Author: Ronit Aloni
Publisher: Charles C Thomas Publisher
ISBN: 0398073686
Category : Medical
Languages : en
Pages : 226
Book Description
Provides professional with an understanding of the issue of sexuality after traumatic brain injury and how to plan an intervention program at various stages of the rehabilitation process.
Sexual Difficulties After Traumatic Brain Injury and Ways to Deal with it
Author: Ronit Aloni
Publisher: Charles C Thomas Publisher
ISBN: 0398073686
Category : Medical
Languages : en
Pages : 226
Book Description
Provides professional with an understanding of the issue of sexuality after traumatic brain injury and how to plan an intervention program at various stages of the rehabilitation process.
Publisher: Charles C Thomas Publisher
ISBN: 0398073686
Category : Medical
Languages : en
Pages : 226
Book Description
Provides professional with an understanding of the issue of sexuality after traumatic brain injury and how to plan an intervention program at various stages of the rehabilitation process.
Manual of Traumatic Brain Injury Management
Author: Felise S. Zollman, MD
Publisher: Demos Medical Publishing
ISBN: 1935281992
Category : Medical
Languages : en
Pages : 510
Book Description
Pocket-sized and portable, the Manual of Traumatic Brain Injury Management provides relevant clinical information in a succinct, readily accessible format. Expert authors drawn from the fields of rehabilitation medicine, neurology, neurosurgery, neurophysiology, physical and occupational therapy, and related areas cover the range of TBI, from concussion to severe injury. Organized to be consistent with the way TBI is managed, the book is divided into six sections and flows from initial injury through community living post-TBI, allowing clinicians to key in on specific topics quickly. Manual of Traumatic Brain Injury Management delivers the information you need to successfully manage the full spectrum of issues, medical complications, sequelae, and rehabilitation needs of patients who have sustained any level of brain injury. Features of Manual of Traumatic Brain Injury Management Include: Concise yet comprehensive: covers all aspects of TBI and its management A clinically-oriented, practical "how-to" manual, designed for rapid access to key information Organized to be consistent with the way TBI is managed Includes dedicated chapters on TBI in athletes and in military personnel. Internationally known contributors drawn from the leading TBI programs provide expert information
Publisher: Demos Medical Publishing
ISBN: 1935281992
Category : Medical
Languages : en
Pages : 510
Book Description
Pocket-sized and portable, the Manual of Traumatic Brain Injury Management provides relevant clinical information in a succinct, readily accessible format. Expert authors drawn from the fields of rehabilitation medicine, neurology, neurosurgery, neurophysiology, physical and occupational therapy, and related areas cover the range of TBI, from concussion to severe injury. Organized to be consistent with the way TBI is managed, the book is divided into six sections and flows from initial injury through community living post-TBI, allowing clinicians to key in on specific topics quickly. Manual of Traumatic Brain Injury Management delivers the information you need to successfully manage the full spectrum of issues, medical complications, sequelae, and rehabilitation needs of patients who have sustained any level of brain injury. Features of Manual of Traumatic Brain Injury Management Include: Concise yet comprehensive: covers all aspects of TBI and its management A clinically-oriented, practical "how-to" manual, designed for rapid access to key information Organized to be consistent with the way TBI is managed Includes dedicated chapters on TBI in athletes and in military personnel. Internationally known contributors drawn from the leading TBI programs provide expert information
Male Sexual Dysfunction
Author: Fouad R. Kandeel
Publisher: CRC Press
ISBN: 1420015087
Category : Medical
Languages : en
Pages : 570
Book Description
Although impotence may be the most widely recognized manifestation of male sexual dysfunction, many other forms of sexual disorders do not involve the erectile mechanism, from deficiencies of desire to disturbances in ejaculatory function to the failure of detumescence. With such a myriad-and often co-existing-number of disorders, the successful tr
Publisher: CRC Press
ISBN: 1420015087
Category : Medical
Languages : en
Pages : 570
Book Description
Although impotence may be the most widely recognized manifestation of male sexual dysfunction, many other forms of sexual disorders do not involve the erectile mechanism, from deficiencies of desire to disturbances in ejaculatory function to the failure of detumescence. With such a myriad-and often co-existing-number of disorders, the successful tr
Textbook of Traumatic Brain Injury
Author: Jonathan M. Silver
Publisher: American Psychiatric Pub
ISBN: 1615372474
Category : Medical
Languages : en
Pages : 996
Book Description
Despite the increased public awareness of traumatic brain injury (TBI), the complexities of the neuropsychiatric, neuropsychological, neurological, and other physical consequences of TBI of all severities across the lifespan remain incompletely understood by patients, their families, healthcare providers, and the media. Keeping pace with advances in the diagnosis, treatment, and science of TBI, the Textbook of Traumatic Brain Injury, Third Edition, comprehensively fills this gap in knowledge. Nearly all 50 chapters feature new authors, all of them experts in their field. Chapters new to this edition include biomechanical forces, biomarkers, neurodegenerative dementias, suicide, endocrine disorders, chronic disease management, and social cognition. An entirely new section is devoted to the evaluation and treatment of mild TBI, including injuries in athletes, military service members and veterans, and children and adolescents. These chapters join newly updated sections on the assessment and treatment of the cognitive, emotional, behavioral, and other physical sequelae of TBI. The Textbook of Traumatic Brain Injury is a must-read for all of those working in any of the multitude of disciplines that contribute to the care and rehabilitation of persons with brain injury. This new volume is also a potentially useful reference for policymakers in both the public and private sectors.
Publisher: American Psychiatric Pub
ISBN: 1615372474
Category : Medical
Languages : en
Pages : 996
Book Description
Despite the increased public awareness of traumatic brain injury (TBI), the complexities of the neuropsychiatric, neuropsychological, neurological, and other physical consequences of TBI of all severities across the lifespan remain incompletely understood by patients, their families, healthcare providers, and the media. Keeping pace with advances in the diagnosis, treatment, and science of TBI, the Textbook of Traumatic Brain Injury, Third Edition, comprehensively fills this gap in knowledge. Nearly all 50 chapters feature new authors, all of them experts in their field. Chapters new to this edition include biomechanical forces, biomarkers, neurodegenerative dementias, suicide, endocrine disorders, chronic disease management, and social cognition. An entirely new section is devoted to the evaluation and treatment of mild TBI, including injuries in athletes, military service members and veterans, and children and adolescents. These chapters join newly updated sections on the assessment and treatment of the cognitive, emotional, behavioral, and other physical sequelae of TBI. The Textbook of Traumatic Brain Injury is a must-read for all of those working in any of the multitude of disciplines that contribute to the care and rehabilitation of persons with brain injury. This new volume is also a potentially useful reference for policymakers in both the public and private sectors.
Brain Injury Medicine, 2nd Edition
Author: Nathan D. Zasler, MD
Publisher: Demos Medical Publishing
ISBN: 1936287277
Category : Medical
Languages : en
Pages : 1549
Book Description
This book is a clear and comprehensive guide to all aspects of the management of traumatic brain injury-from early diagnosis and evaluation through the post-acute period and rehabilitation. An essential reference for physicians and other health care professionals who work with brain injured patients, the book focuses on assessment and treatment of the wider variety of clinical problems these patients face and addresses many associated concerns such as epidemiology, ethical issues, legal issues, and life-care planning. Written by over 190 acknowledged leaders, the text covers the full spectrum of the practice of brain injury medicine including principles of neural recovery, neuroimaging and neurodiagnostic testing, prognosis and outcome, acute care, rehabilitation, treatment of specific populations, neurologic and other medical problems following injury, cognitive and behavioral problems, post-traumatic pain disorders, pharmacologic and alternative treatments, and community reentry and productivity.
Publisher: Demos Medical Publishing
ISBN: 1936287277
Category : Medical
Languages : en
Pages : 1549
Book Description
This book is a clear and comprehensive guide to all aspects of the management of traumatic brain injury-from early diagnosis and evaluation through the post-acute period and rehabilitation. An essential reference for physicians and other health care professionals who work with brain injured patients, the book focuses on assessment and treatment of the wider variety of clinical problems these patients face and addresses many associated concerns such as epidemiology, ethical issues, legal issues, and life-care planning. Written by over 190 acknowledged leaders, the text covers the full spectrum of the practice of brain injury medicine including principles of neural recovery, neuroimaging and neurodiagnostic testing, prognosis and outcome, acute care, rehabilitation, treatment of specific populations, neurologic and other medical problems following injury, cognitive and behavioral problems, post-traumatic pain disorders, pharmacologic and alternative treatments, and community reentry and productivity.
Manual of Traumatic Brain Injury, Third Edition
Author: Felise S. Zollman, MD
Publisher: Springer Publishing Company
ISBN: 0826147682
Category : Medical
Languages : en
Pages : 802
Book Description
The third edition of Manual of Traumatic Brain Injury offers a thorough revision of the popular evidence-based guide to understanding and managing all levels of traumatic brain injury. Comprehensive in scope and concise in format, this reference describes the spectrum of injury from mild to severe and the continuum of care from initial injury to management of chronic sequelae. Chapters are designed with a practical clinical focus for targeted retrieval of content by topic area and for self-review. The text is organized into five sections. Part I addresses fundamental concepts necessary for understanding the underpinning of clinical decision-making. Part II is dedicated to mild TBI, including sport-related concussion, with chapters covering topics from natural history to associated somatic disorders, post-concussion syndrome, and PTSD. Part III covers moderate to severe TBI and details prehospital emergency and ICU care, rehabilitation, treatment of related conditions, and postinjury outcomes. Part IV focuses on TBI-related complications, including posttraumatic seizures, spasticity, behavioral and sleep disturbances, and chronic traumatic encephalopathy (CTE). Part V reviews special considerations in selected populations such as pediatric TBI and TBI in the military, as well as medicolegal and ethical considerations in TBI, complementary and alternative medicine, and return to work considerations. Each chapter includes boxed Key Points which underscore major clinical takeaways, Study Questions to facilitate self-assessment and further emphasize core chapter content, and an Additional Reading list for a deeper dive into chapter concepts. Significant updates incorporating recent advancements in the field, combined with the clinical acumen of its experienced contributors, make this third edition the essential manual for healthcare professionals caring for individuals with traumatic brain injury. Key Features: Succinct format encourages targeted access to key clinical information Completely revised and updated third edition reflects current state of the art advancements Added content areas such as a new chapter dedicated to substance abuse and TBI expand the scope of material addressed Newly added multiple choice Study Questions in each chapter facilitate self-assessment of mastery of chapter material
Publisher: Springer Publishing Company
ISBN: 0826147682
Category : Medical
Languages : en
Pages : 802
Book Description
The third edition of Manual of Traumatic Brain Injury offers a thorough revision of the popular evidence-based guide to understanding and managing all levels of traumatic brain injury. Comprehensive in scope and concise in format, this reference describes the spectrum of injury from mild to severe and the continuum of care from initial injury to management of chronic sequelae. Chapters are designed with a practical clinical focus for targeted retrieval of content by topic area and for self-review. The text is organized into five sections. Part I addresses fundamental concepts necessary for understanding the underpinning of clinical decision-making. Part II is dedicated to mild TBI, including sport-related concussion, with chapters covering topics from natural history to associated somatic disorders, post-concussion syndrome, and PTSD. Part III covers moderate to severe TBI and details prehospital emergency and ICU care, rehabilitation, treatment of related conditions, and postinjury outcomes. Part IV focuses on TBI-related complications, including posttraumatic seizures, spasticity, behavioral and sleep disturbances, and chronic traumatic encephalopathy (CTE). Part V reviews special considerations in selected populations such as pediatric TBI and TBI in the military, as well as medicolegal and ethical considerations in TBI, complementary and alternative medicine, and return to work considerations. Each chapter includes boxed Key Points which underscore major clinical takeaways, Study Questions to facilitate self-assessment and further emphasize core chapter content, and an Additional Reading list for a deeper dive into chapter concepts. Significant updates incorporating recent advancements in the field, combined with the clinical acumen of its experienced contributors, make this third edition the essential manual for healthcare professionals caring for individuals with traumatic brain injury. Key Features: Succinct format encourages targeted access to key clinical information Completely revised and updated third edition reflects current state of the art advancements Added content areas such as a new chapter dedicated to substance abuse and TBI expand the scope of material addressed Newly added multiple choice Study Questions in each chapter facilitate self-assessment of mastery of chapter material
Manual of Traumatic Brain Injury
Author: Felise S. Zollman, MD
Publisher: Springer Publishing Company
ISBN: 1617052698
Category : Medical
Languages : en
Pages : 609
Book Description
The Manual provides an excellent road map to the many topics relevant in the diagnosis, treatment, and long-term management of individuals with TBI. As such, the book can serve either as a fine introduction for the uninitiated or as a valued reference for seasoned clinicians. I highly recommend [it]... Journal of Head Trauma Rehabilitation This is a stellar quality book that will be beneficial for every member of the multidisciplinary team that is required to treat patients with TBI. It offers a concise but broad and informative view of the disorder, and can serve as an easy-to-read and access primary text. 4 Stars! Doody’s Reviews Now completely revised and updated, Manual of Traumatic Brain Injury:Assessment and Management, Second Edition is a comprehensive evidence-based guide to brain injury diagnosis, treatment, and recovery, delivered in a succinct format designed for targeted access to essential content. This concise text, featuring internationally known contributors drawn from leading TBI programs, is organized into five sections. Part 1 discusses fundamental concepts needed to provide a context for clinical decision-making. Part 2 covers mild TBI, from natural history to sports-related concussion, post-concussion syndrome, and more. Part 3 focuses on moderate to severe TBI and contains chapters on pre-hospital, emergency and ICU care, rehabilitation, community reintegration, management of associated impairments, and post-injury outcomes. Part 4 covers the complications and long-term sequelae that may arise in patients with TBI, including spasticity, movement disorders, posttraumatic seizures, hydrocephalus, behavioral and sleep disturbances, and chronic traumatic encephalopathy (CTE). Part 5 focuses on special considerations and resources, including issues specific to selected populations or injury environments (military, pediatric, workers compensation and older patients), as well as return to work and medico-legal issues in TBI. Comprehensively updated to reflect the current state of the art in this rapidly evolving field, this book is a must-have for neurologists, physiatrists, primary care physicians, mental health professionals, social workers, and other healthcare providers who treat TBI patients. New to the Second Edition: "Key Points" section in each chapter crystallizes important clinical pearls New chapters cover anoxia complicating TBI, screening for emotional distress in TBI patients, management of chronic behavioral disturbances, and assistive technology Every chapter has been updated to reflect current evidence-based practice
Publisher: Springer Publishing Company
ISBN: 1617052698
Category : Medical
Languages : en
Pages : 609
Book Description
The Manual provides an excellent road map to the many topics relevant in the diagnosis, treatment, and long-term management of individuals with TBI. As such, the book can serve either as a fine introduction for the uninitiated or as a valued reference for seasoned clinicians. I highly recommend [it]... Journal of Head Trauma Rehabilitation This is a stellar quality book that will be beneficial for every member of the multidisciplinary team that is required to treat patients with TBI. It offers a concise but broad and informative view of the disorder, and can serve as an easy-to-read and access primary text. 4 Stars! Doody’s Reviews Now completely revised and updated, Manual of Traumatic Brain Injury:Assessment and Management, Second Edition is a comprehensive evidence-based guide to brain injury diagnosis, treatment, and recovery, delivered in a succinct format designed for targeted access to essential content. This concise text, featuring internationally known contributors drawn from leading TBI programs, is organized into five sections. Part 1 discusses fundamental concepts needed to provide a context for clinical decision-making. Part 2 covers mild TBI, from natural history to sports-related concussion, post-concussion syndrome, and more. Part 3 focuses on moderate to severe TBI and contains chapters on pre-hospital, emergency and ICU care, rehabilitation, community reintegration, management of associated impairments, and post-injury outcomes. Part 4 covers the complications and long-term sequelae that may arise in patients with TBI, including spasticity, movement disorders, posttraumatic seizures, hydrocephalus, behavioral and sleep disturbances, and chronic traumatic encephalopathy (CTE). Part 5 focuses on special considerations and resources, including issues specific to selected populations or injury environments (military, pediatric, workers compensation and older patients), as well as return to work and medico-legal issues in TBI. Comprehensively updated to reflect the current state of the art in this rapidly evolving field, this book is a must-have for neurologists, physiatrists, primary care physicians, mental health professionals, social workers, and other healthcare providers who treat TBI patients. New to the Second Edition: "Key Points" section in each chapter crystallizes important clinical pearls New chapters cover anoxia complicating TBI, screening for emotional distress in TBI patients, management of chronic behavioral disturbances, and assistive technology Every chapter has been updated to reflect current evidence-based practice
Translational Research in Traumatic Brain Injury
Author: Daniel Laskowitz
Publisher: CRC Press
ISBN: 1498766579
Category : Medical
Languages : en
Pages : 388
Book Description
Traumatic brain injury (TBI) remains a significant source of death and permanent disability, contributing to nearly one-third of all injury related deaths in the United States and exacting a profound personal and economic toll. Despite the increased resources that have recently been brought to bear to improve our understanding of TBI, the developme
Publisher: CRC Press
ISBN: 1498766579
Category : Medical
Languages : en
Pages : 388
Book Description
Traumatic brain injury (TBI) remains a significant source of death and permanent disability, contributing to nearly one-third of all injury related deaths in the United States and exacting a profound personal and economic toll. Despite the increased resources that have recently been brought to bear to improve our understanding of TBI, the developme
Brain Injury Medicine, Third Edition
Author: Nathan D. Zasler, MD
Publisher: Springer Publishing Company
ISBN: 0826143059
Category : Medical
Languages : en
Pages : 1891
Book Description
“This updated textbook was much needed as there has been increased attention in recent years toward brain injuries. The book provides updated guidelines and clinical practice recommendations that support the intended audience of trainees and current practitioners. This update makes it the current standard text for any brain injury specialist." ---Doody's Review Service, 4 stars This revised and greatly expanded Third Edition of Brain Injury Medicine continues its reputation as the key core textbook in the field, bringing together evidence-based medicine and years of collective author clinical experience in a clear and comprehensive guide for brain injury professionals. Universally praised as the gold standard text and go-to clinical reference, the book covers the entire continuum of care from early diagnosis and assessment through acute management, rehabilitation, associated medical and quality of life issues, and functional outcomes. With 12 new chapters and expanded coverage in key areas of pathobiology and neuro-recovery, special populations, sport concussion, disorders of consciousness, neuropharmacology, and more, this "state of the science" resource promotes a multi-disciplinary approach to a complex condition with consideration of emerging topics and the latest clinical advances. Written by over 200 experts from all involved disciplines, the text runs the full gamut of practice of brain injury medicine including principles of public health and research, biomechanics and neural recovery, neuroimaging and neurodiagnostic testing, sport and military, prognosis and outcome, acute care, treatment of special populations, neurologic and other medical complications post-injury, motor and musculoskeletal problems, post-trauma pain disorders, cognitive and behavioral problems, functional mobility, neuropharmacology and alternative treatments, community reentry, and medicolegal and ethical issues. Unique in its scope of topics relevant to professionals working with patients with brain injury, this third edition offers the most complete and contemporary review of clinical practice standards in the field. Key Features: Thoroughly revised and updated Third Edition of the seminal reference on brain injury medicine Evidence-based consideration of emerging topics with new chapters covering pathobiology, biomarkers, neurorehabilitation nursing, neurodegenerative dementias, anoxic/hypoxic ischemic brain injury, infectious causes of acquired brain injury, neuropsychiatric assessment, PTSD, and capacity assessment Multi-disciplinary authorship with leading experts from a wide range of specialties including but not limited to physiatry, neurology, psychiatry, neurosurgery, neuropsychology, physical therapy, occupational therapy speech language pathology, and nursing New online chapters on survivorship, family perspectives, and resources for persons with brain injury and their caregivers Purchase includes digital access for use on most mobile devices or computers
Publisher: Springer Publishing Company
ISBN: 0826143059
Category : Medical
Languages : en
Pages : 1891
Book Description
“This updated textbook was much needed as there has been increased attention in recent years toward brain injuries. The book provides updated guidelines and clinical practice recommendations that support the intended audience of trainees and current practitioners. This update makes it the current standard text for any brain injury specialist." ---Doody's Review Service, 4 stars This revised and greatly expanded Third Edition of Brain Injury Medicine continues its reputation as the key core textbook in the field, bringing together evidence-based medicine and years of collective author clinical experience in a clear and comprehensive guide for brain injury professionals. Universally praised as the gold standard text and go-to clinical reference, the book covers the entire continuum of care from early diagnosis and assessment through acute management, rehabilitation, associated medical and quality of life issues, and functional outcomes. With 12 new chapters and expanded coverage in key areas of pathobiology and neuro-recovery, special populations, sport concussion, disorders of consciousness, neuropharmacology, and more, this "state of the science" resource promotes a multi-disciplinary approach to a complex condition with consideration of emerging topics and the latest clinical advances. Written by over 200 experts from all involved disciplines, the text runs the full gamut of practice of brain injury medicine including principles of public health and research, biomechanics and neural recovery, neuroimaging and neurodiagnostic testing, sport and military, prognosis and outcome, acute care, treatment of special populations, neurologic and other medical complications post-injury, motor and musculoskeletal problems, post-trauma pain disorders, cognitive and behavioral problems, functional mobility, neuropharmacology and alternative treatments, community reentry, and medicolegal and ethical issues. Unique in its scope of topics relevant to professionals working with patients with brain injury, this third edition offers the most complete and contemporary review of clinical practice standards in the field. Key Features: Thoroughly revised and updated Third Edition of the seminal reference on brain injury medicine Evidence-based consideration of emerging topics with new chapters covering pathobiology, biomarkers, neurorehabilitation nursing, neurodegenerative dementias, anoxic/hypoxic ischemic brain injury, infectious causes of acquired brain injury, neuropsychiatric assessment, PTSD, and capacity assessment Multi-disciplinary authorship with leading experts from a wide range of specialties including but not limited to physiatry, neurology, psychiatry, neurosurgery, neuropsychology, physical therapy, occupational therapy speech language pathology, and nursing New online chapters on survivorship, family perspectives, and resources for persons with brain injury and their caregivers Purchase includes digital access for use on most mobile devices or computers
Intimacy Post-Injury
Author: Elspeth Cameron Ritchie
Publisher: Oxford University Press
ISBN: 0190461527
Category : Medical
Languages : en
Pages : 224
Book Description
Since September 11 2001, or "9/11", approximately 2.7 US million service members have served in the wars in Afghanistan and Iraq. Many thousands have been wounded, with injuries ranging from mild to severe. PTSD (post traumatic stress disorder) and TBI (traumatic brain injury) have been called the "signature wounds" of war. The psychological injuries of war, PTSD and related co-morbid conditions, lead to feeling isolated from others, which directly affects intimate relationships. TBI (traumatic brain injury) is also a very common injury from these past decades of war. The treatment of PTSD and TBI involves medications that often have sexual side-effects, such as erectile dysfunction and loss of libido, weight gain, ejaculatory delay, and sedation. The bomb blast has been the "signature weapon" of these conflicts. Service members wear helmets and body armor, which covers their torsos. Thus blasts primarily effect the lower exposed areas of the body, including the extremities and pelvic region. Numerous service members have lost one or both legs, and in some cases arms. Because of the blast, many have lost part or all of their genitalia, their penis or testes. This loss directly impacts sexual functioning and fertility. The bomb blast or other weapons may also burn and scar faces and hands. Pain from these injuries and subsequent surgeries is a constant theme. Sexual difficulties contribute to relationship difficulties, domestic violence, and suicide. Less well recognized is the impact of toxic exposures on sexual health. All wars are environmentally dirty. Agent Orange is the best known toxic agent from Vietnam. Anti-malarial agents, used in Iraq and Afghanistan, cause a host of neuropsychiatric effects. Sexual assault is another type of toxic exposure. Thus there are a host of ways that exposure to combat can affect intimacy, sexual functioning and fertility. Fortunately there are many strategies to mitigate these negative effects, which are covered in detail in this book.
Publisher: Oxford University Press
ISBN: 0190461527
Category : Medical
Languages : en
Pages : 224
Book Description
Since September 11 2001, or "9/11", approximately 2.7 US million service members have served in the wars in Afghanistan and Iraq. Many thousands have been wounded, with injuries ranging from mild to severe. PTSD (post traumatic stress disorder) and TBI (traumatic brain injury) have been called the "signature wounds" of war. The psychological injuries of war, PTSD and related co-morbid conditions, lead to feeling isolated from others, which directly affects intimate relationships. TBI (traumatic brain injury) is also a very common injury from these past decades of war. The treatment of PTSD and TBI involves medications that often have sexual side-effects, such as erectile dysfunction and loss of libido, weight gain, ejaculatory delay, and sedation. The bomb blast has been the "signature weapon" of these conflicts. Service members wear helmets and body armor, which covers their torsos. Thus blasts primarily effect the lower exposed areas of the body, including the extremities and pelvic region. Numerous service members have lost one or both legs, and in some cases arms. Because of the blast, many have lost part or all of their genitalia, their penis or testes. This loss directly impacts sexual functioning and fertility. The bomb blast or other weapons may also burn and scar faces and hands. Pain from these injuries and subsequent surgeries is a constant theme. Sexual difficulties contribute to relationship difficulties, domestic violence, and suicide. Less well recognized is the impact of toxic exposures on sexual health. All wars are environmentally dirty. Agent Orange is the best known toxic agent from Vietnam. Anti-malarial agents, used in Iraq and Afghanistan, cause a host of neuropsychiatric effects. Sexual assault is another type of toxic exposure. Thus there are a host of ways that exposure to combat can affect intimacy, sexual functioning and fertility. Fortunately there are many strategies to mitigate these negative effects, which are covered in detail in this book.