Bolest a sexuální dysfunkce
| Title in English | Pain and sexual dysfunction |
|---|---|
| Authors | |
| Year of publication | 2019 |
| Type | Article in Periodical |
| Magazine / Source | Bolest |
| MU Faculty or unit | |
| Citation | |
| Web | http://www.tigis.cz/images/stories/Bolest/2019/03/Bolest_clanek_3_2019_S%C3%AEra%C3%BCmkova%C3%BC.pdf |
| Keywords | sexual health; chronic pain; sexual dysfunction; erectile dysfunction; opioid endocrinopathy |
| Description | Sexual health is a key element in the overall health and quality of life. Sexual activity increases pain threshold, increases physical activity, cardi- ovascular health, improves mood, emotions, overall well-being, improves depression and quality of life. Chronic pain that negatively affects the patient, causes suffering, limits daily routine activities and social ties, disturbs sleep and adversely affects sexuality. The incidence of sexual dysfunctions is 60% in patients with chronic pain. Half to two thirds of patients report reduced sexual desires and frequency of sexual activity. The causes of sexual dysfunction in patients with chronic pain are psychological, somatic, pharmacological, or a combination of these. Side effects of opioid medications, antidepressants or anticonvulsants on sexuality are important. In men, there is erectile dysfunction, in opioid users associated with low testosterone, women complain of low libido, difficulty in lubrication and achieving orgasm. Most often men come for erectile dysfunction, women for lubrication disorder. The goal is not always to restore coital sexual activity to severe overall illnesses leading to chronic pain. The variation is masturbation, the use of aids or non-coital sex. The treatment is based on the wishes of the patient and his / her partner in order to achieve sexual satisfaction in the couple. It is essential to introduce communication on the subject of sexuality in algesiology outpatient clinics. The patient entrusts himself if asked a question that respects intimacy. An algesiologist may send the patient to a sex clinic. Treatment of sexual dysfunctions in patients with chronic pain should be carried out in collaboration with an algesiologist - sexologist. |