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1.f 1.f | Sexual Health and Reproduction Sexuality is much more than just gender [male or female] or the act of sex. People show their sexuality in many ways, such as the way they present themselves in interactions with others, clothing, body image, hobbies and interests, and grooming habits. Sex, on the other hand, is the physical interaction between two people. It may or may not be a very intimate experience. It may or may not be with someone of the opposite sex. It does, however, express sexuality. For many people with SCI, both male and female, the change in or loss of genital sensation has a great impact on sexuality. However, many people with SCI say that sex can be much more intimate and spiritual than it was before the injury—instead of orgasms being just physical and focused on the genitals, they can be more a state of mind. These people have found pleasure in discovering their own and their partners’ bodies in new ways: touching, caressing, and exploring each other. This kind of intimacy and pleasure require open and willing communication. This means talking about what feels good and how and where to touch, as well as things like bladder and bowel function. Ongoing discussions about sexual functioning help both partners know what to expect. In the past the assumption was that people with SCI were no longer capable of or interested in sex. Today, we know this is not true. It is recognized and increasingly accepted that sex, marriage, and parenthood can be a part of anyone’s life, with or without a disability. A physical disability does not eliminate sexual feelings. Persons with SCI experience the same sexual feelings as those without SCI. You can lead a sexually active life and maintain intimate relationships if you choose to do so. This section provides information that will help you accomplish these goals. The topics include myths and misconceptions about sexuality and disability, anatomy of sexual functioning, changes in sexual functioning after SCI, and effects of SCI on fertility and pregnancy. [ Section 1 ] Myths and Misconceptions About Sexuality and Disability Myth: It is not appropriate for persons with SCI to discuss sex with health-care providers. Fact: Sex is a natural part of life. It deserves attention in your rehabilitation program. Sex and sexuality are health issues and should be discussed between you and your health-care providers. Myth: People with disabilities are no longer sexual beings. Fact: We are all sexual beings. This does not change after SCI. After you’re discharged from the hospital, you may find that people on the outside don’t react to you the same way they did before you were injured, and that new people you meet might seem a little uncomfortable or anxious around you. They may not know what to say or how to relate to you. You may not be seen as a sexual person or a potential sex partner. For a time just after your injury, you may react to yourself that way. If you already have a sex partner, you may notice that he or she does not approach you sexually in the same way as before. Likewise, you may be somewhat timid about initiating sex with your partner. If you are, it may come from fear and anxiety about being able to perform sexually with a “new” body. You may not know how to begin or what to expect, which can be very frightening. SCI sex education is one way to start working out those fears. Education, along with good social and Section 1: How SCI Affects Your Body! | [ 41 ]

Yes You Can - Fourth Edition

Table of Contents for the Digital Edition of Yes You Can - Fourth Edition

Yes You Can - Fourth Edition
Table of Contents
Section 1. How SCI Affects Your Body
1.a Anatomy, Physiology, and Research
1.b Skin Care and Pressure Ulcers
1.c Respiratory Care
1.d Bladder Management
1.e Bowel Management
1.f Sexual Health and Reproduction
1.g Muscles and Bones
1.h Circulatory System
1.i Autonomic Dysreflexia
Section 2. Maximizing Your Function
2.a Expected Outcomes
2.b Equipment
2.c Limb Preservation and Posture
2.d Home Modifications
2.e Driver Rehabilitation and Training
2.f Attendant Management
Section 3. Coping and Living with SCI
3.a Transitions
3.b Psychosocial Adjustment
3.c Mental Health Conditions
3.d Community Resources
3.f Financial Planning
3.g Your Rights
3.h Pain
3.i Brain Injury
Section 4. Staying Healthy after SCI
4.a Recreation
4.b Nutrition and Weight
4.c Exercise
4.d Medications
4.e Alcohol and Substance Abuse
4.f Health Care
4.g Aging
4.h Disasters
Appendix A: Range-of-Motion Exercises
Appendix B: Resource Organizations
Glossary
Index
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Yes You Can - Fourth Edition - Section 1. How SCI Affects Your Body
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Yes You Can - Fourth Edition - 1.a Anatomy, Physiology, and Research
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Yes You Can - Fourth Edition - 1.b Skin Care and Pressure Ulcers
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Yes You Can - Fourth Edition - 1.c Respiratory Care
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Yes You Can - Fourth Edition - 1.d Bladder Management
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Yes You Can - Fourth Edition - 1.e Bowel Management
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Yes You Can - Fourth Edition - 1.f Sexual Health and Reproduction
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Yes You Can - Fourth Edition - 1.g Muscles and Bones
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Yes You Can - Fourth Edition - 1.h Circulatory System
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Yes You Can - Fourth Edition - 1.i Autonomic Dysreflexia
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Yes You Can - Fourth Edition - Section 2. Maximizing Your Function
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Yes You Can - Fourth Edition - 2.a Expected Outcomes
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Yes You Can - Fourth Edition - 2.b Equipment
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Yes You Can - Fourth Edition - 2.c Limb Preservation and Posture
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Yes You Can - Fourth Edition - 2.d Home Modifications
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Yes You Can - Fourth Edition - 2.e Driver Rehabilitation and Training
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Yes You Can - Fourth Edition - 2.f Attendant Management
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Yes You Can - Fourth Edition - Section 3. Coping and Living with SCI
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Yes You Can - Fourth Edition - 3.a Transitions
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Yes You Can - Fourth Edition - 3.b Psychosocial Adjustment
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Yes You Can - Fourth Edition - 3.c Mental Health Conditions
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Yes You Can - Fourth Edition - 3.d Community Resources
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Yes You Can - Fourth Edition - 3.f Financial Planning
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Yes You Can - Fourth Edition - 3.g Your Rights
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Yes You Can - Fourth Edition - 3.h Pain
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Yes You Can - Fourth Edition - 3.i Brain Injury
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Yes You Can - Fourth Edition - Section 4. Staying Healthy after SCI
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Yes You Can - Fourth Edition - 4.a Recreation
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Yes You Can - Fourth Edition - 4.b Nutrition and Weight
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Yes You Can - Fourth Edition - 4.c Exercise
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Yes You Can - Fourth Edition - 4.d Medications
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Yes You Can - Fourth Edition - 4.e Alcohol and Substance Abuse
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Yes You Can - Fourth Edition - 4.f Health Care
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Yes You Can - Fourth Edition - 4.g Aging
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Yes You Can - Fourth Edition - 4.h Disasters
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Yes You Can - Fourth Edition - Appendix A: Range-of-Motion Exercises
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Yes You Can - Fourth Edition - Appendix B: Resource Organizations
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Yes You Can - Fourth Edition - Glossary
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Yes You Can - Fourth Edition - Index
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