AWARENESS OF THE SEXUAL PROBLEM RELATING TO SPINAL CORD INJURY IN THE HEALTH CARE SECTOR
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A spinal cord injury (SCI) is any interruption of the neural tissue inside the spinal cord. Accidental, medical, or aging-related damage to the spinal cord can cause paraplegia, diplegia, or tetraplegia, as well as sensory impairment and motor dysfunction throughout the body. Reproductive and sexual health was cited by people with SCI as having a significant impact on their quality of life. 75% of males with SCI experience erectile dysfunction, 75% have ejaculatory issues, and 75% have low-quality sperm. The hypogastric, pelvic, and vagus nerves as well as those in charge of mechanosensitivity (sensation of touch and pressure), thermosensitivity (sensation of temperature), and chemosensitivity (i.e., irritants) are all parts of the afferent (sensory) pathway involved in sensory innervations of the genitalia. All of these functions contribute to the sexual interpretation of genital stimulation. It is necessary to keep in mind that the entire body is responsive to sexual contact, with the genitalia, breasts, and anus acting as erogenous hotspots. This is particularly crucial in cases of neurological impairment or insensate genitalia. Given that it utilises techniques similar to those used in Kegel exercises (voluntary pelvic contractions), women getting perineal training for urine incontinence may find it advantageous to their sexual function. It is essential to regularly review prescription drugs, such as antispasmodics, pain relievers (particularly opioids), and antidepressants, which are known to raise the risk of sexual dysfunction. Patients should learn to become aware of their own adjusting requirements. The data gathered in this article review on sexual function and SCI demonstrates that women with SCI are capable of experiencing orgasm, sexual pleasure, and pregnancy. Sexual adjustment may be impacted by the primary, secondary, and tertiary effects of SCI, which should be addressed throughout rehabilitation. Physical, physiological, and psychological issues must be taken into account while deciding whether to have children and how to care for pregnant women with SCI.
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