Sexual ability, activity, attitudes and satisfaction as part of adjustment in spinal cord-injured subjects

Siösteen, A; Lundqvist, Christer; Blomstrand, Christian; Sullivan, L; Sullivan, Marianne

doi:10.1038/sc.1990.38

Cited by 89 publications

(90 citation statements)

References 7 publications

(4 reference statements)

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“…The principal reason given by those women who did not have intercourse after the injury was the fact that they did not have a stable partner, a fact that seems to confirm the above mentioned. Although some authors find an advantage in the young age of these patients, owing to the fact that they have not yet established any sexual habits and there is a greater flexibility redefining their sexual aims and expectations, 18 we consider that these patients are candidates for a specific therapeutic program that helps them to achieve an active and satisfactory sexual life in the future.…”

Section: Discussionmentioning

confidence: 97%

Sexual issues in a sample of women with spinal cord injury

et al. 2004

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Study design: Semistructured interview. Objectives: To assess the degree of participation in sexual intercourse of a sample of women with spinal cord injury (SCI) in our community, to establish to what extent their sexual lives have been affected in comparison to before the injury, and to search for those factors that may have a major influence on both aspects. Setting: Spinal Cord Injuries Unit, A Corun˜a, Spain. Participants: A total of 37 women, average age 40 years, time since onset average 10 years. Results: In all, 62% claimed regular sexual activity after the injury. The women who suffered the injury before reaching the age of 18 years run a higher risk of not having physical relationships than those who were above that age when they incurred the SCI (P ¼ 0.04, OR 4.75). We discovered a significant drop in the frequency of intercourse (P ¼ 0.003) and the ability to reach an orgasm (P ¼ 0.008), after the injury. Of these women, 69% were satisfied with their current sexual activity and 77.4% considered the information they received from their doctors on the changes the SCI would cause in their sexuality to be either insufficient or nonexistent. Conclusions: There is a noticeable decrease in the frequency of intercourse as well as a significant reduction in the capability of reaching orgasm. Despite these changes and problems that ensue during intercourse as a result, most show satisfaction with their current sexual lives. On the other hand, the occurence of the injury before the age of 18 years may imply a greater risk of not having an active sex life in adult years. We consider it is essential to provide the appropriate sexual information during the process of rehabilitation, aimed at helping women with SCI to adapt to their new situation.Spinal Cord (2005) 43, 51-55.

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Section: Discussionmentioning

confidence: 97%

Sexual issues in a sample of women with spinal cord injury

et al. 2004

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“…Studies have demonstrated that satisfaction with sexual life is related to an improvement in quality of life. 16,23 The restoration of an erectile function is an important step toward higher …”

Section: Discussionmentioning

confidence: 99%

Phosphodiesterase inhibitors in the treatment of erectile dysfunction in spinal cord-injured men

Soler¹,

Prévinaire

Denys

et al. 2006

Spinal Cord

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“…Other studies30, [32][33][34][35] have demonstrated that open and honest communication is essential to a satisfying sexual relationship. In close relationships, both partners have the responsibility to communicate their views as honestly and accurately as possible.…”

Section: Discussionmentioning

confidence: 99%

“…In an earlier study the present researchers found that the quality of Sexual adjustment after SCI 233 life, perceived by the SCI person through a global rating, was closely related to sexual adjustment. 35 Further predictors of a satisfying sexual adjustment were the injured person's con cerns about the sexual pleasure and enjoy ment of their partner, and a varied reper toire of sexual behaviours. As sexuality extends beyond the person's physiological capacity for intercourse and covers an expanded sexual repertoire, a focusing on sensuality rather than on achievement may lead to positive developments in a couple's relationship and increased feelings of sexual equality for both partners.…”

Section: Discussionmentioning

confidence: 99%

Sexual adjustment after spinal cord injury (SCI) focusing on partner experiences

Kreuter¹,

Sullivan

Siösteen³

1994

Spinal Cord

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In addition to the physical disability, a spinal cord injury affects self esteem and partner relationships. This study addressed partner experiences in relation to sexual interest, behaviour and satisfaction. A measure of satisfaction within relationships was also included. Forty-nine partners of SCI persons completed a comprehensive survey including an 80 item questionnaire and a VAS quality-of life measure. Partner ages ranged from 18 to 79 years (median 34 years). Thirty-nine partners were women and 10 partners were men. Significance testing of relationships included bivariate, partial and multiple correlation procedures. Sixty-one per cent of the partners appreciated the quality of their sexual relationship and most partners (84%) considered their relationship overall to be satisfying. Half of the couples engaged in sex, with or without intercourse, once a week or more. Fifty-five per cent of the partners reported being content with the frequency of their sexual interaction while one third would have wished more frequent activity. Almost half of the partners (45%) considered their current sex life to be as good as or even better than their previous sex life. High general satisfaction with life, a varied repertoire of rewarding sexual expressions, including intercourse and concern about the able bodied partner's sexual pleasure were positive predictors of an active and fulfilling sexual relationship. From the partner's perspective, feelings of emotional closeness, mutual concerns and willingness to engage in a variety of sexual activities seem to be more important for sexual fulfilment than the physiological aspects of sexuality.

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Sexual ability, activity, attitudes and satisfaction as part of adjustment in spinal cord-injured subjects

Cited by 89 publications

References 7 publications

Sexual issues in a sample of women with spinal cord injury

Sexual issues in a sample of women with spinal cord injury

Phosphodiesterase inhibitors in the treatment of erectile dysfunction in spinal cord-injured men

Sexual adjustment after spinal cord injury (SCI) focusing on partner experiences

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