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首页> 外文期刊>The journal of sexual medicine >Is Increased Libido an Atypical Symptom of Bipolar Depression? An Interesting Case
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Is Increased Libido an Atypical Symptom of Bipolar Depression? An Interesting Case

机译：性欲增加是双相抑郁的典型症状吗？一个有趣的案例

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Introduction. Decreased libido is recognized as one of the vegetative symptoms of depression. Increased libido has not been acknowledged as one of its symptoms, neither has it been reported, particularly in depressed bipolar patients. Aim. We hereby report a case of atypical presentation of increased sexual function in a patient in depressed phase of bipolar II thereby querying the fact, whether increased libido is actually an unrecognized atypical symptom of bipolar depression. Methods. A 48-year-old male presented with mood swings whereby his sexual function was increased during his depressive phase. Antidepressant, mood stabilizer, and antipsychotic medication were administered. Electroconvulsive therapy (ECT) was offered for augmentation therapy. Main Outcome Measures. When sexual dysfunction is not identified, there is a risk of misdiagnosis and mismanagement. Results. Patient did not attain full remission with medication. Compliance with medication was an issue, most probably due to the sexual side effects. The patient refused ECT. Conclusion. This case highlights atypical presentation of high libido in a patient in the depressive phase of bipolar II disorder. The uncommon presentation of a common illness posed a diagnostic challenge and complicated the subsequent management. It was concluded that increased sexual function deserves further consideration as a symptom of bipolar depression. ? 2012 International Society for Sexual Medicine.
机译：介绍。性欲下降是公认的抑郁症的营养症状之一。性欲增加尚未被公认为是其症状之一，也没有报道，特别是在抑郁的双相情感障碍患者中。目标。我们在此报告一例双相情感障碍II抑郁症患者中非典型性功能增强的情况，从而质疑以下事实：性欲增加是否实际上是双相抑郁症的一种未被识别的非典型症状。方法。一名48岁的男性表现出情绪波动，因此在抑郁期其性功能得到增强。服用抗抑郁药，情绪稳定剂和抗精神病药。电抽搐疗法（ECT）用于增强疗法。主要观察指标。如果未发现性功能障碍，则存在误诊和管理不当的风险。结果。患者未通过药物完全缓解。服药依从性是一个问题，很可能是由于性副作用。病人拒绝接受ECT治疗。结论。该病例突显了躁郁症双相情感障碍患者处于抑郁状态的非典型表现。常见疾病的罕见表现给诊断带来了挑战，并使后续管理变得复杂。结论是性功能增加是双相抑郁的症状，值得进一步考虑。 ？ 2012年国际性医学学会。

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