Sexual problems in chronic respiratory disease. Achieving and maintaining intimacy.

Chronic obstructive pulmonary disease (COPD) may be linked to several types of sexual dysfunction, but presence of the disease does not preclude enjoyment of sexual activity. A thorough medical and biopsychosocial evaluation of the patient with sexual dysfunction will help the physician to ascertain the cause of dysfunction and to assess contributory physical and psychological factors. In addition to appropriate medical and psychiatric treatment, management should include patient education and supportive psychotherapy. Open communication between the physician, patient, and partner is essential to a successful outcome. The patient and partner may need to alter their attitudes and develop new approaches to sex. The primary care physician can serve as a source of reassurance, information, and recommendations to help the patient live a full life, including a satisfying sex life.