Management and rehabilitation of neurologic patients with sexual dysfunction.

摘要: Abstract Neurologic disease frequently negatively affects sexual experience in multiple ways. The patient’s self-image, function, propensity to pain, and motivation be sexually active may impacted, as the experiences of partner. Difficulties with mobility can limit both partners’ arousal pleasure. Conditions associated chronic pain or continence concerns add further distress. Thus rehabilitation needs address many areas. Comorbid depression is common stabilized before definitive treatment dysfunction. Management strategies include cognitive behavioral therapy, mindfulness-based sex therapy and, for erectile dysfunction premature ejaculation, pharmacotherapy added. Benefit from all these modalities confirmed general population but only pharmacologic has been studied neurologic patients, where benefit also seen. Testosterone indicated comorbid testosterone deficit: very occasionally condition causes secondary male hypogonadism. No androgen deficiency state identified women. Results women are conflicting: recruited were not clearly dysfunctional conditions have studied. Future research involving partners using combined medical psychologic followed clinical practice advocated.