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Sexual dysfunction in patients with spinal cord lesions
Frédérique Courtois1, Kathleen Charvier2
1Department of Sexology, Université du Québec à Montréal, Montreal, Quebec, Canada.
Handbook of Clinical Neurology
|May 25, 2015
Summary
Spinal cord lesions (SCL) significantly disrupt sexual function and quality of life for both men and women. Rehabilitation must address these sexual health concerns, integrating neurophysiology and clinical experience for effective treatment.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Sexual Health
Background:
- Spinal cord lesions (SCL) profoundly impact various aspects of sexuality, affecting self-esteem, body image, mobility, and physiological responses.
- Sexual dysfunction following SCL can manifest as difficulties with erectile function, ejaculation, orgasm, lubrication, and increased susceptibility to infections.
Purpose of the Study:
- To detail the multifaceted effects of SCL on male and female sexual responses across different phases.
- To review current and SCL-specific treatments, including novel approaches for women.
- To integrate neurophysiological insights, literature findings, and clinical expertise in sexual rehabilitation.
Main Methods:
- Comprehensive review of neurophysiological knowledge and existing literature on SCL and sexuality.
- Analysis of clinical experiences in sexual rehabilitation for individuals with SCL.
- Discussion of primary, secondary, and tertiary consequences of SCL on sexual health.
Main Results:
- SCL disrupts sexual function, impacting desire, arousal, orgasm, and satisfaction in both genders.
- Specific challenges include erectile dysfunction, ejaculation issues, and altered orgasmic potential in men; and lubrication, genital congestion, and infection risks in women.
- Sexual health is a high priority for quality of life in the SCL population, necessitating dedicated rehabilitation strategies.
Conclusions:
- Addressing sexual concerns is crucial for the overall well-being and quality of life of individuals with SCL.
- A holistic approach integrating neurophysiology, clinical data, and counseling is essential for effective sexual rehabilitation.
- Ongoing research and development of new therapeutic strategies, particularly for women, are vital for improving sexual outcomes post-SCL.
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