Bolest a sexuální dysfunkce

ŠRÁMKOVÁ, Taťána. Bolest a sexuální dysfunkce (Pain and sexual dysfunction). Bolest. Praha: Tigis s.r.o., 2019, vol. 22, No 3, p. 106-110. ISSN 1212-0634.

Basic information

• Original name: Bolest a sexuální dysfunkce
• Name (in English): Pain and sexual dysfunction
• Authors: ŠRÁMKOVÁ, Taťána (203 Czech Republic, guarantor, belonging to the institution).
• Edition: Bolest, Praha, Tigis s.r.o. 2019, 1212-0634.

Other information

• Original language: Czech
• Type of outcome: Article in a journal
• Field of Study: 30218 General and internal medicine
• Country of publisher: Czech Republic
• Confidentiality degree: is not subject to a state or trade secret
• WWW: URL
• RIV identification code: RIV/00216224:14110/19:00112999
• Organization unit: Faculty of Medicine
• Keywords (in Czech): sexuální zdraví; chronická bolest; sexuální dysfunkce; erektilní dysfunkce; opioidní endokrinopatie
• Keywords in English: sexual health; chronic pain; sexual dysfunction; erectile dysfunction; opioid endocrinopathy
• Tags: rivok
• Tags: Reviewed

Abstract

Sexualni zdravi je klieoq element celkoveho zdravi a kvality Zivota. Sexualni aktivita zvy§uje prah vnimani bolesti, zlep§uje fyzickou aktivitu, kardiovaskularni zdravi, naladu, emoce, celkovou pohodu, zlep§uje depresi, zvy§uje kvalitu Zivota. Chronicka bolest pacienta depta, zptisobuje utrpeni, omezuje v beinYch dennich aktivitach a socialnich vazbach, ru§i spanek a destruuje sexualitu. Incidence sexualnich dysfunkci dosahuje u pacientii s chronickou bolesti 60 %. Polovina az dve ttetiny pacientti uclavaji sniZeni sexualni touhy i frekvence sexualni aktivity. Pridiny sexualnich dysfunkci u pacientil s chronickou bolesti jsou psychicke, somaticke, farmakologicke ei jejich kombinace. Dtilleiite jsou vedlej§i ucinky uiivanych antidepresiv ci antikonvulziv na sexualitu. U mutil se setkavame s erektilni dysfunkci, u uZivatelti opioichl spojenou s nizkou hladinou testosteronu, 2eny si steiuji na nizke libido, potiie s lubrikaci a dosaienim orgasmu. Nejeasteji pfichazeji min pro erektilni dysfunkci, Zeny pro poruchu lubrikace. Cilem nevi valy obnoveni koitalni sexualni aktivity pti zavainYch onemocnenich vyvolavajicich chronicke bolesti. Variaci je masturbace, pouHti ponificek ei nekoitalni sex. V ledbe vychazime z pfani pacienta/pacientky a jeho partnerky/partnera s cilem dosahnout paroveho sexualniho souladu. Zasadni je zavest komunikaci na tema sexuality v algeziologickYch ambulancich. Pacient se sveri rad, pokud mu bude poloien dotaz respektujici intimitu. Algeziolog nemocneho mine odeslat do sexuologicke ambulance. Ledba sexualnich dysfunkci u pacientil s chronickou bolesti by mela probihat ve spolupraci algeziolog-sexuolog.

Abstract (in English)

Sexual health is a key element in the overall health and quality of life. Sexual activity increases pain threshold, increases physical activity, cardi- ovascular health, improves mood, emotions, overall well-being, improves depression and quality of life. Chronic pain that negatively affects the patient, causes suffering, limits daily routine activities and social ties, disturbs sleep and adversely affects sexuality. The incidence of sexual dysfunctions is 60% in patients with chronic pain. Half to two thirds of patients report reduced sexual desires and frequency of sexual activity. The causes of sexual dysfunction in patients with chronic pain are psychological, somatic, pharmacological, or a combination of these. Side effects of opioid medications, antidepressants or anticonvulsants on sexuality are important. In men, there is erectile dysfunction, in opioid users associated with low testosterone, women complain of low libido, difficulty in lubrication and achieving orgasm. Most often men come for erectile dysfunction, women for lubrication disorder. The goal is not always to restore coital sexual activity to severe overall illnesses leading to chronic pain. The variation is masturbation, the use of aids or non-coital sex. The treatment is based on the wishes of the patient and his / her partner in order to achieve sexual satisfaction in the couple. It is essential to introduce communication on the subject of sexuality in algesiology outpatient clinics. The patient entrusts himself if asked a question that respects intimacy. An algesiologist may send the patient to a sex clinic. Treatment of sexual dysfunctions in patients with chronic pain should be carried out in collaboration with an algesiologist - sexologist.