Sexual dysfunction is common in people with MS and is important to assess because patients may be relunctant to self-report. Note: Impaired arousal, erectile dysfunction, and inability to orgasm can also result from medications taken to relieve other symptoms, most notably antidepressants. Impaired arousal; sensory changes; reduced vaginal lubrication; erectile dysfunction; inability to achieve orgasm Treatment Education; evaluation ; counseling; sexual aids to enhance stimulation Men: Oral medications: sildenafil, vardenafil, tadalafil; Injectable or insertable medication: alprostadil Prosthetic devices Women: Lubricating substances; enhanced stimulation Oral medication: flibanserin. Treatment Interventions: Evaluation of medications that might be interfering with sexual function Effective management of other MS symptoms to reduce impact on sexual function. Intimacy and Sexuality in MS. Your input is important!
Sexual problems for women with MS
Sexual Problems : National Multiple Sclerosis Society
The most frequently described symptoms in women include decreased sexual desire, diminished orgasm, difficulties with vaginal lubrication, and fatigue that interferes with sexual activity. Decreased vaginal lubrication can be treated with water-soluble lubricants, and dysesthesias may be relieved with medication for nerve pain. A randomized control trial is currently under way. Studies of this agent in women with sexual dysfunction suggest that sildenafil may be beneficial in a proportion of patients, particularly when lubrication is an issue.
Sexual problems affecting men
Sexuality and intimacy have an important impact on the quality of life for nearly everyone, including those with a chronic disease such as multiple sclerosis MS. In MS, sexual dysfunction may be one of the less talked-about symptoms of the disease. It is important to recognize and understand this symptom in order to adequately address it. Intimacy may be defined as anything that makes one feel closer to another, particularly in a personal and private way.
We put some frequently ask questions to Consultant Urologist, Brian Birch. Here he explains the common sexual problems men often experience, why they happen and what can be done to manage them. Research suggests that more than half of men with MS will experience sexual problems at some point in their lives. Here we explore why people with MS experience sexual difficulties, the most common problems experienced by men and what can be done to help with these problems. Sexual difficulties — particularly erectile dysfunction and difficulty reaching orgasm — are common in men with MS.