In a complex and healthy puzzle, the two seemingly remote plates of cerebrovascular disease and sexual health are delicate and closely linked. When cerebrovascular diseases occur, sexual health is often affected, and understanding of these linkages and making appropriate living adjustments are essential for patients and their partners.
I. The effects of cerebrovascular diseases on sexual health: mental and physical challenges
1. Physiological impairment: Neural impairment of the brain following cerebrovascular disease, which may have a direct impact on sexually relevant physiological functions. For male patients, EDs are often a problem. The area where the brain is responsible for the activation and erection control may be blocked by the transmission of a signal following a cerebrovascular disease, such as the interruption of the main transport route, which results in the insufficiency of the spongy penis, which makes it difficult to achieve or maintain the erection. According to statistics, the incidence of EDs among persons with cerebrovascular diseases, especially among brainheads, is significantly higher than among the general population, reaching 30 – 50 per cent. Female patients may face problems such as reduced sexual desire, difficulties in sexual initiation and vaginal dryness. This is because cerebrovascular diseases affect the distribution and regulation of sexual hormones in women, and may interfere with the normal function of the sexual agitation of the associated neurons, which makes the sexual experience less likely.
2. Mental disorders: In addition to biological changes, cerebrovascular diseases impose a heavy psychological burden on patients, which in turn affects sexual health. Patients may suffer anxiety, depression, etc. due to physical disability, fear of re-emergence of disease and fear of their own image and abilities. These negative emotions, which are clouded by the heart of the patient, severely inhibit sexual desire. For example, a person with a post-dumped physical activity disorder may escape from sexual life for fear of failing to perform in sexual life, or for fear of causing inconvenience to the partner. Such psychological barriers not only affect the sexual fulfilment of patients themselves, but also challenge intimate relationships between partners.
Response: a multi-pronged approach to reshaping sexual health
1. Active treatment of congenital diseases: Control of cerebrovascular diseases is the basis for improving sexual health. Patients should strictly follow the doctor ‘ s treatment programme and take medications on time, such as anti-sculpture tablets, fattens, etc., to prevent the recurrence and progress of cerebrovascular diseases. At the same time, it actively controls risk factors such as hypertension, diabetes mellitus, high blood resin, which is maintained at normal levels through dietary adjustments, exercise and necessary medication. For example, high blood pressure patients should reduce salt intake to no more than 5 grams per day, increase the intake of fresh vegetables, fruits and whole grains, and conduct a mean aerobic activity of at least 150 minutes per week, such as runaways, jogging, etc., and take pressure relief drugs, if necessary, to stabilize blood pressure below 130/80 mmHg. Only effective control of cerebrovascular diseases can gradually improve sexual health.
2. Rehabilitation training and sexual rehabilitation: Rehabilitation training is essential for the physical disability resulting from cerebrovascular diseases. Rehabilitation methods such as physiotherapy and operational therapy help people to recover their physical function, balance their abilities and coordinate their abilities, which are important for improving the quality of sexual life. For example, pelvic muscles can be strengthened for both men and women through pelvic muscle training, and male erections can be improved and female vaginal laxity and urine incontinence reduced. Sexual rehabilitation is also an important component. Sexual therapists can provide professional guidance to patients and their partners, including training in sexual skills, psychological adjustment and improved communication. For example, the use of sexual intensive training methods allows patients and partners to gradually overcome psychological barriers and restore sexual harmony by re-establishing physical intimacy and sexual self-confidence, in a stress-free environment, by touching each other and kissing each other.
Psychological support and communication with partners: psychological support is essential for the sexual health of persons with cerebrovascular diseases. Patients can seek help from a psychologist or psychologist to develop the correct sexual perception through psychotherapy methods such as cognitive behaviour therapy, relaxation training, and so forth, so as to alleviate anxiety and depression. Partners play an extremely important role in this process. The partner should give the patient full understanding, patience and care and be actively involved in his or her recovery. There is a need for both sides to communicate frankly and to share their feelings and needs. For example, partners can encourage patients to express their concerns and expectations in their sexual life and to explore ways and frequency of sexuality that are appropriate for both parties. Where the patient ‘ s physical condition permits, some new sexual activity or position is attempted to increase sexual pleasure and satisfaction. At the same time, the partner is also concerned with his or her sexual needs and feelings and is not neglecting his or her physical and mental health through over-care of the patient. Both sides worked together to re-establish intimacy and promote the recovery of sexual health.
The relationship between cerebrovascular diseases and sexual health is an area requiring the common attention of patients, partners and medical professionals. Through a wide range of measures, including active treatment, rehabilitation and sexual rehabilitation, psychological support and better communication with partners, patients are expected to cope with cerebrovascular diseases in a manner that restores their sexual health and the harmony of their lives and relationships, so that life can continue to shine with health and love.