Sexual wellbeing for people with chronic obstructive pulmonary disease: Relevance and roles for physiotherapy

Abstract

Chronic obstructive pulmonary disease (COPD) is the fifth leading cause of disability worldwide. The purpose of this article is to provide an overview of current knowledge on sexual wellbeing in people with COPD, with particular attention to the possible role of physiotherapy in helping address problems with sexuality resulting from the condition. People with COPD experience more sexual problems on average than the general population, with these issues arising from hormonal, physiological, psychological, sociological and pharmaceutical factors. Physiotherapists can provide specialist support for people with COPD regarding their sex lives through the provision of exercise therapy, advice on positioning to maximise breathing efficacy and minimise energy expenditure during sexual activity and via patient education on chronic condition management. The PLISSIT model provides a robust framework for helping physiotherapists clarify their scope of practice when engaging with people who have COPD on matters to do with sexuality. Regardless of age or severity of symptoms, people with COPD are capable of leading full and satisfying sex lives should they wish to do so. Physiotherapists can contribute information and solutions to support them in this endeavour.