Sexuality
25 important questions on Sexuality
Name 9 direct factors influencing sexual functioning
Name 7 indirect influences on sexual behavior
What is important to realize in sexuality with regard to the biopsychosocial approach
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Name 4 cognitive functions affecting sexuality and explain shortly.
2. Attention deficits, might affect arousal as it reduces one’s ability to maintain focus and to fantasize
3. Memory deficits, Patients might forget dates, recent sexual encounters, significant episodes with regard to a relationship
4. Difficulties in appropriate social interaction/social cognition, Social interaction might be inappropriate and signals wrongly interpreted
Name 7 psychological factors influencing sexuality
2. loss of identity
3. adjustment issues
4. depression
5. anxiety
6. confidence level and comfort
7. personality change (risk-taking)
What is the medical and physical issue in sexuality in TBI
What symptoms in TBI might interfere with sexuality?
§Limitations in functional mobility
§Headaches
§Fatigue
§Pituitary dysfunction
§Spasticity
§Impaired balance
§Hemiparesis or hemiplegia
§Tremor
§Ataxia
§Dizziness
§Incontinence
What is the influence of medication on sexuality
Many frequently prescribed medications (e.g. antihypertensives, antidepressants, stimulants or anticonvulsants) might interfere with sexual functioning (side effects such as decreased libido or orgasmic difficulties)
How does TBI change a relationship
2. Role changes and increased dependence of the injured partner
3. Social skills deficits might lead to communication difficulties or emotional distance within relationships
Name sexual disorders following stroke
2. partner dissatisfaction
Besides the stroke, what are other consequences that lead to sexual disorders
2. Many of the antihypertensive agents commonly given to stroke patients inhibit erections; some drugs (e.g. β-blockers) also reduce desire
What is unique about sexuality in epilepsy?
What do pt. of epilepsy experience besides and indepedent of sexual automatisms (ictal manifestations)?
How does sexuality in epilepsy manifests interictal
Most common interictal sexual dysfunction associated with TLE is hyposexuality
Explain association antiepileptic drug and sexuality
Explain association epilepsy surgery and sexuality
What are major determinants in dissatisfaction in sexuality in pt of parkinson disease?
2. severity of disease
3. depression
What is observed in pt Parkinson following treatment with antiparkinsonian medications and deep brain stimulaton
Name 5 secondary mechanisms in sexual dysfunction in MS
2. Weakness
3. Difficulty mobility
4. Bladder and bowel dysfunction
5. side effects MS medication
Name 5 tertiary influences sexual dysfunction MS
2. Fear of being rejected sexually
3. Feeling of dependency
4. Communication difficulties with partner
5. Depression and anger
How is sexual dysfunction assessed. Name 2
2. Questionnaires such as psychosexual assessment questionnaire
What is recommended regarding intervention of sexual health?
might damage sexual function as much as
the disrupted nerve circuits. Therefore:
any service designed to address sexual health
should also address relationship issues,
with inclusion of patients’ partners into treatment plans
What is the you and me sex education?
Name 2 mechanisms that may underly ISB and their assumed cause of lesions in brain
2. Sexual disinhibition (linked to injury frontal lobes)
What can be a (far reaching) result of neglecting ISB and what can be done to avoid that?
1. Importance of creating an environment with clear rules for patients and staff regarding sexual behaviors
2. Addressing ISB (clinicians who do not address ISB may be giving their "silent permission")
3. Treatment of ISB (e.g. behavioral and cognitive approaches)
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