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Nedsatt seksuell lyst hos kvinner

Sist revidert:
Sist revidert av:
Definisjon:
Inkluderer "hypoactive sexual desire disorder" og "sexual aversion disorder". Har som regel en psykologisk eller fysiologisk årsak
Forekomst:
Er det vanligste seksuelle problemet blant kvinner
Symptomer:
Nedsatt seksuell lyst
Funn:
Kliniske funn er som regel normale
Diagnostikk:
Tilleggsundersøkelser er vanligvis ikke påkrevd
Behandling:
Først og fremst informasjon
  1. Basson R. Sexual desire and arousal disorders in women. N Engl J Med 2006; 354: 1497-1506. New England Journal of Medicine  
  2. Butcher J. Female sexual problems. I: Loss of desire - what about the fun?. BMJ 1999; 318: 41-3. PubMed  
  3. Shifren JL. Overview of sexual dysfunction in women: Epidemiology, risk factors, and evaluation. UpToDate, last updated Feb 24, 2020. UpToDate  
  4. 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  
  5. Frank JE, Mistretta P. Diagnosis and treatment of female sexual dysfunction. Am Fam Physician 2008; 77: 635-42. PubMed  
  6. Faubion SS, Rullo JE. Sexual dysfunction in women: a practical approach. Am Fam Physician. 2015 Aug 15;92(4):281-288. PubMed  
  7. Nicolosi A, Laumann EO, Glasser DB, Moreira ED, Paik A, Gingell C. Sexual behavior and sexual dysfunctions after age 40: the global study of sexual attitudes and behaviors. Urology 2004; 64: 991-7. PubMed  
  8. Feldman J, Striepe M. Women's sexual health. Clin Fam Pract 2004; 6: 839-61. PubMed  
  9. Ragucci KR, Culhane NS. Treatment of female sexual dysfunction. Ann Pharmacother 2003; 37: 546-55. PubMed  
  10. Simons JS, Carey MP. Prevalence of sexual dysfunctions: results from a decade of research. Arch Sex Behav 2001; 30: 177-219. PubMed  
  11. Sexual and gender identity disorders. In: American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Washington, DC: American Psychiatric Association; 2000: 493-538.
  12. Miller KK, Rosner W, Lee H, et al. Measurement of free testosterone in normal women and women with androgen deficiency: comparison of methods. J Clin Endocrinol Metab 2004; 89: 525. PubMed  
  13. Sacomori C, Cardoso FL. Predictors of improvement in sexual function of women with urinary incontinence after treatment with pelvic floor exercises: a secondary analysis. J Sex Med 2015;Mar;12(3): 746-55. doi: 10.1111/jsm.12814 DOI  
  14. Braunstein GD, 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  
  15. 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  
  16. Davis SR, van der Mooren MJ, van Lunsen RHW, et al. 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; 13: 387-96. PubMed  
  17. 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  
  18. Davis SR, Moreau M, Kroll R, et al. Testosterone for low libido in postmenopausal women not taking estrogen. N Engl J Med 2008; 359: 2005-17. New England Journal of Medicine  
  19. Crowley T, Richardson D, Goldmeier D. Recommendations for the management of vaginismus: BASHH Special Interest Group for Sexual Dysfunction. Int J STD AIDS 2006; 17: 14-8. PubMed  
  20. Potter JE. A 60-year-old woman with sexual difficulties. JAMA 2007; 297: 620-33. Journal of the American Medical Association  
  21. Simon JA, Kingsberg SA, Shumel B, Hanes V, Garcia M Jr, Sand M. Efficacy and safety of flibanserin in postmenopausal women with hypoactive sexual desire disorder: results of the SNOWDROP trial. Menopause. 2014;21:633-640. PubMed  
  22. Jaspers L, Feys F, Bramer WM, et al. Efficacy and safety of flibanserin forthe treatment ofhypoactive sexual desire disorder in women. A systematic review and meta-analysis. JAMA Intern Med 2106. doi:10.1001/jamainternmed.2015.8565 DOI  
  • Terje Johannessen, professor i allmennmedisin, Trondheim (tilpasning til NEL)

Tidligere fagmedarbeidere

  • Ditte Trolle, læge, specialist i kvindesygdomme og fødsler, Universitetet i Aarhus