Sexual function in men and women with neurological disorders

Rees, P. J.; Fowler, Clare J.; Maas, C. P.

doi:10.1016/s0140-6736(07)60238-4

Cited by 287 publications

(181 citation statements)

References 128 publications

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“…SCI in women has been shown to affect all aspects of genital neurology, including genital sensation, vaginal lubrication, and orgasm. 18,28 During initial recovery, it is advisable to assess neurological recovery through any change in the ASIA/IMSOP scales of international standards; in fact, the majority of neurological improvement occurs within the first 3 months, but slight improvement can continue up to 18 months or longer.…”

Section: 27mentioning

confidence: 99%

“…A modification of neurological status that may influence sexual response can be noted primarily up to 18 months after SCI. 28 Studies on sexual arousal, such as Sipski's et al, 17 showed that in 46 SCI patients, arousal significantly increased with both manual and vibratory stimulation. Neurophysiological studies showed that women with the ability to perceive T11-L2 pinprick sensations may have psychogenic genital vasocongestion.…”

mentioning

confidence: 99%

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Sexual rehabilitation in women with spinal cord injury: a critical review of the literature

et al. 2010

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Study design: Review article. Objectives: Critical review of literature on the multiple aspects of sexual rehabilitation in women with spinal cord injury (SCI) from initial recovery to long-term follow-up. Setting: Neuro-urology Department. Methods: Studies on sexuality selected from PubMed from 1993 to 2009. Results: Literature supported by significant statistical analyses reports that females with complete tetraglegia deserved special attention immediately at initial recovery; sexual intercourse is much more difficult for them (as compared with other women with SCI) mainly because of autonomic dysreflexia and urinary incontinence. There are sparse data on predictable factors favoring sexual rehabilitation such as the age SCI was incurred, the importance of one's sexual orientation, and the SCI etiology. Information after initial discharge is based chiefly on questionnaires, which report that as more time passes since the injury, patients attain more sexual satisfaction compared with recently injured women. Studies on neurological changes after SCI, and their effect on sexual response, are supported by a significant statistical analysis, but with few SCI patients. One topic reported the effect of sildenafil on sexuality, without benefit. No paper offers any detailed analysis on the sexual impact of medical and psychological treatments related to SCI. Literature reports that some co-morbidities are more prevalent in women with SCI compared with able-bodied women but data on sexual functioning are missing. Conclusion: To improve sexual rehabilitation services, sexual issues and response require evaluation during periodical check-ups using validated questionnaires administered by a physician 'guide' who coordinates professional operators thus providing personalized programmable interventions.

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Section: 27mentioning

confidence: 99%

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confidence: 99%

Sexual rehabilitation in women with spinal cord injury: a critical review of the literature

et al. 2010

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“…47 Head injuries may be associated with central hypogonadism, as well as reduced release of growth hormone, and/or gonadotropin. Stroke appears to result in similar rates of sexual dysfunction as with head trauma, although sexual disorders are rarely a direct consequence of the stroke.…”

Section: Cns Pathway Of Sexual Dysfunctionmentioning

confidence: 99%

Epidemiology and pathophysiology of male sexual dysfunction

Kaminetsky

2008

Int J Impot Res

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Male sexual dysfunction (MSD) is a common disorder associated with a wide range of physical and psychological conditions. Erectile dysfunction, the most commonly studied aspect of MSD, is common and increases with age and with certain comorbid conditions. The pathophysiology of ED and other forms of MSD can be traced to a variety of etiologies, including vascular, hormonal, psychiatric, iatrogenic and potentially neurobiological causes.

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“…The defect may be partial initially, so that erectile dysfunction is variable. Morning and noctural erections may be preserved upon onset but usually wane with time [23]. Ejaculatory dysfunction more commonly manifests as difficulty in achieving ejaculation but occasionally premature ejaculation is also reported [12].…”

Section: Sexual Dysfunction In Menmentioning

confidence: 99%

Urologic Problems in Multiple Sclerosis

Pentyala¹

2010

TOANDROJ

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Multiple sclerosis (MS) is a devastating neurologic disease that attacks young adults and affects all aspects of their lives. Genitourinary dysfunction in MS has a significant impact on quality of life with more than 80% of those with MS reporting genitourinary symptoms. Voiding dysfunction is a prominent problem affecting the majority of MS sufferers. Less commonly recognized, but of no less importance, is sexual dysfunction which affects both men and women with MS. At least 75% of men and 50% of women report sexual dysfunction and suspicions of under-reporting are strong. In this review, physiology of micturition, sexual functioning and disruptions in neural pathways occurring in MS that can result in the clinical syndromes of voiding dysfunction, sexual dysfunction and paraphilias will be discussed. Management of these disorders is also reviewed.

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Sexual function in men and women with neurological disorders

Cited by 287 publications

References 128 publications

Sexual rehabilitation in women with spinal cord injury: a critical review of the literature

Sexual rehabilitation in women with spinal cord injury: a critical review of the literature

Epidemiology and pathophysiology of male sexual dysfunction

Urologic Problems in Multiple Sclerosis

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