Sexual Health After Military Sexual Trauma (MST) for Men: Seeking Help and Healing

Military sexual trauma (MST) is a serious and pervasive issue impacting veterans, affecting not only their mental well-being but also their sexual health. Men who have experienced MST are significantly more likely to face sexual dysfunction compared to their non-traumatized peers. This article delves into the connection between MST and sexual difficulties in men, while offering resources for healing and support.

Understanding Sexual Dysfunction After MST

Sexual dysfunction encompasses a range of issues that impede sexual activity and can affect any stage of the sexual response cycle, from desire to orgasm. Common problems that men with MST may experience include:

- Low Libido: A marked decrease in interest in sexual activity.

- Erectile Dysfunction (ED): Difficulty achieving or maintaining an erection sufficient for intercourse.

- Painful Sex: Discomfort or pain experienced during intercourse.

- Delayed or Inhibited Orgasm: Difficulty reaching orgasm or experiencing a less intense orgasm.

- Reduced Ejaculate Volume: Lower semen volume during ejaculation.

The Impact of MST on Male Sexuality

Multiple factors contribute to sexual dysfunction following MST in men, including:

Physical Injuries

Trauma sustained during the assault can result in physical injuries that directly impact sexual function. This might include damage to the genital area or other physical injuries that make sexual activity painful or difficult.

Psychological Effects

The psychological trauma from MST is profound, often manifesting as anxiety, depression, and post-traumatic stress disorder (PTSD). These conditions can significantly affect sexual desire and arousal. Studies have shown that veterans with PTSD are more likely to report sexual dysfunction, with one study finding that up to 80% of male veterans with PTSD also experience sexual difficulties (Cosgrove et al., 2002).

Difficulty with Intimacy

MST often leads to feelings of betrayal, shame, and a profound fear of trust, making intimacy and sexual connection challenging. The emotional scars of MST can make it difficult for survivors to feel safe and connected with their partners.

Negative Associations with Sex

The experience of MST can create negative associations with sexual activity, leading to avoidance. Survivors may struggle with flashbacks and intrusive memories during sexual activity, which can further exacerbate avoidance and sexual dysfunction (Turchik et al., 2010).

Steps Towards Recovery

Professional Help

Seeking professional help is crucial for recovery. Mental health professionals experienced in trauma and sexual health can provide the necessary support and treatment. Veterans Affairs offers specialized services for MST survivors, including counseling and therapy tailored to their unique needs (Department of Veterans Affairs, 2023).

Evidence-Based Therapies

Engaging in evidence-based therapies can significantly aid recovery. Cognitive Behavioral Therapy (CBT) helps reframe negative thoughts and develop healthier coping strategies. Trauma-focused therapies like Cognitive Processing Therapy (CPT) and Dialectical Behavior Therapy (DBT) have also proven beneficial in treating PTSD and related symptoms (Monson et al., 2006).

Building a Support Network

Connecting with support groups or trusted individuals can provide emotional support and encouragement. Peer support is a vital component of recovery, offering a sense of community and shared understanding.

Developing Healthy Coping Mechanisms

Learning and practicing stress management techniques such as mindfulness, relaxation exercises, and healthy eating habits can help manage symptoms and improve overall well-being.

Resources for Support

At Hope For Men, we offer a safe space for all men who have had unwanted sexual experiences. Here you can find both resources and therapists to support your mental and emotional wellbeing.

We offer access to:

- Therapy and Support from Licensed Therapists: Our platform connects you with professionals who specialize in trauma and sexual health.

- Guidance from Trained Health Coaches: We provide support for developing healthy lifestyle habits and coping strategies.

Conclusion

Recovery from MST is challenging but achievable with the right support and treatment. Addressing both PTSD and sexual dysfunction through integrated therapeutic approaches can lead to significant improvements in mental health and overall well-being. If you or someone you know is struggling with the effects of MST, consider reaching out to a qualified mental health professional or utilizing the resources available through organizations like Hope For Men and the Department of Veterans Affairs.

References:

1. Cosgrove, D. J., Gordon, Z., Bernie, J. E., Hami, S., Montoya, D., Stein, M. B., & Monga, M. (2002). Sexual dysfunction in combat veterans with post-traumatic stress disorder. *Urology, 60*(5), 881-884.

2. Department of Veterans Affairs. (2023). Sexual Health After Military Sexual Trauma (MST) a Guide for Male Veterans. Veterans Integrated Service Networks (VISN 16). [PDF](https://www.mirecc.va.gov/visn16/mst-brochures.asp).

3. Monson, C. M., Schnurr, P. P., Resick, P. A., Friedman, M. J., Young-Xu, Y., & Stevens, S. P. (2006). Cognitive processing therapy for veterans with military-related posttraumatic stress disorder. *Journal of Consulting and Clinical Psychology, 74*(5), 898.

4. Turchik, J. A., & Wilson, S. M. (2010). Sexual assault in the U.S. military: A review of the literature and recommendations for the future. *Aggression and Violent Behavior, 15*(4), 267-277.