Women's Sex Life After Spinal Cord Injury

Sexual Medicine - Tập 5 - Trang e255-e259 - 2017
Tatana Sramkova1,2, Katerina Skrivanova3,4, Igor Dolan5, Libor Zamecnik1, Katerina Sramkova5, Jiri Kriz6, Vladimir Muzik2, Radmila Fajtova2
1Institute of Sexology and Department of Urology, General University Hospital, 1st Faculty of Medicine, Charles University Prague, Prague, Czech Republic
2Spinal Unit of Department of Surgery Faculty Hospital, Masaryk University Brno, Brno, Czech Republic
3Department of Clinical Psychology of Faculty Hospital Brno, Czech Republic
4Department of Psychology and Psychosomatics, Medical Faculty, Brno, Czech Republic
5Department of Urology, St Anna Hospital Brno, Brno, Czech Republic
6Spinal Unit of Department of Rehabilitation Charles University Prague, Prague, Czech Republic

Tóm tắt

Abstract Introduction After spinal cord injury (SCI), individuals are typically considered by the general public to be asexual. Handicapped women have more problems with socio-sexual adaptation, stemming from low self-confidence, low self-esteem, and the absence of spontaneity. Aims To determine changes in the sexual lives of women after SCI. Methods A self-constructed questionnaire was used to map sexual function after SCI. We retrospectively compared sexual function in 30 women with SCI with that in 30 without SCI who led an active sexual life. Descriptive and inductive statistics were applied using the Student paired and non-paired t-tests and the Levene test. Main Outcome Measures The main variables were presence vs absence of sexual dysfunction in a group of women after SCI and a comparison of the incidence of sexual dysfunctions in women after SCI with that of a control group. Results A significant difference was ascertained in women with SCI in sexual desire (P < .001), lubrication (P < .001), and reaching orgasm before and after injury (P = .030). A comparison of the two groups showed a significant difference in the realization of coital sexual activity (P < .001), erotogenous zones of the mouth (P = .016), nipples (P = .022), and genitals (P < .001), and in the ability to reach orgasm (P = .033). The negative impact of incontinence on the sexual life of women with SCI proved significant (P < .001). Negative factors for sexual activity in women with SCI were lower sensitivity in 16 (53%), spasms and mobility problems in 12 (40%), lower desire in 11 (36%), pain in 4 (13%), and a less accommodating partner in 3 (10%). Conclusion Intercourse was the preferred sexual activity in women with SCI. Compared with the period before injury, there was significant lowering of sexual desire, impaired lubrication, and orgasmic ability after SCI. A comparison of the two groups showed a difference in erotogenous zones and in reaching orgasm.

Tài liệu tham khảo

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Sexual Medicine

Tập 5

e255-e259

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