Sexual Dysfunction in Multiple Sclerosis (original) (raw)

Management of male sexual dysfunction in multiple sclerosis

Sexuality and Disability, 1996

Sexual dysfunction is a common complaint in men with Multiple Sclerosis: up to 80% of them report erectile dysfunction and 10% ejaculatory problems at some stage of the disease. The aim of this article is to provide sexologists and psychiatrists some practical advice about investigating and treating erectile disorders in these patients suffering from a chronic and distressing disease.

A practical approach to assessing and managing sexual dysfunction in multiple sclerosis

Practical Neurology, 2019

Sexual dysfunction is common in both men and women with multiple sclerosis but is often under-reported and undertreated. Neurologists report that a major barrier to discussing sexual dysfunction with patients is their lack of knowledge. Here we review the common presentations of sexual dysfunction, discuss its causes in people with multiple sclerosis, and provide a practical approach for neurologists to assess and manage these problems.

Sexual dysfunction in men with multiple sclerosis — A comprehensive pilot-study into etiology

International Journal of Impotence Research, 1999

Ideally, the etiological diagnosis of sexual dysfunction in patients with multiple sclerosis is established on the basis of both objective and subjective tests. Accordingly, we assessed sexual function in 16 male patients with multiple sclerosis and complaints of sexual dysfunction by means of subjective data from interviews and questionnaires and objective data, obtained from (psycho)physiological tests. Psychophysiological investigation consisted of measurement of sleep erections and of erectile response to visual erotic stimulation and penile vibration. Urodynamic investigation was used to assess the neurological status of the genital tract. Sixteen male patients with clinically de®nite multiple sclerosis, complaints of sexual dysfunction and a steady heterosexual relationship participated in the study. The majority of patients had no abnormalities in the objective tests. Only one (1 out of 15) patient showed disturbed sleep-erections, and four (4 out of 12) other patients showed signs of neurological dysfunction of the genital tract. Conclusion: in our patient-group, disturbed sleep erections and abnormal ®ndings on urodynamic investigation appeared unrelated to the complaint of erectile dysfunction. Sexual function was related to psychological factors, decreased general sensitivity, and motor impairment.

Sexual Dysfunctions in Multiple Sclerosis

Annals of the New York Academy of Sciences, 1984

The frequency, nature and enjoyment of sexual practices may be disturbed by acute or chronic illness. Sexual problems may be caused by, among other factors, the nonspecific symptoms of illness, the anxieties over disruption of lifestyle or the specific impairments caused by a disorder. Patients with, for example, multiple sclerosis are thought to experience sexual problems commonly. In one study, Lilius found that in a group of 284 MS patients, 64% of the men and 39% of the women described their sexual life as "unsatisfactory" or "ceased entirely."' Lundberg found that 90% of his MS patients confined to wheelchairs "have major problems with sexual function."* Szasz et al. used a Sexual Functioning Scale to study 73 consecutive patients a t an M S clinic and found that 45% of the patients were "less sexually active" or "inactive" since the onset of MS. Fifty percent of this group indicated that they were "concerned" about this situation.' In a follow-up study, 18 "concerned" MS patients listed their sexual concerns as: "cannot satisfy the partner" (1 1 patients), "don't feel like sex" (9 patients), "cannot satisfy myself" (1 1 patients), "cannot be like a man" (4 patients), and "partner does not feel like sex" (2 patients). Fifteen of these patients were men; most were over the age of 40, and most were married. The three women were over the age of 50. and only one was married. Most of these patients had M S for over 10 years. Their rating on the Kurtzke Disability Scale ranged from 1 to 7.4 The purpose of this paper is to consider the epidemiology, diagnosis and management of one sexual problem area that may be associated with MS, that of sexual dysfunctions. CLASSIFICATION Sexual dysfunctions include erectile and ejaculatory disorders in men, disorders of vaginal lubrication, orgasm and vaginismus in women. Some definitions also include sexual disinterest.' The nature and the significance of these dysfunctions vary and are dependent on a variety of factors, including the health and the age of the patient and the presence or absence of a partner. EPIDEMIOLOGY Sexual Dysfunctions in the General Population Kinsey et al. estimated that impotence affected 18% of the American male population at the age of 60. Premature ejaculation was not considered a disorder and 9% of women were described as nonorgasmic on a lifetime basis! Frank et al. studied 100 white well-educated couples who were nonpatient volunteers. Forty percent of the men reported erectile or ejaculatory problems. Sixty-three percent of the women described orgasmic dysfunctions. However, 80% of

Sexual dysfunction in multiple sclerosis: a 2-year follow-up study

Journal of The Neurological Sciences, 2001

Background and objectiÕe. Sexual dysfunction severely affects the quality of life of patients, but longitudinal studies of sexual function in multiple sclerosis are lacking. We performed a study on a group of patients with multiple sclerosis to evaluate the change in sexual function and to examine the relationship between sexual dysfunction and other clinical variables over time.

Correlates of Sexual Dysfunction in Men and Women with Multiple Sclerosis

Journal of Neuroscience Nursing, 2008

Sexual dysfunction (SD) is an often overlooked disability in multiple sclerosis (MS). The pur- pose of this study was to investigate the relationship between SD and other disabilities in men and women with MS. The sample included 32 men and 219 women. The men ranged in age from 32 to 65 years with a mean of 47.6 years. The women

Psychobehavioral Treatment Options for Sexual Dysfunction in Multiple Sclerosis

International Journal of MS Care

Background: Sexual dysfunction in multiple sclerosis (MS) is a significant but overlooked impairment, and treatment options are rare. The aims of this systematic review were to identify psychological interventions used to treat sexual dysfunction in MS, to estimate their benefit, and to note appropriate treatment approaches for research projects and clinical use. Methods: A systematic review update was conducted to find psychological interventions aiming to improve sexual dysfunction in MS. A comprehensive search and review of MEDLINE, PsycINFO, CINAHL, and PubMed were completed, and the effects and quality of selected studies were reported. Results: Six publications with 295 participants were identified. All selected studies assessed the effectiveness of psychological interventions on sexual dysfunction or sexual satisfaction in people with MS; four studies directly targeted sexual dysfunction in MS, one was a mindfulness yoga program to improve fatigue and quality of life, and one...

Investigation of Factors Related to Sexual Dysfunction in Patients with Multiple Sclerosis

Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 2010

Su um mm ma ar ry y O Ob bj je ec ct ti iv ve e: : Sexual dysfunction (SD) is an important, but generally underestimated symptom in the course of multiple sclerosis (MS). The aim of this study was to investigate the factors related to SD in MS patients. M Ma at te er ri ia al ls s a an nd d M Me et th ho od ds s: : Twenty-one MS patients with and 21 MS patients without SD were included in this study. Age, SD duration, disease duration, marital status, educational status, bladder and bowel dysfunction, disability, independence, cognitive performances and psychological functioning and sexual function scales have also been assessed. R Re es su ul lt ts s: : SD correlated with age (p=0.029), disease duration (p=0.045), bladder dysfunction (X 2 =0.011; p=0.012). Positive correlations were found between disease duration and 5-point sexual function scale in SD patient (rs=0.419; p=0.027). However, SD did not correlated with bowel dysfunction (X 2 =0.469; p=0.418), disability (p=0.190), level of independence (p=0.146) and cognitive performances (p=0.212). The brain stem involvement was higher in patients with SD (X 2 =0.001; p=0.001). C Co on nc cl lu us si io on n: : The prevalence of SD increases with the patient age and prolonged disease duration. SD is related to bladder dysfunction and brain stem involvement. However, increased disability does not affect SD. Turk J Phys Med Rehab 2010;56:130-4. K Ke ey y W Wo or rd ds s: : Multiple sclerosis, sexual dysfunction Ö Öz ze et t A Am ma aç ç: : Seksüel disfonksiyon (SD), multipl skleroz (MS) seyri s›ras›nda görülen ancak genellikle gözard› edilen bir semptomdur. Bu çal›flman›n amac› MS'li hastalarda görülen SD ile iliflkili faktörlerin araflt›r›lmas›d›r. G Ge er re eç ç v ve e Y Yö ön nt te em m: : Çal›flmaya MS'ye ba¤l› SD'si bulunan 21 hasta ve bulunmayan 21 hasta dahil edildi. Yafl, SD süresi, hastal›k süresi, medeni durum, e¤itim durumu, mesane ve barsak disfonksiyonu varl›¤›, disabilite, konginitif performans, psikolojik fonksiyonlar ve seksüel durum de¤erlendirildi. B Bu ul lg gu ul la ar r: : SD varl›¤›; yafl, hastal›k süresi ve mesane disfonksiyonu varl›¤› ile koreleydi (s›ras›yla p=0,029, p=0,045, X 2 =0,011; p=0,012). Hastal›k süresi ve 5 puanl›k seksüel fonksiyon skalas› aras›nda, SD olan hastalarda pozitif korelasyon bulundu (rs=0,419; p=0,027). Buna ra¤men SD varl›¤› ile barsak disfonksiyonu varl›¤› (X 2 =0,469; p=0,418), disabilite düzeyi (p=0,190) ve kognitif performans (p=0,212) düzeyi korele bulunmad›. SD'lu hastalarda beyin sap› tutulumu daha yüksekti (X 2 =0,001; p=0,001). S So on nu uç ç: : SD s›kl›¤› hasta yafl› ve hastal›k süresi art›kça artmaktad›r. SD mesane disfonksiyonu ve beyin sap› tutulumu ile iliflkilidir. Ancak disabilite düzeyinin artmas› SD'nin görülme s›kl›¤›nda art›fla neden olmamaktad›r.

Sexual dysfunction in women with multiple sclerosis: Dimensions and contributory factors

Journal of Research in Medical Sciences, 2014

Sexual dysfunction (SD) is a common reported problem in patients with multiple sclerosis (MS). to examine frequency and distribution of SD dimensions and to determine whether SD is related to various clinical and demographic variables in female patients. A total of 271 MS women (age: 19-50 years) participated in this cross-sectional study. We used a structured demographic and clinical interview and Multiple Sclerosis Intimacy and Sexuality Questionnaire-19 (MSISQ-19). Disability was rated by Expanded Disability Status Score (EDSS). 63.5% (n = 173) of women had SD included 142 (52.4%) women with primary SD, 102 (37.5%) women with secondary SD and 120 (41%) women with tertiary SD. The most common SD-related complaint was orgasmic problem (41.2%). Women with primary SD were significantly older and had higher EDSS score. No significant relationship was found between primary SD and disease duration. Fatigue (OR = 2.69, 95% CI: 1.352-5.385, P = 0.005), memory and concentration complaints ...