Haemophilia, aging and sexuality

被引:21
作者
Gianotten, W. L. [1 ]
Heijnen, L. [2 ]
机构
[1] Rehabil Ctr Trappenberg, NL-1272 EX Huizen, Netherlands
[2] Van Creveldklin Univ, Med Ctr, Utrecht, Netherlands
关键词
aging; arthropathy; erectile dysfunction; haemophilia; psoasbleed; sexuality; CHRONIC HEPATITIS-C; PENILE VIBRATORY STIMULATION; RISK-FACTORS; RHEUMATOID-ARTHRITIS; ILIOPSOAS HEMORRHAGE; DYSFUNCTION; PREVALENCE; THERAPY; MALES; INTERFERON-ALPHA-2B;
D O I
10.1111/j.1365-2516.2008.01914.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The older generation of patients with haemophilia still has musculoskeletal problems which limit activities and participation. One important aspect of male aging is the changes in sexuality. Sexual desire can be disturbed by fatigue, low testosterone or pain. Sexual excitement (erection) may be influenced by diabetes mellitus, arteriosclerosis, hypertension and side effects of antihypertensive and antiviral medication. Sexual response problems can be caused by antidepressant medication. In aging haemophiliacs arthropathy, iliopsoas muscle bleeding, chronic hepatitis C and HIV medications influence sexuality. The haemophilia care professionals should communicate proactively, give information on various practical aspects of sexuality (suggest suitable positions, recommend painkillers, reflect on prescribing erection-enhancing medication, refer to a sexology expert).
引用
收藏
页码:55 / 62
页数:8
相关论文
共 52 条
[1]  
Ahlberg A., 1965, Acta Orthop Scand Suppl, P3, DOI DOI 10.3109/ORT.1965.36.SUPPL-77.01
[2]   Effect of penile vibratory stimulation on spasticity in men with spinal cord injury [J].
Alaca, R ;
Goktepe, AS ;
Yildiz, N ;
Yilmaz, B ;
Guncluz, S .
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION, 2005, 84 (11) :875-879
[4]  
Annon J., 1974, The behavioral treatment of sexual problems, V1
[5]   Iliopsoas haemorrhage in patients with bleeding disorders - experience from one centre [J].
Ashrani, AA ;
Osip, J ;
Christie, B ;
Key, NS .
HAEMOPHILIA, 2003, 9 (06) :721-726
[6]   Interferon-induced depression in chronic hepatitis C: A review of its prevalence, risk factors, biology, and treatment approaches [J].
Asnis, GM ;
De La Garza, R .
JOURNAL OF CLINICAL GASTROENTEROLOGY, 2006, 40 (04) :322-335
[7]   Iliopsoas haemorrhage in patients with haemophilia: results from one centre [J].
Balkan, C ;
Kavakli, K ;
Karapinar, D .
HAEMOPHILIA, 2005, 11 (05) :463-467
[8]   The relation between mood and sexuality in heterosexual men [J].
Bancroft, J ;
Janssen, E ;
Strong, D ;
Carnes, L ;
Vukadinovic, Z ;
Long, JS .
ARCHIVES OF SEXUAL BEHAVIOR, 2003, 32 (03) :217-230
[9]   Modulation of human platelet aggregation by the phosphodiesterase type 5 inhibitor sildenafil [J].
Berkels, R ;
Klotz, T ;
Sticht, G ;
Englemann, U ;
Klaus, W .
JOURNAL OF CARDIOVASCULAR PHARMACOLOGY, 2001, 37 (04) :413-421
[10]  
Biering-Sorensen F, 2005, ACTA NEUROCHIR SUPPL, V93, P159