Certified Brain Injury Specialist Practice Exam

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Which of the following is a primary cause of sexual dysfunction?

  1. Neuroendocrine changes

  2. Psychological trauma

  3. Age-related changes

  4. Medication side effects

The correct answer is: Neuroendocrine changes

The primary cause of sexual dysfunction in the context of brain injury often relates to neuroendocrine changes. The brain plays a crucial role in the regulation of hormones that are essential for sexual function. When an individual experiences a brain injury, it can lead to disruptions in the hormonal systems such as altered levels of testosterone, estrogen, or other sex hormones, which can impair libido and sexual performance. These neuroendocrine changes can also affect mood and energy levels, compounding the difficulties related to sexual function. While psychological trauma, age-related changes, and medication side effects can certainly contribute to sexual dysfunction and are relevant factors to consider, they may not be the primary cause in individuals with brain injuries. Psychological trauma usually pertains to the emotional and psychological responses to injury, while age-related changes are gradual and more tied to natural aging processes rather than the immediate effects of a brain injury. Medication side effects arise from pharmacological treatments and may be secondary to the underlying issues from the brain injury itself. Thus, focusing on the neuroendocrine aspects underscores the direct biological impact that brain injuries can have on sexual function.