Sexual Dysfunction

Question 1

Sexual function and responses are?

Answer 1

• Complicated

Question 2

Usually addressed by a ____ or ______, but ____ may be approached first.

Answer 2

• Physician
• Psychologist
• PTA

Question 3

Male Responses

Answer 3

• Ejaculation is limited in all, and is most limited in quads and high paras (UMN)
• Reflexogenic Erection
• Psychogenic Erection

Question 4

Ejaculation is limited in all, and is most limited in quads and high paras (UMN). This results in?

Answer 4

• Significant problems with fertility

Question 5

Reflexogenic Erection

Answer 5

• Occurs in response to physical stimulation of genitals or perineum
• Provides greater erectile capacity than psychogenic erection
• Typically present in quads and high paras (UMN)

Question 6

Psychogenic Erection

Answer 6

• Occurs in response to visual stimulation or erotic thoughts
• Typically present in cauda equina lesions (LMN)

Question 7

Orgasm (Males)

Answer 7

• Not fully studied, so no data

Question 8

Female Response Quads and High Paras

Answer 8

• Reflex arc intact, therefore components of sexual arousal occur through reflexogenic stimulation

Question 9

Female Response Cauda Equina Lesions

Answer 9

• Psychogenic responses will be preserved

Question 10

Menstration

Answer 10

• Cycle interupted 3-6 months post injury, then normal

Question 11

Female Conception

Answer 11

• Potential remains unimpaired
• Pregnancy needs close supervision
• At risk for (Impaired respiratory function)
• May not be aware of labor
• Labor may precipitate autonomic dysreflexia
• Often candidates for C-Section