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Updated: Jun 5, 2026

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Published on: October 13, 2023
Female sexual dysfunction and hormonal status in multiple sclerosis patients
Giuseppe Lombardi1, Maria Celso, Mario Bartelli
1Careggi University, Hospital of Florence-Neuro-urology Spinal Unit Department, Florence, Italy. giuseppelombardi@interfree.it
This study found no significant correlation between blood hormone levels and sexual dysfunction in women with multiple sclerosis (MS). Despite hormonal alterations and sexual dysfunction being common, their relationship in MS remains unclear.
Area of Science:
- Neuroendocrinology
- Reproductive Health
- Women's Health
Background:
- Limited literature exists on the relationship between sex hormones and sexual response in women with multiple sclerosis (MS).
- Understanding this connection is crucial for managing sexual dysfunction in this population.
Purpose of the Study:
- To investigate potential correlations between hormonal status and sexual response in females diagnosed with MS.
- To identify if specific hormone level variations are associated with sexual dysfunction in women with MS.
Main Methods:
- The Female Sexual Function Index (FSFI) was employed to assess sexual dysfunctions (SDs).
- Comprehensive hormonal evaluations were conducted, measuring various hormones including follicle-stimulating hormone (FSH), luteinizing hormone (LH), prolactin (PRL), and sex hormones like 17 beta-estradiol and testosterone.
- Hormonal assessments were performed at specific points in the menstrual cycle, with adjustments for patients experiencing amenorrhea.
Main Results:
- Out of 54 participants, 31 reported at least one sexual dysfunction, with low desire being the most prevalent.
- Approximately 36.4% of participants exhibited abnormal hormonal levels, most commonly 17 beta-estradiol variations.
- No statistically significant correlations were found between any FSFI domains or the total score and the investigated blood hormone levels.
Conclusions:
- While notable percentages of hormonal alterations and sexual dysfunction were observed in women with MS, no direct statistical link was established.
- Further research is needed to elucidate the complex factors influencing sexual function in women with multiple sclerosis.
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