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Intimacy Post-Injury - Combat Trauma and Sexual Health (Paperback)
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Intimacy Post-Injury - Combat Trauma and Sexual Health (Paperback)
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Since September 11 2001, or "9/11", approximately 2.7 US million
service members have served in the wars in Afghanistan and Iraq.
Many thousands have been wounded, with injuries ranging from mild
to severe. PTSD (post traumatic stress disorder) and TBI (traumatic
brain injury) have been called the "signature wounds" of war. The
psychological injuries of war, PTSD and related co-morbid
conditions, lead to feeling isolated from others, which directly
affects intimate relationships. TBI (traumatic brain injury) is
also a very common injury from these past decades of war. The
treatment of PTSD and TBI involves medications that often have
sexual side-effects, such as erectile dysfunction and loss of
libido, weight gain, ejaculatory delay, and sedation. The bomb
blast has been the "signature weapon" of these conflicts. Service
members wear helmets and body armor, which covers their torsos.
Thus blasts primarily effect the lower exposed areas of the body,
including the extremities and pelvic region. Numerous service
members have lost one or both legs, and in some cases arms. Because
of the blast, many have lost part or all of their genitalia, their
penis or testes. This loss directly impacts sexual functioning and
fertility. The bomb blast or other weapons may also burn and scar
faces and hands. Pain from these injuries and subsequent surgeries
is a constant theme. Sexual difficulties contribute to relationship
difficulties, domestic violence, and suicide. Less well recognized
is the impact of toxic exposures on sexual health. All wars are
environmentally dirty. Agent Orange is the best known toxic agent
from Vietnam. Anti-malarial agents, used in Iraq and Afghanistan,
cause a host of neuropsychiatric effects. Sexual assault is another
type of toxic exposure. Thus there are a host of ways that exposure
to combat can affect intimacy, sexual functioning and fertility.
Fortunately there are many strategies to mitigate these negative
effects, which are covered in detail in this book.
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