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Chapeter 10 - Evaluation and management of neurogenic sexual dysfunction

from Section 2 - Evaluation and management

Published online by Cambridge University Press:  06 December 2010

By
Charlotte Chaliha ,
Catherine M. Dalton ,
Sohier Elneil  and
Thomas M. Kessler
Edited by
Clare J. Fowler ,
Jalesh N. Panicker  and
Anton Emmanuel
Clare J. Fowler
Affiliation:
The National Hospital for Neurology and Neurosurgery, Queen's Square, London
Jalesh N. Panicker
Affiliation:
The National Hospital for Neurology and Neurosurgery, Queen's Square, London
Anton Emmanuel
Affiliation:
University College London
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Summary

Sexual function is recognized as an important factor determining quality of life and dysfunction in neurological patients may significantly add to the burden of their disease. Any disruption in the sexual response cycle results in sexual dysfunction (SD). Laboratory testing should be tailored according to patient symptoms and risk factors. Fasting glucose and lipid profile may be measured to assess atherosclerotic risk factors for erectile dysfunction (ED). Oral drugs should be considered as first-line therapy for neurogenic ED. There are fewer evidence-based therapeutic options for treatment of female SD. However it is an area of increasing interest and marketing of therapies by pharmaceutical companies. Therapies relate to treatment of sexual desire, arousal, orgasm and/or sexual pain. The term hypoactive sexual desire disorder (HSDD) is used to describe low sexual desire and distress, and many therapies aim to address this aspect of female sexual function.

Keywords

bowel dysfunction overtimeneurological diseasessexual dysfunctionurinary dysfunctionspinal cord injury
Type
Chapter
Information
Pelvic Organ Dysfunction in Neurological Disease
Clinical Management and Rehabilitation
 , pp. 153 - 166
Publisher: Cambridge University Press
Print publication year: 2010

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