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Some 80% of women return to being sexually active, [50] and the numbers who report being sexually satisfied range from 40 to 88%. [127] Although women's satisfaction is usually lower than before the injury, [5] it improves as time passes. [29] Women report higher rates of sexual satisfaction than men post-SCI for as many as 10–45 years. [57]
In 2006, a large study was done on 245 patients with different neurological conditions causing erectile dysfunction who were treated with penile implants after conservative treatment failed. [3] The mean age of the patients was 40 and the mean follow-up time was 7.2 years. Inflatable, semi-rigid, and soft implants were used.
Penile revascularization is a specialized vascular-surgical treatment option for erectile dysfunction. The 2009 International Consultation on Sexual Dysfunctions recommended that revascularization be limited to nonsmoker, nondiabetic men younger than 55 years of age with isolated stenosis of the internal pudendal artery with absence of venous leak. [1]
Other treatment options include devices (such as vacuum erection devices), surgery (penile implants), testosterone replacement therapy (available as a gel, injection, patch and pellet) and ...
Endothelial dysfunction is a risk factor that is specifically associated with erectile dysfunction. [13] Past family medical history of sexual dysfunction disorders are also a risk factor for development. Sociocultural factors may also contribute to sexual problems, such as personal, religious, or cultural beliefs about sex.
A common cause of anorgasmia, in both women and men, is the use of antidepressants, particularly selective serotonin reuptake inhibitors (SSRIs). Though reporting of anorgasmia as a side effect of SSRIs is not precise, studies have found that 17–41% of users of such medications are affected by some form of sexual dysfunction.