Sexual dysfunction ın multiple sclerosis: gender differences

Area of Science:

• Neurology
• Sexual Medicine
• Clinical Psychology

Background:

• Multiple sclerosis (MS) is a chronic neurological disease impacting young adults.
• Sexual dysfunction (SD) is a prevalent but often underreported issue in MS patients.
• Understanding SD in MS is crucial for improving quality of life.

Purpose of the Study:

• To determine the prevalence and characteristics of sexual dysfunction in MS patients.
• To explore associations between sexual dysfunction and clinical, demographic, and psychosocial factors.
• To compare MS patients with and without sexual dysfunction.

Main Methods:

• Eighty-nine MS patients (45 male, 44 female) were assessed.
• The Multiple Sclerosis Intimacy and Sexuality Questionnaire-19 (MSISQ-19) and Arizona Sexual Experiences Scale (ASEX) were utilized.
• Expanded Disability Status Scale (EDSS) measured disability.

Main Results:

• Over 60% of MS patients reported sexual dysfunction (SD) via MSISQ scores.
• Women reported significantly higher MSISQ scores and sexual arousal difficulties (ASEX) than men.
• Secondary SD, characterized by pain, memory issues, and bowel symptoms, was most common (32.5%) and linked to EDSS and disease duration.

Conclusions:

• Sexual dysfunction is a frequent concern for individuals with MS, with women experiencing it more intensely.
• Secondary SD symptoms are prevalent and correlate with neurological disability and disease progression.
• Addressing the emotional and physical aspects of SD is vital for comprehensive MS care.