Depression, Anxiety, Stress Scale (DASS)
by Admin
Posted on 22-03-2023 05:51 PM
Diagnostic assessment of sd in male patients consists of three phases: anamnesis, physical examination, and instrumental investigation. 19,30,31
anamnesis, or medical history, is the key element of the clinical approach. It leads to the identification of risk factors (e.
G. , personal habits, including smoking, alcohol intake and use of psychoactive drugs; endocrine-metabolic diseases; psychological and/or social stressors) to look into either the organic or psychological pathogenesis of sd and acts as a guide for further diagnostic evaluation. A psychological screening for depression and anxiety disorders should always be performed, using validated scales , such as the hamilton rating scale for depression and anxiety, when determining sd to rule out potential psychological/psychiatric causes.
Sex After a Stroke: 5 Sexual Changes You Should Know
Your behavior might be affected by where the stroke happened in the brain. If a stroke occurs in the frontal lobe, the survivor may be less aware of socially appropriate behavior and feel less inhibited. If it occurs in the temporal lobe, the survivor may have decreased sexual arousal. If the stroke occurs in the left brain, the survivor may be more depressed, which can also affect desire.
It’s possible (but rare) that a stroke can increase
sex
drive and even cause the survivor to become hypersexual and have an inappropriate approach to sex. In that case, it’s important to set boundaries.
Sexuality can change after a stroke. Strokes are rarely a direct cause of sexual dysfunction. But the stress brought on by a stroke may contribute to sexual changes. The stress of a stroke begins almost immediately and continues after a stroke survivor and loved ones leave the hospital. A stroke survivor and loved ones must meet new challenges after a stroke, such as: keeping track of new medications living with new disabilities learning to navigate the medical system dealing with the intricacies of insurance policies getting used to reviewing forms and unfamiliar paperwork keeping up appointments with physical therapists, occupational therapists, and healthcare providers inevitably, this unexpected deluge of new challenges can affect a romantic relationship, not to mention what the physical and mental changes brought on by the stroke itself can do to change a couple's interactions.
Sex and Relationships: Primary Concerns After a Stroke
With erectile dysfunction (ed), it is hard to get or keep an erection that is firm enough for sex. When ed becomes a routine and bothersome problem, your primary care provider or a urologist can help. Ed may be a major warning sign of cardiovascular disease indicating blockages are building in a man's vascular system. Some studies have shown men with ed are at significant risk of getting a heart attack, stroke or circulatory problems in the legs. Ed also causes: low self-esteem
pharmacological interventions such as phosphodiesterase‐5 inhibitors, intracavernosal injections, and intraurethral suppositories assist with erectile function by increasing blood flow to the penis to achieve and maintain erection. Mechanisms of action vary with each medication: phosphodiesterase‐5 inhibitors prevent the breakdown of cyclic guanidine monophosphate (cgmp), which results in enhancement of penile erection, and intracavernosal injections cause vasodilatation of the penis. Hormonal treatment, such as testosterone, can be provided to treat testosterone deficiency, resulting in improved libido and erectile function. The range of non‐pharmacological interventions is broad. Mechanical devices such as vacuum pumps and penile implants/penile prostheses treat erectile dysfunction via an external pump with a band to obtain and maintain an erection and surgical implantation of a prosthesis within the corpora cavernosa of the penis, respectively.
Having sex will not put you at higher risk of having another stroke. There's no guarantee you will not have another stroke, but there's no reason why it should happen while you're having sex. Even if you have been left with a severe disability, you can experiment with different positions and find new ways of being intimate with your partner. Be aware that some medicines can reduce your sex drive (libido) , so make sure your doctor knows if you have a problem as there may be other medicines that can help. Some men may experience erectile dysfunction after a stroke.