Trauma and Illness Can Have a Negative Impact on Sexual Desire, Engagement, and Satisfaction
When someone experiences traumatic events such as physical or emotional abuse, sexual assault, or combat, it can lead to post-traumatic stress disorder (PTSD), which is characterized by intrusive memories, avoidance behaviors, hyperarousal symptoms, negative changes in mood and cognition, and more. PTSD can also cause difficulty sleeping, increased anxiety and depression, and changes in memory. These factors can all impact one's ability to enjoy sex and engage in an active relationship. People with PTSD may find it difficult to focus on their partner during sex due to flashbacks of past traumas or feel anxious about their own body or performance.
Those who have experienced trauma may struggle with intimacy issues and fear of being vulnerable.
Illnesses that affect hormones or nerves, such as diabetes, multiple sclerosis, Parkinson's disease, stroke, or spinal cord injury, can also influence sexual desire, engagement, and satisfaction.
Many medications used for these conditions have side effects like fatigue, erectile dysfunction, low libido, and vaginal dryness that make it harder to enjoy sex. Physical pain from illnesses like fibromyalgia or arthritis can make certain positions uncomfortable or impossible. In addition, the mental health challenges associated with chronic illness, such as depression or anxiety, can reduce interest in sex and decrease overall well-being.
There are ways to manage these issues and improve sexual functioning. Psychotherapy can help individuals process their trauma and work through any underlying emotional barriers to intimacy. Medication and lifestyle modifications can be effective in managing physical symptoms associated with illnesses. Open communication is essential in addressing specific concerns with a partner and finding solutions together. It is also important to be patient, compassionate, and understanding when discussing sexual issues with loved ones.
Sexuality is not only affected by physical and psychological factors but also cultural norms, values, and expectations. By normalizing diverse experiences and seeking support, people can continue to explore their own unique desires and needs while cultivating fulfilling relationships.
How do trauma and illness affect sexual desire, engagement, and satisfaction?
Traumatic events such as abuse, assault, loss of loved ones, or stressful life circumstances may impact individuals' desires for physical intimacy, sexual engagement, and feelings of satisfaction during sexual interactions (Klest et al. , 2017).