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Official websites use. Share sensitive information only on official, secure websites. Bird va. Posttraumatic stress disorder PTSD is associated with sexual difficulties but the nuances of this relationship remain elusive. Research has increased in recent years, most notably following publication of several reviews in Forty-three studies were identified that met inclusion and exclusion criteria for this review.
PTSD was associated with increased risk of experiencing at least one sexual difficulty. PTSD was most clearly associated with overall sexual function, sexual desire, sexual satisfaction, and sexual distress. Results were mixed for sexual arousal, orgasm function, erectile dysfunction, premature ejaculation, sexual pain, and frequency of sexual activity.
Few studies compared results by gender and trauma type. Clinicians should inquire about sexual health in relation to PTSD symptoms and target avoidance and negative mood symptoms by incorporating sexual exposure assignments and sexual activation exercises when appropriate. This systematic review synthesizes an extensive literature that has grown substantially in the past 5 years and includes studies with low to moderate risk of bias.
Limitations of the existing literature include challenges differentiating between PTSD and depression, inconsistent measurement of PTSD and trauma histories, inconsistent operationalization and measurement of sexual outcomes, and largely cross-sectional study designs. PTSD is linked to a range of sexual outcomes. More research is needed to increase confidence in findings.
Posttraumatic stress disorder PTSD is one of the most common mental health disorders among United States veterans, 1 and is often chronic and associated with significant functional impairment. This is a critical gap in the literature, given that sexual difficulties are a common clinical complaint among those with trauma histories 9 , 10 and researchers have implored clinicians to address sexual symptoms in the veteran population.