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Sexual dysfunction in the medically ill.

Kristin J Somers1, Kemuel L Philbrick

  • 1Mayo Clinic College of Medicine, Rochester, MN 55905, USA.

Current Psychiatry Reports
|May 25, 2007
PubMed
Summary
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Sexual dysfunction is common in medically ill patients, affecting the sexual response cycle. Understanding disease impacts and psychosocial factors improves treatment for conditions like spinal cord injuries, multiple sclerosis, and cancer.

Area of Science:

  • Medical Science
  • Human Sexuality
  • Clinical Pathophysiology

Background:

  • Sexual dysfunction is prevalent in individuals with chronic and serious medical conditions.
  • Disease processes can disrupt normal sexual function through physiological and psychological mechanisms.
  • A comprehensive understanding of these disruptions is crucial for effective patient care.

Purpose of the Study:

  • To review the pathophysiology of sexual dysfunction in various chronic illnesses.
  • To examine the impact of these conditions on sexual health.
  • To outline current treatment options for affected individuals.

Main Methods:

  • Literature review focusing on sexual dysfunction in specific disease populations.
  • Analysis of pathophysiological mechanisms underlying sexual impairment.

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  • Synthesis of information on psychosocial factors and treatment strategies.

    • Main Results:

    • Sexual dysfunction is a significant comorbidity in spinal cord injuries, multiple sclerosis, dementia, cardiovascular diseases, cancer, and HIV/AIDS.
    • Pathophysiology varies by condition but often involves neurological, vascular, hormonal, or psychological disruptions.
    • Treatment requires a multidisciplinary approach addressing both physical and psychosocial aspects.

    Conclusions:

    • Sexual dysfunction is a complex issue in medically ill populations requiring tailored management.
    • Improved understanding of disease-specific sexual pathophysiology enhances therapeutic interventions.
    • Addressing sexual health is integral to improving overall quality of life for patients with chronic illnesses.