Sexual Dysfunction: Purpose

As basic as is the human sexual desire and function, we all know, from research, medical literature and, most of all, life and experience, that the sexual function is a highly complicated process. It depends upon emotion, feelings, timing, mood, words, and so many other factors, and when injury and consequences are added to the mix, the process can become impossible.

The purpose of this article is not only to discuss these issues, but more importantly, to accomplish one or more of the following:

1. To let people know that they are not alone in their situation;

2. To empower people to have the knowledge, ability, and courage to bring this type of information to the attention of their treating physician;

3. To provide help as to what type of information to have available, even written out, in advance, to provide to the physician to be the most helpful in understanding the problem;

4. To let people know that there are various types of treatment and therapy available; and

5. To provide a starting place for discussion.

Since the beginning of time, and at whatever stage of the civilization humanity was, and whether people lived outside, in a cave, in a hut, in a barn, or in a mansion, the common historical thread of a man was that he could always do what had to be done in order to get food for himself and his family, to do what was needed to be done to have shelter for himself and his family, and at the same time, to have the energy and imagination to dream and plan for better days for himself and his family. Women and men are taught and raised to be self-reliant, and if fortunate, are able to go through their entire lives taking care of themselves, raising their children, paying their bills, and persevering regardless of their lot in life.

When injury strikes, all of this changes because all of a sudden, instead of being self-reliant, the family may now have to rely on an insurance clerk to mail a check on time to pay their bills, or rely on a doctor to send a certain report to an insurance carrier to get bills paid and the focus of the family's financial security may literally shift from the wage earner to the mailbox. This alone may have an impact on a person's sexual function. While this is going on, and just as suddenly, the entire focus of the family's social life may change, or disappear, and now the time that was spent working, enjoying social and leisure activities, enjoying children, is replaced with time in therapy, sitting in doctors' offices, worrying and wondering about when things will get back to normal.

With all of this going on, it is no wonder that the delicate balance of life that leads to human sexuality is upset and disturbed, but the suffering in silence, in terms of any sexual dysfunction issues, only adds to the cycle of frustration, problems, and everything else that is going on.

In the United States, men seem to have, on one level or another, the image of themselves as the "Marlboro Man," with a very macho image of themselves. Women may equate their own sexuality with attractiveness, beauty, and personality, all of which may suffer when there is sexual dysfunction following injury. Men and women may be reluctant to even discuss issues related to sexual dysfunction with their treating physicians, and they are left to suffer in silence.

Sometimes, regardless of what our problem may be, we think we suffer alone. There is comfort, as well as knowledge, knowing that many other people are in the same situation, and it is the purpose of this article not only to distribute that information about the possible causes of sexual dysfunction, but to let people know that there may be help in the form of medical treatment, care, or therapy that can alleviate some of these problems. In this situation of sexual dysfunction, in order for the person to be able to get help, there must be a bridge between the person's knowledge of their own sexual dysfunction, and the doctor's knowledge of the patient's sexual dysfunction. That bridge is sometimes not built because of shyness or reservation, on the part of either the doctor or the patient, or both, and part of the purpose of this article is to help build that bridge, and one of the recommendations, at the end of this article, is a written form that can be filled out in advance and given to the doctor.

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