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Sexual dysfunction in women with multiple sclerosis: Dimensions and contributory factors
Fereshteh Ashtari1, Roya Rezvani1, Hamid Afshar2
1Department of Neurology, Isfahan University of Medical Sciences, Ayatolah Kashani Hospital, Medical Faculty, Isfahan University of Medical Sciences, Isfahan, Iran.
Summary
Sexual dysfunction (SD) is prevalent in women with multiple sclerosis (MS), often linked to fatigue and cognitive issues. Understanding these connections is key for effective treatment strategies.
Area of Science:
- Neurology
- Sexual Health
- Clinical Research
Background:
- Sexual dysfunction (SD) is a frequently reported issue among individuals diagnosed with multiple sclerosis (MS).
- The prevalence and specific dimensions of SD in MS patients require further investigation.
- Understanding the factors contributing to SD is crucial for improving patient quality of life.
Purpose of the Study:
- To investigate the frequency and distribution of various dimensions of sexual dysfunction in female MS patients.
- To identify clinical and demographic variables associated with sexual dysfunction in this population.
Main Methods:
- A cross-sectional study involving 271 women with MS (aged 19-50).
- Data collected through structured interviews and the Multiple Sclerosis Intimacy and Sexuality Questionnaire-19 (MSISQ-19).
- Disability assessed using the Expanded Disability Status Score (EDSS).
Main Results:
- 63.5% of women experienced SD, with primary, secondary, and tertiary forms reported.
- Orgasmic problems were the most common complaint (41.2%).
- Primary SD correlated with older age and higher EDSS scores; fatigue, cognitive complaints, and urinary frequency were significant predictors of SD.
Conclusions:
- Sexual dysfunction is a common, multifactorial issue in women with MS, occurring across disease stages and disability levels.
- Specific clinical variables, including fatigue and cognitive symptoms, are associated with SD.
- Identifying these relationships can inform the development of targeted treatment approaches for SD in MS.
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