Abstract
Study design:
Structured interview based on a predesigned survey.
Objective:
To examine the factors that affect the degree of sexual satisfaction in a sample of women with spinal cord injury (SCI).
Setting:
The study participants were women with SCIs, from the area of the SCI Unit of A Coruña, a reference unit for the Community of Galicia in the northwest of Spain. All study participants were selected consecutively in the outpatient clinic in 2013.
Methods:
The study included women with the American Spinal Injury Association (ASIA) A–D spinal injuries, between the ages of 18 and 65 years, who completed rehabilitation therapy and live in the community. A total of 32 women formed the final study group.
Results:
When comparing the group of women who were sexually active with those who were not, variables such as age, neurological level, time since the SCI, ASIA or Spinal Cord Independence Measure score, urinary incontinence, chronic pain and spasticity were not related to sexual activity. The only factors that we found to be related to sexual activity were not having a stable partner (P=0.017) and a lack of sensation in the genital area (P=0.039).
Conclusion:
The only variables related to sexual activity were not having a partner and a lack of sensation in the genital area. Improving sexual satisfaction, information and specific programs during rehabilitation can help women with SCI explore and investigate new erotic possibilities, thereby improving their self-esteem and social relationships.
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References
Kreuter M, Taft C, Siosteen A, Biering-Sorensen F . Women’s sexual functioning and sex life after spinal cord injury. Spinal Cord 2011; 49: 154–160.
Biering-Sorensen I, Hansen RB, Biering-Sorensen F . Sexual function in a traumatic spinal cord injured population 10-45 years after injury. J Rehab Med 2012; 44: 926–931.
Linsenmeyer TA . Sexual function and infertility following spinal cord injury. Phys Med Rehabil Clin N Am 2000; 11: 141–156.
Lombardi G, Del Popolo G, Macchiarella A, Mencarini M, Celso M . Sexual rehabilitation in women with spinal cord injury: a critical review of the literature. Spinal Cord 2010; 48: 842–849.
Lombardi G, Mondaini N, Macchiarella A, Del Popolo G . Female sexual dysfunction and hormonal status in spinal cord injured patients. J Androl 2007; 28: 722–726.
Julia PE, Othman AS . Barriers to sexual activity: counselling spinal cord injured women in Malaysia. Spinal Cord 2011; 49: 791–794.
Forsythe E, Horsewell JE . Sexual rehabilitation of women with a spinal cord injury. Spinal Cord 2006; 44: 234–241.
Sipski ML, Alexander CJ . Sexual activities, response and satisfaction in women pre- and post-spinal cord injury. Arch Phys Med Rehabil 1993; 74: 1025–1029.
Mona L, Cameron R, Goldwaser G, Miller A, Syme M, Fraley S . Prescription for pleasure: Exploring sex-positive approaches in women with spinal cord injury. Top Spinal Cord Inj Rehabil 2009; 15: 15–28.
Ferreiro-Velasco ME, Barca-Buyo A, De la Barrera SS, Montoto Marqués A, Miguéns Vázquez X, Rodriguez Sotillo A . Sexual issues in a sample of women with spinal cord injury. Spinal Cord 2005; 43: 51–55.
Anderson KD, Borisoff JF, Johnson RD, Stiens SA, Elliott SL . Spinal cord injury influences psychogenic as well as physical components of female sexual ability. Spinal Cord 2007; 45: 349–359.
Rahimi-Movaghar V, Vaccaro AR . Management of sexual disorder in spinal cord injured patients. Acta Med Iran 2012; 50: 295–299.
Sipski ML, Alexander CJ, Rosen R . Sexual arousal and orgasm in women: effects of spinal cord injury. Ann Neurol 2001; 49: 35–44.
Stien R . Sexual dysfunctions in the spinal cord injured. Paraplegia 1992; 30: 54–57.
Talesporos G, McCabe MP . Physical disability and sexual esteem. Sex Disabil 2001; 19: 131–148.
Mayers KS, Heller Dk, Heller JA . Damaged sexual self-esteem: a kind of disability. Sex Disabil 2003; 21: 269–282.
Ricciardi R, Szabo CM, Poullos AY . Sexuality and Spinal Cord Injury. Nurs Clin North Am 2007; 42: 675–684.
Larrazabal M, Bataller V . Spanish women want to have sexual intercourse at least once a week according to the European report on sexual habits. Revista Internacional de Andrología 2011; 9: 127–128.
Celik EC, Akman Y, Kose P, Arioglu P, Karatas M, Erhan B . Sexual problems of women with spinal cord injury in Turkey. Spinal Cord 2014; 52: 313–315.
Anderson KD, Borisoff JF, Johnson RD, Stiens SA, Elliott SL . The impact of spinal cord injury on sexual function: concerns of the general population. Spinal Cord 2007; 45: 328–337.
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Otero-Villaverde, S., Ferreiro-Velasco, M., Montoto-Marqués, A. et al. Sexual satisfaction in women with spinal cord injuries. Spinal Cord 53, 557–560 (2015). https://doi.org/10.1038/sc.2015.53
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DOI: https://doi.org/10.1038/sc.2015.53
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