Exam 3: SCI Sex

Question 1

What are 5 ways for a SCI pt to get an erection?

Answer 1

~medications
~Penile pump
~Injections
~MUSE (penile suppository)
~Penile implant

Question 2

What are 2 main things a SCI pt need to do before sex?

Answer 2

~IC before and after sex

~Bowel program about 2 hours before sex

Question 3

What are the 3 main problems for a male SCI pt?

Answer 3

~erection
~ejaculation
~orgasms

Question 4

What are 2 big risk factors for erectile dysfunction treatments?

Answer 4

~Priapism (prolonged erection) which can lead to permanent damage to the tissue
~Autonomic dysreflexia

Question 5

Psychological- SCI patients

Answer 5

~males can possibly have a psychological erection still
~help by building confidence
~it isn’t only about sex- be intimate by holding hands, hugging, kissing, etc
~Have to communicate ALOT

Question 6

Do SCI patients still have periods?

Answer 6

~YES!

~it may take 6 months to a year before they become normal again

Question 7

How does sex change for female SCI pts?

Answer 7

~lubrication decreases (use a water based lubrication)
~the surface sensation and ability of muscles to contraction can change
~orgasms can take longer and/or feel different

Question 8

Can female SCI pts get pregnant?

Answer 8

YES

Question 9

Areas of concern with female SCI pt?

Answer 9

~urinary accidents
~bowel accidents
~not satisfying a partner
~feeling sexually unattractive/ others viewing as unattractive
~not getting enough personal satisfaction
~preparation too much trouble
~loss of interest
~not liking methods for satisfaction
~autonomic dysreflexia (periods can also cause AD)
~verbal and physical abuse
~sexual dysfunction

Question 10

What are some changes with a SCI pregnancy?

Answer 10

~ligaments become loosen

~changes BOS/ COM