Reproductive health related complications of spinal cord injury among patients at a specialized center in Bangladesh (original) (raw)
Related papers
Sexual Health of Women with Spinal Cord Injury in Bangladesh
Disability, CBR & Inclusive Development, 2012
Methods: This study used both qualitative and quantitative methods. The quantitative part used a case-control design. Cases were women with SCI and controls were age-matched women without SCI. Questionnaires were used to collect data concerning the sexual health status of women. Multivariate logistic regression was done to determine which factors had an independent effect on sexual health. In-depth interviews were held with a sub-group of women from both groups, and interview guides were used. The in-depth interview data was subjected to content analysis.
Fertility and sexuality in the spinal cord injury patient
World Journal of Urology, 2018
Background After a spinal cord injury, patients have different perceptions of sexuality, sexual function, and potential for fertility. These changes can greatly impact quality of life over a lifetime. Purpose The purpose of this workgroup was to identify common evidence based or expert opinion themes and recommendations regarding treatment of sexuality, sexual function and fertility in the spinal cord injury population. Methods As part of the SIU-ICUD joint consultation of Urologic Management of the Spinal Cord Injury (SCI), a workgroup and comprehensive literature search of English language manuscripts regarding fertility and sexuality in the spinal cord injury patient were formed. Articles were compiled, and recommendations in the chapter are based on group discussion and follow the Oxford Centre for Evidence-based Medicine system for levels of evidence (LOEs) and grades of recommendation (GORs). Results Genital arousal, ejaculation, and orgasm are significantly impacted after spinal cord injury in both male and female SCI patients. This may have a more significant impact on potential for fertility in male spinal cord injury patients, particularly regarding ability of generate erection, semen quantity and quality. Female patients should be consulted that pregnancy is still possible after injury and a woman should expect resumption of normal reproductive function. As a result, sexual health teaching should be continued in women despite injury. Pregnancy in a SCI may cause complications such as autonomic dysreflexia, so this group should be carefully followed during pregnancy. Conclusions By understanding physiologic changes after injury, patients and care teams can work together to achieve goals and maximize sexual quality of life after the injury.
Sexuality and Reproductive Health Following Spinal Cord Injury
2004
This report may be used, in whole or in part, as the basis for development of clinical practice guidelines and other quality enhancement tools, or a basis for reimbursement and coverage policies. AHRQ or U.S. Department of Health and Human Services endorsement of such derivative products may not be stated or implied.
Female sexual dysfunction in patients with spinal cord injury: a study from Iran
Spinal cord, 2014
We assess the prevalence of sexual dysfunction in patients with spinal cord injury (SCI), compare sexual function and sexual distress between female patients with SCI and gender-matched healthy controls, and address risk factors associated with sexual dysfunction among Iranian female patients with SCI. Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran. Eligible Iranian female patients with SCI were included in this cross-sectional study. They were asked to provide sociodemographic information, and complete the Female Sexual Function Index, Hospital Anxiety and Depression Scale and Female Sexual Distress Scale-Revised questionnaire. Of the 105 patients participated in this study, the average age was 41.0 (s.d.=10.1) years. Women with SCI reported significantly higher levels of sexual dysfunction compared with normal controls. Approximately, 88% of SCI patients reported at least one type of sexual dysfunction, whe...
Science Research
Sexual knowledge is an important part of every life and it is necessary for clinicians to have a specific format in which to address sexual issues with their patients. A systematic approach to working with female spinal cord injury (SCI) patients need to present their sexual knowledge and experience. To explore the sexual knowledge and experience of women with spinal cord injury in the community level. The researcher conducted a mixed method research. In order to assess sexuality a standard questionnaire was developed on the basis of the clinical experience and review of relevant literature. The items of the questionnaire were selected keeping in mind the complex culture and principles of our society. VAS scale and likert scale was used to measure 9 close questions related to sexual knowledge and experience. Another 2 open ended question explored their perception how they maintain good relation and what they want to know from the rehabilitation program. Paired 't' test was used for identify the quality of sexual life. The total participant was 30. Mean ages were 30.73 ± 7.47 years. Mean duration of injury was 7.733 years. Of the participants 17 (56.7%) live in rural and 13 (43.3%) live in urban. The participant 23 (76.7%) was married before injury, 7 (23.3%) was married after injury. The study result was who stay in urban area their sexual happiness means score (54.384) was more than who stay in rural area (35.47). Married after injury (7 women) their mean sexual happiness score (72%) was more than who was married (23 women) before injury (mean score 33.82) and Significantly difference (P<0.05) quality of sexual life before and after injury. 50% of participant indicated that support of husband was not much and not at all. Advice from the participants for maintaining good relationship, financial independence, self-confidence, copes with the present situation is important. Participants want to know proper guidance after operation and different individual problem-solving technique in the rehabilitation education program. This study present important information with regards for improving sexual rehabilitation services to women with SCI.
International Spinal Cord Injury Female Sexual and Reproductive Function Basic Data Set
Spinal Cord, 2011
Objective: To create the International Spinal Cord Injury (SCI) Female Sexual and Reproductive Function Basic Data Set within the International SCI Data Sets. Setting: An international working group. Methods: The draft of the data set was developed by an international working group consisting of members appointed by the International Spinal Cord Society (ISCoS), the American Spinal Injury Association (ASIA), and a representative from the Executive Committee of the International SCI Standards and Data Sets. The data set was developed in an iterative process with review and comments by members of the Executive Committee of the International SCI Standards and Data Sets, ISCoS Scientific Committee, ASIA Board and the ISCoS Council, as well as all interested organizations and individuals. In addition, the data set was posted for 2 months at the ISCoS and ASIA websites for comments. ISCoS and ASIA approved the final version of the data set. To make the data set uniform, each variable and each response category within each variable have been specifically designed to promote the collection and reporting of comparable minimal data. Results: Variables included in the International SCI Female Sexual and Reproductive Function Basic Data Set are as follows: date of data collection, interest in discussing sexual issues, sexual issues unrelated to spinal cord lesion, sexual dysfunction related to spinal cord lesion, psychogenic genital arousal, reflex genital arousal, orgasmic function and menstruation. Complete instruction for data collection, data sheet and training cases are available at the websites of ISCoS (http://www.iscos.org.uk) and ASIA (http://www.asia-spinalinjury.org).
The impact of spinal cord injury on sexual function: concerns of the general population
Spinal Cord, 2006
Secure, web-based survey. Objectives: Obtain information from the spinal cord injured (SCI) population regarding sexual dysfunctions, with the aim of developing new basic science and clinical research and eventual therapies targeting these issues. Setting: Worldwide web. Methods: Individuals 18 years or older living with SCI. Participants obtained a pass-code to enter a secure website and answered survey questions. A total of 286 subjects completed the survey. Results: The majority of participants stated that their SCI altered their sexual sense of self and that improving their sexual function would improve their quality of life (QoL). The primary reason for pursuing sexual activity was for intimacy need, not fertility. Bladder and bowel concerns during sexual activity were not strong enough to deter the majority of the population from engaging in sexual activity. However, in the subset of individuals concerned about bladder and/or bowel incontinence during sexual activity, this was a highly significant issue. In addition, the occurrence of autonomic dysreflexia (AD) during typical bladder or bowel care was a significant variable predicting the occurrence and distress of AD during sexual activity. Conclusion: Sexual function and its resultant impact on QoL is a major issue to an overwhelming majority of people living with SCI. This certainly constitutes the need for expanding research in multiple aspects to develop future therapeutic interventions for sexual health and SCI.
Acta Fisiátrica
It is known that a person who has suffered a spinal cord injury, in addition to sensitivity, locomotion, intestinal and urinary function impairment, regardless of the injury location, must also face sexual function impairment. Each person reacts differently, no matter how similar the injuries can be. The present study, which was an exploratory, descriptive, transversal, applied field study of quantitative nature, was carried out in three hospitals and two physical therapy clinics in the city of Ribeirao Preto, state of Sao Paulo, Brazil, with the objective of evaluating women with spinal cord injuries treated from January 1, 2000 to July 31, 2004. The study population consisted of 81 women. Thirty women were excluded as they did not meet the inclusion criteria: 12 of them had diagnoses that were not related to spinal cord injury, 11 could not be located, 6 died and one refused to participate in the study. Age range in which the spinal cord injury predominated was 18 to 37 years (38%...