Sexuality and Women with Spinal Cord Injury

Abstract

This thesis investigates the intersection of sexuality, ageing, and spinal cord injury (SCI), focusing on women—a group often overlooked in research. SCI profoundly impacts physical, psychological, and social dimensions of health, yet sexuality remains underexplored, particularly for women and older adults. A comprehensive review of 70 years of literature revealed gender disparities, with research on men primarily addressing sexual function, while studies on women encompassed broader issues such as relationships, education, and psychosocial factors. Ageing introduces additional complexities, including menopause and evolving priorities, which influence sexual health and satisfaction. Qualitative insights from women aged 45 and older highlighted themes of self-perception, decreased desire, bodily changes, lifespan considerations, and shifting priorities. Findings underscore that sexuality is shaped by intersecting physiological, psychological, and social factors rather than age or SCI alone. This work calls for inclusive, gender-sensitive approaches to research and interventions that support sexual health across the lifespan.