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性功能

性功能(Sexual function)是指人體在各性反应周期中的反應,也有可能是性功能障碍的結果。現今已定義了幾個性功能的不同層面,以是麥斯特與強生的研究為基礎[1]。性功能的層面定義為评估有关性欲勃起性高潮射精。評估性功能的指南一般會建議分為四個階段:

第一階段處理性功能定義層面的文件,主要的問題有

  1. 此功能是否完好?例如在特定一段時間內是否有發生過勃起或性高潮?
  2. 若此功能不完好,功能的頻率或強度有什麼特點。例如在特定一段時間內,出現勃起或性高潮的次數,其高潮快感強度或是勃起硬度相較於年輕(或是身體最理想時期)的情形。在這個階段對性功能缺失或減弱的解釋,建議可分為是心理或是生理的。

第二階段評估在一定時間內不同性活動(例如性交)的頻率。在這個階段對性功能缺失或減弱的解釋,建議可分為是心理、生理、宗教伦理学上的原因。

第三階段評估性功能缺失或減弱帶來多大程度的壓力及困擾。

第四階段是評估性功能缺失或減弱的痛苦和健康情緒孤立英语emotional isolation之間的關係。

上述指南是以以評估男性性功能的角度所訂定的[2],和治療前列腺癌有關。不過此一概念已有調整,而且可以適用來評估女性的性功能[3]

相關條目

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參考資料

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  1. ^ Masters, William; Virginia E. Johnson. Human Sexual Response. Little, Brown & Co. 1966. 
  2. ^ Helgason ÁR, Adolfsson J, Dickman P, Arver S, Fredrikson M, Göthberg M, Steineck G. Sexual desire, erection, orgasm and ejaculatory functions and their importance to elderly Swedish men: A population-based study.页面存档备份,存于互联网档案馆) Age and Ageing. 1996:25:285-291.
  3. ^ Bergmark K, Avall-Lundkvist E, Dickman PW, Henningsohn L, Steineck G. Vaginal changes and sexuality in woman with a history of cervical cancer. N Engl J Med. 1999: 304 (18):1383-9.
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性功能
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