Sexual dysfunction as a result of neurologic disease may result in permanent impairment that can be quantified using the AMA criteria. Patients in this group typically have spinal cord injury or severe neuropathy.
Parameters:
(1) ability to achieve orgasm
(2) sexual response (lubrication in women; erection or ejaculation in males)
(3) awareness and excitement
Ability to Achieve Orgasm
Sexual Response
Awareness and Excitement
Impairment of the Whole Person
normal
normal
normal
0%
possible
reduced
reduced
1 - 9%
reflex possible
greatly reduced to absent
none
10 – 19%
none
none
none
20%
where:
• The patient's previous level of sexual functioning is used as the reference point for the assessment.
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