Table 25: Summary Table re: Issues affecting Sexual Satisfaction and/or Activity

Issues perceived to affect sexual satisfaction and/or sexual activity

Positive or Negative Impact

Reported in men/women or both

Studies supporting

Age (<18 years or >30 years old)

(-)

Women

Kreuter et al. 1994; Westgren et al. 1997; Ferreiro-Velasco et al. 2005

Time since injury

(+)

Both, Men

Black et al. 1998; Tepper et al. 2001; Anderson et al. 2007; Lombardi et al. 2008; Pakpour et al. 2016; Choi et al. 2015

Severity of injury

(-)

Both, Men

Mona et al. 2000; Anderson et al. 2007; Kreuter et al. 2008; Sale et al. 2012; Pakpour et al. 2016

Bladder management problems (incontinence/UTIs)

(-)

Both, Men

White et al. 1993; Richards et al. 1997; Jackson & Wadley 1999; Benevento & Sipski 2002; Blok & Holstege 1999; Anderson et al. 2007; Kreuter et al. 2008; BieringSorensen et al. 2012; Sale et al. 2012; Moreno et al. 1995; Bozan et al. 2015; Otero-Villaverde et al. 2015

Spasticity

(-)

Both, Women

Jackson & Wadley 1999; Anderson et al. 2007; BieringSorensen et al. 2012, OteroVillaverde et al. 2015

Fecal incontinence

(-)

Both, Women

Charlifue et al. 1992; White et al. 1993; Richards et al. 1997; Kreuter et al. 2008; BieringSorensen et al. 2012; Bozan et al. 2015

Autonomic dysreflexia/Blood pressure

(-)

Women

Charlifue et al. 1992; Jackson & Wadley 1999; Anderson et al. 2007

Pressure ulcers and pain

(-)

Both, Women

Biering-Sorensen et al. 2012; Otero-Villaverde et al. 2015

Sexual self esteem

(+)

Both

Mona et al. 2000

Making a female partner pregnant

(+)

Biering-Sorensen et al. 2012

Altered body image

(-)

Both, Women

Bozan et al. 2015; Smith et al. 2015; Bailey et al. 2015; Merghati-Khoei et al. 2017; Richards et al. 1997; Elkland & Lawrie 2004; Reitz et al. 2004; Kreuter et al. 2008

Altered genital sensation

(-)

Women<, Men/p>

Richards et al. 1997; Anderson et al. 2007; Kreuter et al. 2008, Miranda et al. 2016; OteroVillaverde et al. 2015; Akman et al. 2015

Sexual desire

(+)

Both, Men

Phelps et al. 2001; Reitz et al. 2004; Miranda et al. 2016

Lack of a partner

(-)

Women

Jackson & Wadley, 1999; Kreuter et al. 2008; Otero-Villaverde et al. 2015

Quality of intimate relationship/relationship satisfaction

(+)

Both/Men

Jackson & Wadley 1999; Phelps et al. 2001; Reitz et al. 2004, Lombardi et al. 2008; Smith et al. 2015

Repertoire of sexual behaviour

(+)

Men, Women

Richards et al. 1997; Phelps et al. 2001

Partner as caregiver

(-)

Women

Kreuter et al. 1996; Black et al. 1998; Pentland et al. 2002

Perceived partner satisfaction

(+)

Men, Women

Phelps et al. 2001; Ekland & Lawrie 2004; Miranda et al. 2016

Partner’s understanding of sexual needs

(+)

Kreuter et al. 1996

Level of social and vocational activity; outgoing personality; acceptance of the disability**

(+)

Kreuter 2000

Inadequate vaginal lubrication

(-)

Women

Charlifue et al. 1992; Jackson & Wadley 1999; Anderson et al. 2007

Ability to move

(+)

Both

Reitz et al. 2004; Anderson et al. 20à7; Kreuter et al. 2008; Bozan et al. 2015

Mental well-being

(+)

Both, Men

Reitz et al. 2004; Kreuter et al. 2008, Smith et al. 2015, Pakpour et al. 2016

Sexual education and counselling

(+)

Women, Men, BOth

White et al. 1993; Westgren et al. 1997; Hess et al. 2007; Valtonen et al. 2006; New et al. 2016; Akman et al. 2015

Peer support

(+)

Women, Both

Richards et al. 1997; Fisher et al. 2002; Pentland et al. 2002; Ekland & Lawrie 2004

Sexual arousal

(-)

Men

Cardoso et al. 2008; Miranda et al. 2016

Orgasm intensity

(-)

Men

Cardoso et al. 2008; Miranda et al. 2016

 

**correlates positively with partner availability thereby indirectly related to sexual satisfaction Discussion Research shows that sexual function is important to people after SCI. A systematic

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