War Related Illness and Injury Study Center, VA New Jersey Health Care System East Orange, NJ, USA.
Mental Health Care Line, Michael E. DeBakey VA Medical Center Houston, TX, USA ; Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine Houston, TX, USA.
Sex Med. 2015 Sep;3(3):137-46. doi: 10.1002/sm2.62. Epub 2015 May 8.
U.S. veterans of recent wars in Iraq and Afghanistan may be at greater risk for sexual dysfunction due to injuries, mental health conditions, medications used to treat those conditions, and psychosocial factors.
To explore the perceptions of recent Veterans about sexual health and dysfunction, contributing factors, its impact and solutions.
Qualitative study.
Eight men who screened positive for sexual dysfunction at initial presentation to a postdeployment clinic at a Veterans Affairs medical center.
Patients who screened positive for sexual dysfunction and indicated an interest in participating were contacted and scheduled for an in-person private interview with a researcher. Interviews were semistructured, utilizing open-ended and follow-up probe questions to elicit the individual's perspective about sexual dysfunction and its cause, impact and solutions. Interviews were recorded, transcribed and analyzed for themes.
These heterosexual men discussed a range of sexual dysfunction in their activities including lack of desire, erectile dysfunction, delayed orgasm, premature ejaculation, and distraction. They also discussed the importance of setting or context and changes over time to their sexual health and function. The men shared their ideas about contributory factors, including normal aging, medication side effects, injury and a possible role for combat deployment more generally. Reported solutions for sexual dysfunction included medications, herbal remedies, and new positions and approaches to sexual activity. Participants reported discussing sexual dysfunction with their health-care providers and what was helpful. Finally, the men expressed in their own words the significant impact of sexual dysfunction on their self-perception, their partners, and their relationships.
Sexual dysfunction in recent combat veterans can have important negative effects on their health and relationships. Our findings elucidate perceived contributory factors and preferred solutions, which can be applied by health-care providers to improve the management of sexual dysfunction in these patients.
由于受伤、心理健康状况、用于治疗这些状况的药物以及心理社会因素，最近参加过伊拉克和阿富汗战争的美国退伍军人可能面临更大的性功能障碍风险。
探讨最近的退伍军人对性健康和性功能障碍的看法、相关因素、其影响和解决方案。
定性研究。
在退伍军人事务医疗中心的部署后诊所初次就诊时被筛查出性功能障碍的 8 名男性。
对筛查出性功能障碍且表示有兴趣参与的患者进行联系并安排与研究人员进行面对面的私人访谈。访谈采用半结构化方式，使用开放式和后续探究问题来引出个人对性功能障碍及其原因、影响和解决方案的看法。对访谈进行录音、转录和分析以确定主题。
这些异性恋男性讨论了他们活动中的各种性功能障碍，包括缺乏欲望、勃起功能障碍、延迟射精、早泄和注意力不集中。他们还讨论了设定或环境以及随着时间的推移对他们的性健康和功能的变化的重要性。男性分享了他们对促成因素的想法，包括正常衰老、药物副作用、受伤以及更普遍的战斗部署的可能作用。报告的性功能障碍解决方案包括药物、草药疗法以及新的性活动姿势和方法。参与者报告与他们的医疗保健提供者讨论了性功能障碍问题以及哪些是有帮助的。最后，男性用自己的话表达了性功能障碍对他们的自我认知、他们的伴侣和他们的关系的重要负面影响。
最近参战退伍军人的性功能障碍可能对他们的健康和关系产生重要的负面影响。我们的研究结果阐明了感知到的促成因素和首选解决方案，医疗保健提供者可以应用这些因素来改善这些患者性功能障碍的管理。
