Sexual Function and Disability in the Neurorehabilitation Setting: An Urgent Need for a Multidisciplinary Approach
Rocco Salvatore Calabrò, Alfredo Manuli, Rocco Salvatore Calabrò, Alfredo Manuli
Abstract
Sexual function in patients with neurological disabilities is often disregarded by healthcare professionals, though it is a topic of great importance to patients and to those with whom they share significant relationships. Indeed, too often healthcare professionals believe that sexual function is not as important as the disease that brought the patient to the rehabilitation team. Neurological disorders frequently alter sexual response by changing the process of sexual stimulation and precluding arousal, decreasing or increasing desire, and curtailing genital engorgement. In these patients, sexual functioning might also be affected by the psychological and behavioral changes associated with neurological disease. Thus, in the neurorehabilitation setting, it is important to question patients about their sexual functioning so that any associated dysfunction can be addressed. A multidisciplinary approach, including psychological counseling, nursing, and medical investigation, is therefore needed to overcome this important and often neglected concern.
Keywords: Sexuality; counseling; disability; neurological diseases; sexual dysfunction; sexual function.
Conflict of interest statement
DISCLOSURES: The author has no conflicts of interest relevant to the content of this article.
Copyright © 2021. Matrix Medical Communications. All rights reserved.
References
- Calabrò RS. When healthcare providers do not ask, patients rarely tell: the importance of sexual counselling in multiple sclerosis. J Natl Med Assoc. 2019;111(6):682–687.
- Calabrò RS, Russo M, Naro A. Discussing sexual health after traumatic brain injury: an unmet need! Innov Clin Neurosci. 2017;14(1–2):11–12.
- Calabrò RS, Gervasi G, Bramanti P. Male sexual disorders following stroke: an overview. Int J Neurosci. 2011;121(11):598–604.
- Latella D, Maggio MG, De Luca R et al. Changes in sexual functioning following traumatic brain injury: an overview on a neglected issue. J Clin Neurosci. 2018;58:1–6.
- Calabrò RS, De Luca R, Conti-Nibali V et al. Sexual dysfunction in male patients with multiple sclerosis: a need for counseling! Int J Neurosci. 2014;124(8):547–557.
- Tudor KI, Eames S, Haslam C et al. Identifying barriers to help-seeking for sexual dysfunction in multiple sclerosis. J Neurol. 2018;265(12):2789–2802.
- Hoen LA, Groen J, Scheepe JR A quality assessment of patient-reported outcome measures for sexual function in neurologic patients using the Consensus-Based Standards for the Selection of Health Measurement Instruments checklist: a systematic review. Eur Urol Focus. 2017. pp. 3pp. 444–456.
- Anderson P, Kitchin R. Disability, space and sexuality: access to family planning services. Soc Sci Med. 2000;51(8):1163–1173.
- Mulhall JP, Giraldi A, Hackett G et al. The 2018 revision to the process of care model for management of erectile dysfunction. J Sex Med. 2018;15(10):1434–1445.
- Rullo J, Faubion SS, Hartzell R et al. Biopsychosocial management of female sexual dysfunction: a pilot study of patient perceptions from 2 multi-disciplinary clinics. Sex Med. 2018;6(3):217–223.
- Goldstein I, Burnett AL, Rosen RC et al. The serendipitous story of sildenafil: an unexpected oral therapy for erectile dysfunction. Sex Med Rev. 2019;7(1):115–128.
- Gao L, Yang L, Qian S et al. Systematic review and meta-analysis of phosphodiesterase type 5 inhibitors for the treatment of female sexual dysfunction. Int J Gynaecol Obstet. 2016;133(2):139–145.
- Calabrò RS, Cacciola A, Bruschetta D et al. Neuroanatomy and function of human sexual behavior: a neglected or unknown issue? Brain Behav. 2019;9(12):e01389.
Source: PubMed