女性性功能障碍作为药物的不良影响:一个叙事审查
Mikael O W Piha1, Katja Kero2, Aleksi Tornio1
1Integrative Physiology and Pharmacology, Institute of Biomedicine, University of Turku, FI-20014 Turku, Finland; Unit of Clinical Pharmacology, Turku University Hospital, PO Box 52, FI-20521 Turku, Finland.
Maturitas
|June 1, 2025
概括
许多药物可以导致性功能障碍,影响治疗的坚持. 在选择治疗方法时,临床医生应考虑药物诱导的性副作用,因为替代方案可能具有更好的性安全概况.
科学领域:
- 药理学 药理学是指药理学的学科.
- 神经科学是一个神经科学.
- 内分泌学 在内分泌学.
背景情况:
- 药物诱导性功能障碍是影响药物治疗坚持的常见问题.
- 性副作用会破坏性反应周期,导致痛苦和临床相关的功能障碍.
- 精神药物和神经药物是主要的罪祸首,但其他药物类别也会有所贡献.
研究的目的:
- 审查与性功能障碍相关的常见药物类别.
- 探索药物诱导性副作用背后的机制.
- 强调在药物治疗选择中考虑性安全的重要性.
主要方法:
- 关于精神药物,神经药物和其他药物类别的文献评论.
- 对已记录的性不良影响及其与药物机制的关系进行分析.
- 针对类似疾病的不同药物的性安全概况的比较.
主要成果:
- 血清激素抗抑郁药,抗精神病药,阿片类药物和抗药与欲望,兴奋和高潮功能障碍的降低有关.
- 孕激素避孕药,抗雌激素和β抑制剂也会增加性功能障碍的风险.
- 机制包括神经递质的改变,益乳素的增加,镇静和HPO轴的抑制.
结论:
- 药物诱导的性功能障碍是普遍的,多因素的,影响性反应周期的各个阶段.
- 区分药物影响与医疗状况是具有挑战性的,但对管理至关重要.
- 选择具有良好的性安全概况的药物对于优化患者的坚持和生活质量至关重要.
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