Hopp til hovedinnhold

Seksuell dysfunksjon hos kvinner

Sist revidert:
Sist revidert av:

Definisjon:
Seksuelle dysfunksjoner som lite lyst, manglende opphisselse, smerter, manglende orgasme
Forekomst:
Er ganske utbredt
Symptomer:
Kan variere
Funn:
Vanligvis normale kliniske funn
Diagnostikk:
Ingen tilleggsundersøkelser er påkrevd
Behandling:
Informasjon, psykoterapi, medikamenter har neppe effekt
  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  
  • Terje Johannessen, professor i allmennmedisin, Trondheim

Tidligere fagmedarbeidere

  • Per Bergsjø, professor emeritus, dr. med., Universitetet i Bergen. Spesialist i kvinnesykdommer og fødselshjelp, forsker ved Nasjonalt folkehelseinstitutt, Oslo