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What are common psychological obstacles to sex that women face after a spinal cord injury?

What are common psychological obstacles to sex that women face after a spinal cord injury?

Diane M. Rowles, MS, NP

Nurse Practitioner, Spinal Cord Injury Rehabilitation Program, Rehabilitation Institute of Chicago

Read Bio More Videos by Diane M. Rowles
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The ideas that appear to get in the way for women, or some of the repeated themes that I've heard over the years, are a lot of self image—"How can I take care of others?"—"How can I be loved?" And, the other things... Show More

The ideas that appear to get in the way for women, or some of the repeated themes that I've heard over the years, are a lot of self image—"How can I take care of others?"—"How can I be loved?" And, the other things are, again, "If I don't have normal sensation, how is that going to work?"—"How can I do this?" For women you know, when they hear, "Yes, you can have a baby," and "Yes, you can be a mom." Just like for men, "I can have a baby, I can be a father," that's all very exciting and rewarding. And like I said, their sexual response cycle isn't necessarily interrupted, so they can do all of those roles. So it more comes down to a self-image issue for women—fear of abuse, fear of being taken advantage of— but I have to say that those issues are also dealt with by men. So, it's a lot of those kind of issues for women, as well as health maintenance issues. You know, "How do I get a mammogram when I'm in a sitting position?"– "How do I go to a gynecologist when I'm in a sitting position?—"How do those issues…what's going to happen with my…?"—"Do I have to use pads?"—"Can I use tampons?"—"If I do get pregnant, how does the pregnancy happen?"—" How do I push?" Those kind of issues.

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What are common psychological obstacles to sex that women face after a spinal cord injury?

Diane M. Rowles, MS, NP

Nurse Practitioner, Spinal Cord Injury Rehabilitation Program, Rehabilitation Institute of Chicago

More Videos by Diane M. Rowles
Transcriptadd

The ideas that appear to get in the way for women, or some of the repeated themes that I've heard over the years, are a lot of self image—"How can I take care of others?"—"How can I be loved?" And, the other things are, again, "If I don't have normal sensation, how is that going to work?"—"How can I do this?" For women you know, when they hear, "Yes, you can have a baby," and "Yes, you can be a mom." Just like for men, "I can have a baby, I can be a father," that's all very exciting and rewarding. And like I said, their sexual response cycle isn't necessarily interrupted, so they can do all of those roles. So it more comes down to a self-image issue for women—fear of abuse, fear of being taken advantage of— but I have to say that those issues are also dealt with by men. So, it's a lot of those kind of issues for women, as well as health maintenance issues. You know, "How do I get a mammogram when I'm in a sitting position?"– "How do I go to a gynecologist when I'm in a sitting position?—"How do those issues…what's going to happen with my…?"—"Do I have to use pads?"—"Can I use tampons?"—"If I do get pregnant, how does the pregnancy happen?"—" How do I push?" Those kind of issues.

What are common psychological obstacles to sex that women face after a spinal cord injury?
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