Sexuality and disability are important issues in today's world. Breaking down myths about sexuality and disability is regarded as the final frontier for people with disabilities. Dispelling myths about sexuality and disability is critical for people with disabilities overall health and well-being. Recognizing that sexuality is a significant quality-of-life determinant for all humans is a key component of the dismantling process. This chapter contains information that will help you have a healthier and more accurate perspective on Sexuality and Disability. Dismantling this last barrier entails providing relevant historical information, information about psychosocial factors and attitudes that influence sexuality, and information about ethical practice guidelines to the readership.
The vast majority of people are sexual beings with sexual thoughts, attitudes, feelings, desires, and fantasies. A physical or intellectual disability does not alter your sexuality or desire to express it, or the emotions that can accompany it. Sexuality, according to the World Health Organization, is a basic need and aspect of being human that cannot be separated from other aspects of life.
You may be concerned about having sex if your disability limits your physical ability to engage in a regular sex life or causes you to lack confidence. Many people, with or without disabilities, experience anxiety about sex and sexual performance, and these feelings are completely normal.
What Exactly Is Sexual Dysfunction?
Sexual dysfunction is a problem that can occur at any time during the sexual response cycle. It prevents you from getting pleasure from sexual activity.
Traditionally, the sexual response cycle includes excitement, plateau, orgasm, and resolution. Desire and arousal are both components of the sexual response's excitement phase. It's important to note that women don't always go through these stages in the same order
While research indicates that sexual dysfunction is common, many people are uncomfortable discussing it. However, because treatment options exist, you should discuss your concerns with your partner and healthcare provider.
Disabilities In Psychosocial Functioning
The conscientious provider's goal is to increase protective psychosocial factors while decreasing or eliminating psychosocial factors that promote risk or harm. These factors can be addressed by a single provider or by a multidisciplinary team. Sexuality, according to experts, entails more than physical performance or physical factors. Positive attention to psychosocial factors is associated with more healthy sexuality.
Disabilities Physical
Physical disabilities are those that limit a person's mobility. Physical disabilities have a direct impact on muscles and limbs. Physical disabilities include but are not limited to, the following conditions: lupus, cerebral palsy, limb function loss or reduction, and muscular dystrophy.
What Types Of Sexual Dysfunction Exist?
Sexual dysfunction is generally divided into four categories:
- Desire disorders are characterized by a lack of sexual desire or interest in sex.
- Arousal disorders are characterized by an inability to become physically aroused or excited during sexual activity.
- Orgasm disorders include the delay or absence of orgasm (climax).
- Pain disorders: discomfort during intercourse.
Who Suffers From Sexual Dysfunction?
Sexual dysfunction can affect people of any age, but it is more common in people over 40 because it is often associated with a decline in health that comes with aging.
Causes And Symptoms
What Signs Indicate Sexual Dysfunction?
Male:
- Inability to achieve or maintain a suitable Erection (Hard Penis) for Intercourse (Erectile Dysfunction).
- Despite adequate Sexual Stimulation, Ejaculation is absent or delayed (Retarded Ejaculation).
- Inability to control ejaculation timing (early, or premature, ejaculation).
Female:
- Inability to experience orgasm.
- Vaginal lubrication is insufficient before and during intercourse.
- Inability to relax vaginal muscles sufficiently to allow intercourse.
Rest Other Factors:
- Absence of sexual interest or desire
- Lack of ability to become aroused.
- Intercourse causes pain.
What Factors Contribute To Sexual Dysfunction?
Physical Causes:
A variety of physical and/or medical conditions can impair sexual function. Diabetes, heart and vascular disease, neurological disorders, hormonal imbalances, chronic diseases such as kidney or liver failure, and alcohol and substance use disorders are among these conditions. Furthermore, the side effects of some medications, including antidepressants, can impair sexual function.
Work-related stress and anxiety, concerns about sexual performance, marital or relationship problems, depression, feelings of guilt, body image concerns, and the effects of past sexual trauma are all examples of psychological causes.
What Medications Have Been Linked To Sexual Dysfunction?
Some prescription and over-the-counter medications can have an effect on sexual functioning. Some medications can have an effect on libido, while others can have an effect on the ability to become aroused or achieve orgasm. When a person takes multiple medications, the risk of sexual side effects increases.
Inability To Experience Orgasm.
Vaginal lubrication is insufficient before and during intercourse.
Inability to relax vaginal muscles sufficiently to allow intercourse.
Everyone has:
Absence Of Sexual Interest Or Desire
- Lack of ability to become aroused.
- Intercourse causes pain.
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