Abstract：
BACKGROUND: Since the brutal October 7, 2023 attacks on Israel, the encroachment of the battlefield into the daily lives of all Israelis has impacted both civilians and combatants in various ways. The development of post-traumatic stress reactions has far-reaching effects across numerous aspects of life. One of the lesser-discussed consequences is the onset of sexual dysfunction. Reactions to such distressing events can adversely affect sexual desire, arousal, orgasm, the frequency of sexual activities, and satisfaction derived from them. These issues may present directly in clinical settings, or indirectly through other symptoms. The impact of trauma on sexual function can be attributed to disruptions in biological mechanisms, cognitive impairments, mood changes, and diminished motivation. This review explores how responses to post-traumatic stress relate to sexual function. We present case studies of patients recovering from such events, describe the underlying mechanisms that trigger these adverse reactions, and discuss interventions that can enhance sexual health, which can be implemented in primary care settings. It is advisable for assessments of sexual function to be included in routine evaluations by primary care physicians. Early identification of sexual dysfunction can help prevent the progression of more persistent issues and enhance overall quality of life for patients.
摘要：
背景：自2023年10月7日对以色列的残酷袭击以来，战场对所有以色列人日常生活的侵犯以各种方式影响了平民和战斗人员。创伤后应激反应的发展对生活的许多方面都有深远的影响。讨论较少的后果之一是性功能障碍的发作。对这种令人痛苦的事件的反应会对性欲产生不利影响，唤醒,性高潮,性活动的频率，从他们身上得到的满足。这些问题可能直接存在于临床环境中，或间接通过其他症状。创伤对性功能的影响可以归因于生物学机制的破坏，认知障碍，情绪变化,动力减弱。这篇综述探讨了对创伤后应激的反应与性功能的关系。我们提供了患者从此类事件中恢复的案例研究，描述引发这些不良反应的潜在机制，并讨论可以增强性健康的干预措施，可以在初级保健环境中实施。建议将性功能评估纳入初级保健医生的常规评估中。早期发现性功能障碍可以帮助预防更持久问题的进展，并提高患者的整体生活质量。
