A human sexual response format was used to describe possible sexual dysfunc
tions after TBI. Additional material was also included to qualify the infor
mation drawn from the above format. A number of possible conclusions were d
rawn, indicating that the causes and effects of sexual functioning after TB
I are very confusing and that the literature does not clarify this confusio
n. One cannot accurately differentiate between primary and secondary sexual
problems and, therefore, cannot evaluate the contribution of each problem
to the presented sexual dysfunction.