Abstract
Sexual dysfunction in the patient with chronic low back pain is a frequently misunderstood and neglected aspect of this disease classification. Clinical experience and a review of the literature defines three causative factors: primary organic pathology interrupting normal nervous system function; side effects of medication prescribed for the condition; and psychological factors relating to anxiety over performance and fear of pain during sexual activity. Lack of education and awareness as well as inhibitions of the patient and provider contribute to the lack of attention focused on sexual functioning in these patients. Proper recognition and management of the problem would support the overall functioning and self-concept in the large population of patients who are disabled by chronic back pain.
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References
Brenton M: Backaches: How to cope sexually.Penthouse Forum 5:11, August, 1976.
Black, R: The chronic pain syndrome.Surg Clin North Am 55:4, August, 1975. (reprint)
Bonica JJ (Ed):Advances in Pain Research and Therapy. New York, Raven Press, 1976.
LeBan M: Sexual impotence in men with low back syndrome.Arch Phys Med 47:715–723, 1966.
Shafer N: Occult lumbar disc causing impotency.NY State J Med 19:2465–2470, September, 1969.
Golden JS: How you can help patients with physical ailments to a better sex life.Med Times 104:9, September, 1976.
MacRae, I: Sexuality and irreversible health limitations.Nurs Clin North Am 10:3, September, 1975.
Diamond M: Sexuality and the handicapped. In J Stubbins (Ed),Social and Psychological Aspects of Disability. Baltimore, University Park Press, 1977.
Carey, P: Temporary sexual dysfunction in reversible health conditions.Nurs Clin North Am 10:3, September, 1975.
Masters WH, Johnson V E:Human Sexual Response. Boston: Little, Brown, and Co., 1966.
McDowell FH: Sexual manifestations of neurological disease.Medical Aspects of Human Sexuality 2:14, 1978.
Parese D M: Sexual dysfunction caused by injuries of the cervical spinal cord without paralysis.Spine 1:3, September, 1976.
Sternbach R: Psychophysiology of pain.Int J Psychiatry Med 6:63–73, 1975. (reprint).
Hendler, N: Pharmacotheraputics and chronic pain. Symposium:The Office Management of Chronic Pain. The Johns Hopkins Hospital, Baltimore, Maryland. October, 1977, (unpublished).
Kaplan, H S:The new sex therapy. New York, Brunner/Mazel, 1974.
AMA Drug Evaluations. 2nd ed. Acton, Mass., Publishing Science Group, Inc., 1973.
Singh, SP, Magner T: Sex and self. In J Stubbins (Ed)Social and Psychological Aspects of Disability. Baltimore: University Park Press, 1977.
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Infante, M.C. Sexual dysfunction in the patient with chronic back pain. Sex Disabil 4, 173–178 (1981). https://doi.org/10.1007/BF01277435
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DOI: https://doi.org/10.1007/BF01277435