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Sexual dysfunction in patients with multiple sclerosis: a multidisciplinary approach to evaluation and management
Sophie G Fletcher1, Wanda Castro-Borrero, Gina Remington
1Department of Urology, University of Texas Southwestern at Dallas, Dallas, TX 75390, USA.
Nature Clinical Practice. Urology
|February 10, 2009
Summary
Sexual dysfunction (SD) is a common and debilitating issue for multiple sclerosis (MS) patients. This review offers a comprehensive, multidisciplinary approach to evaluating and managing MS-associated sexual dysfunction.
Area of Science:
- Neurology
- Urology
- Psychology
- Social Work
- Nursing
Background:
- Multiple sclerosis (MS) is a leading cause of neurological disability in young adults.
- Sexual dysfunction (SD) is a prevalent and destructive manifestation of MS, significantly impacting quality of life.
- MS-associated SD is complex, involving primary neurological damage, secondary physical limitations, and tertiary psychosocial factors.
Purpose of the Study:
- To provide a holistic approach to the evaluation and management of SD in patients with MS.
- To integrate the latest data from urology, neurology, nursing, social work, and psychology.
- To offer a comprehensive overview of current knowledge on MS-associated SD.
Main Methods:
- Review of current literature on MS-associated sexual dysfunction.
- Multidisciplinary perspective incorporating urology, neurology, nursing, social work, and psychology.
- Synthesis of primary, secondary, and tertiary components of MS-associated SD.
Main Results:
- Sexual dysfunction is a significant and often overlooked symptom in multiple sclerosis.
- A thorough evaluation requires understanding the multifactorial nature of SD in MS patients.
- Effective management necessitates a coordinated, multidisciplinary approach.
Conclusions:
- A holistic and multidisciplinary strategy is essential for addressing the complex needs of MS patients experiencing sexual dysfunction.
- Integrating insights from various specialties ensures comprehensive care for MS-associated SD.
- Further research and collaboration are needed to optimize the evaluation and management of sexual dysfunction in multiple sclerosis.
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