Sexting Profiles, Mental Health and Quality of Life in Adolescents and Emerging Adults.

Spinal cord disorders (SCD), including both traumatic spinal cord injury (SCI) and non-traumatic etiologies such as multiple sclerosis, transverse myelitis, and myelomeningocele, affect multiple domains of quality of life. In women, these conditions often disrupt sexual health through a combination of neurophysiological, psychological, and relational mechanisms [–]. Sexual dysfunction in women with SCD may present as reduced desire, impaired arousal, diminished vaginal lubrication, difficulty achieving orgasm, and overall dissatisfaction with sexual life [, ], often coexisting with impaired mobility, sensory deficits, fatigue, altered body image, and mood disorders [, ]. Lower urinary tract dysfunction (LUTD), particularly urinary incontinence (UI), is one of the most distressing comorbidities in this context. UI may lead to embarrassment, avoidance of intimacy, and diminished self-esteem [–], while bladder management strategies such as intermittent catheterization or use of absorbent products can further affect confidence and compromise sexual well-being [, ]. Despite the high prevalence of both neurogenic LUTD and sexual dysfunction in women with SCD [, ], their shared neuroanatomical pathways, and the international guidelines and consensus documents recommending routine assessment and counselling regarding lower urinary tract symptoms and sexual function in individuals with spinal cord injury or spinal cord disease, data on sexual activity and its clinical predictors in women remain limited [, ].