[Female orgasm during neurological disorders]. / L'orgasme féminin dans les pathologies neurologiques.

ABSTRACT

INTRODUCTION: Sexual dysfunctions, particularly orgasm dysfunction, were not routinely assessed in daily practice in neurological women. OBJECTIVE: To assess type, frequency and impact of neurological women orgasm dysfunction. METHOD: A systematic review was conducted with Medline via Pubmed and The Cochrane Database of Systematic Review. RESULTS: Neurological women's orgasm dysfunction is poorly assessed. The most of these were clinical small retrospective studies assessed by general questionnaires and some with electrophysiological assessments. Multiple sclerosis (MS) and Spinal cord injury (SCI) were the two most studied conditions. Orgasm dysfunction is observed in one third of neurological women, associated with arousal troubles, voiding and anal dysfunction. Orgasm alteration seriously impact quality of life of these patients. CONCLUSION: Specific studies could be conducted in this specific field in order to increase quality of life of these neurogenic patients suffered from such sexual dysfunction.