, Paraskevi-Sofia PhD, Lisa MD, Marita PhD, Richard MD,