The primary physical effects of combat-related trauma are well documented and widely studied, but there is less research on its impact on sexual functioning. This paper explores what long-term sexual consequences may result from such injuries, including changes to desire, arousal, orgasm, and ejaculation. It also discusses potential psychological factors that contribute to these changes, such as PTSD, depression, anxiety, and substance abuse.
Combat veterans often report significant declines in their ability to experience pleasure during intercourse after sustaining injury. Studies have shown that this can occur due to nerve damage caused by blast exposure or penetrating wounds.
It can also be attributed to psychological factors like guilt, shame, anger, and fear associated with being unable to perform sexually. Some studies suggest that men who experienced explosive events were more likely to develop erectile dysfunction than those who did not.
For women, the effects of combat-related trauma on sexual functioning may be even more complex. Many female veterans report decreased libido, vaginal dryness, and difficulty achieving orgasm. These issues can be related to both physical and psychological factors.
Hormonal imbalances caused by traumatic brain injury (TBI) can disrupt normal sexual response, while flashbacks and nightmares associated with PTSD may make intimacy feel unsafe or uncomfortable. Women who have experienced military sexual assault may also struggle with sex due to feelings of betrayal or powerlessness.
Veterans may face social stigma around discussing their sexual difficulties openly. This can create a cycle of isolation and shame that makes it difficult to seek treatment or support. As a result, many veterans suffer in silence rather than seeking help for what is a very common problem among survivors. With proper medical care and counseling, however, most cases of post-traumatic sexual dysfunction are treatable. Veterans should talk to their healthcare providers about any concerns they have regarding their sexuality to receive appropriate referrals and resources.
This paper shows how combat-related trauma can have long-term consequences for sexual functioning. By understanding these changes, we can better support our veterans as they transition back into civilian life and work towards healing from their injuries.
What long-term sexual consequences result from combat-related trauma or injury?
Traumatic events can have a significant impact on an individual's physical and mental health, including their ability to experience pleasure during sexual activity. Research has shown that individuals who suffer from PTSD may also struggle with intimacy issues and dissociation during sex due to the fear of being overwhelmed by past experiences (Mahalik et al. , 2015).