産婦人科からみた性障害とその対応(性障害と心身医学)

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The author had the opportunities to consult with 145 women having sexual disorders for the past 8 years. In this paper, the author reported his clinical observations of these cases which_ were summarized as follows : 1) The author introduced a clinical classification of sexual disorders in order to establish a. diagnostic standard and a treatment approach on the basis of the patients' main complaints. at the initial visit to the hospital. According to this classification, out of the 145 cases, 24.l % Complained of abnormal sexual desire, 45.5% abnormal sexual sensations and 30.3% problems in sexual intercourse. When sexual disorders were subdivided, lack of orgasm, loss; of sexual desire, difficulty in performing sexual intercourse were found very frequently. 2) With regard to diagnosis, it was found very useful to use a self-rating sexual satisfaction curve of the author's origin and a sexual personality test which was a modification of the TAT. 3) In many cases, causative factors in sexual disorders were manifold and intricately interrelated including physical factors based on the female life cycle, reactions to and attitudes towards sex, and ability to relate to the opposite sex. No single cause was identified in the disorders. 4) The author has been conducting sexual counselling for female patients with sexual dysfunctions. The results were : improvement in 65.5%, no improvement in 25.5% and follow-up studies impossible in 9%' The results were also evaluated according to the length of time spent prior to the consultation. The counselling was effective in 81.5% of those who started treatment within one year of the onset, 80.5% within I to 2 years, 69.3% within 3 to 4 years. However, the counselling was effective only in 34.2% when it was started after 5 years from the onset. Thus, the longer was the time spent prior to the onset, the less effective was the counselling. Among the important factors which made the treatment effective were early consultation, early diagnosis and early treatment from the standpoint of comprehensive, psychosomatic medicine.
日本心身医学会の論文
1980-02-01

産婦人科からみた性障害とその対応(性障害と心身医学)

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