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Spondylosis, an alternative sexual killer

Time:2023-02-01 22:29:42 source:psychiatricethics.com author:Depression Read:845次
Spondylosis, an alternative sexual killer

The human spine has 33 segments, including 7 cervical vertebrae, 12 thoracic vertebrae, 5 lumbar vertebrae, 5 sacral vertebrae, and 4 coccygeal vertebrae (the sacral and coccygeal vertebrae are fused). Spinal cord, maintains human activity and carries loads. Spinal diseases not only cause local pain, inconvenience, paresthesia, etc., but also affect sexual function, which cannot be ignored.

Myelopathy and sexual function are closely related

Mr. Cheng, 45, started urinating halfway through 3 years ago. Continue, the urine is always not clean. She went to the urology department for consultation, and the doctor treated her for neurocystitis, but the effect was not satisfactory. She could only live with a catheter inserted. One year later, she felt numbness in her perineum and legs, and went to the gynecologist again. The doctor believed that the uterine prolapse was pressing on the bladder, and the uterus was suspended by surgery, but the symptoms were still not relieved. In the past few years, she has been wearing a urinary catheter, her sex life is inconvenient, and her husband has not asked too much; she often smells of urine, and she is under great psychological pressure and dare not ask her husband; more importantly, she finds herself There is also less and less interest in sex life. Later, Ms. Cheng sought an orthopedic specialist for consultation. The doctor performed myelography and magnetic resonance imaging on her, and found that there was a tumor as large as a jujube nucleus between the 1-2 lumbar spine, which had compressed the spinal cord. Six months after the operation, Mr. Cheng's symptoms were significantly relieved, no need for a catheter, and the couple's sexual life was restored. In the process of sexual activity, the cerebral cortex is responsible for all human activities, and sends out sexual excitation signals, which are transmitted to the lower lumbosacral spinal cord and cauda equina, which are in charge of sexual function, and then reach the sexual organs. Unobstructed transmission and no abnormality in the reproductive system are the basic conditions for sexual behavior to be completed. If the transmission channel is damaged, then various sexual dysfunctions can occur. There are four main types of spinal lesions involving the spinal cord: first, tumors, such as bone marrow tumors, spinal canal tumors, etc.; second, trauma, such as traffic accidents, falls from high altitudes, and surgical errors resulting in spinal cord injury; third, infections, such as spinal surgery. Infection, etc.; fourth, bleeding, such as spinal vascular rupture and bleeding. Generally speaking, in patients with spinal cord injury, the lower the injury position, such as in the cauda equina, men are prone to different degrees of erection and reproductive dysfunction; women will affect libido. If the injury is in a high position, such as in the thoracic spine and cervical spine, there may also be basic functions such as penile erection, ejaculation, and vaginal wetting. If the disease is not very serious and timely treatment, there is hope to restore all or part of sexual function.

Cervical spondylosis, often overlooked

Xiao Wang likes to doze off on the bus. A few years ago, because of a sudden stop, his head shook violently. Since then, I have always felt a sore neck and it was a little difficult to lift my head, but I didn't take it to heart. After marriage, Xiao Wang seemed powerless in sexual matters, and sometimes he could not even get an erection. He went to the doctor several times, but the results were not satisfactory. During a physical examination, doctors found that his neck movement was poor, and he had pain in the neck when he lifted his upper limbs. Taking X-ray examination, it was found that his fifth cervical vertebra was moved forward, and the 5-6 intervertebral space was narrowed. After treatment, the symptoms of Xiao Wang's neck pain disappeared, and sexual dysfunction also improved significantly. Ms. Chen, who was treated in the same department, has often felt neck pain, insomnia, dreams, and dizziness in the past year. She has been unable to conceive for many years after marriage, and her menstruation has become less and less recently. After examination, it was found that Ms. Chen's cervical and thoracic vertebrae were dislocated. The doctor treated her with repositioning and other treatments. The symptoms of dizziness and neck pain were significantly improved. Three months later, her menstruation returned to normal. Many people think that the cervical spine has little to do with sexual function, so they ignore the connection between them. In fact, the cervical vertebrae are close to the brain, and there are many cervical nerves. The lesions, such as cervical vertebra dislocation, can stimulate and compress the sympathetic nerves and vertebral arteries, reflexively inhibit the cerebral cortex center, and affect the erectile function of the penis. Dislocation of the cervical spine can cause neck pain, insomnia, dreaminess, palpitation, dizziness and other symptoms, and even stimulate the sympathetic nerves next to the cervical spine, resulting in plant dysfunction and endocrine disorders, such as ovulation dysfunction, menstrual disorders or infertility in women. At the same time, cervical dislocation is often accompanied by insomnia and poor sleep, and can also indirectly lead to or aggravate endocrine dysfunction. In addition, harmonious sex needs the cooperation of the limbs. Cervical spondylosis will affect the function of the upper limbs, such as hugging, touching, supporting, etc. If there are problems with the function and image of the limbs, it will affect the perfect sex life.

thoracic and lumbar spondylosis, pay attention to health care

Scoliosis Scoliosis has a prevalence rate of 1% to 3% in adolescents, mainly concentrated in adolescence Before and after, it is more common in girls, and it occurs mostly in the thoracic and lumbar spine. It not only affects the appearance, but may cause serious heart and lung dysfunction, fatigue, shortness of breath, chest tightness during exercise or labor, and may be accompanied by numbness of the lower limbs, difficulty in urination and other symptoms. For adolescent female patients, it is easy to have asymmetric breasts, poor breast development, abnormal menarche, and also affect height and secondary sexual characteristics. Mild scoliosis generally does not affect sexual life, but when the scoliosis reaches a certain level and compresses the spinal cord, it may lead to sexual dysfunction. Clinically, electric shock is generally used to treat patients with sexual dysfunction to restore the sensation of reproductive organs. However, if the spinal cord has been completely damaged, even strengthening stimulation will not help. Patients with scoliosis often squeeze the lungs, and the increased capacity of the lungs after exercise will compress the spinal cord of the thoracic spine and affect the sympathetic nerves. The sympathetic nerve controls ejaculation, and if it fails, it can affect ejaculation function. In addition, scoliosis may also compress the pelvis and cause tilting deformation, affecting childbirth. During labor, the doctor must determine whether natural childbirth is possible. Lumbar disc herniation Lumbar disc herniation is common among middle-aged and elderly people. With moderate or severe lumbar protrusion, the activities of the waist will be limited, and the lifting of the legs will also be limited. Therefore, most patients with lumbar protrusion cannot carry out normal sexual life due to pain and numbness of the lower limbs. Patients with lumbar protrusion should stop sexual life for a period of time when the symptoms are obvious. Before and after each sexual life, the patient should massage on both sides of the waist in the upper and lower directions for 1 to 2 minutes to relieve the symptoms of low back pain. At the same time, we should pay attention to the fact that once there is unexplained limb weakness, which cannot be relieved after a period of observation, the function of holding objects and walking in the legs decreases, and the perineum will experience ant crawling, burning, numbness, etc., it is necessary to suspect whether there is a spinal disease. Seek medical treatment in time, so as not to delay the opportunity, aggravate the condition, and affect normal life.

(责任编辑:Anxiety disorder)

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