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[Female sexual dysfunction and multiple sclerosis: A case-control study].

R Masmoudi1, M Aissi2, N Halouani1

  • 1Service de psychiatrie « B », CHU Hedi-Chaker, route El Ain 0,5km, 3000 Sfax, Tunisie.

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie
|August 5, 2018
PubMed
Summary

Women with multiple sclerosis experience significantly higher rates of sexual dysfunction compared to controls. Factors like age, disability, and depression are linked to reduced sexual function in these patients.

Keywords:
DepressionDysfonction sexuelleDépressionFemmesMultiple sclerosisSclérose en plaquesSexual dysfunctionTroubles vésicosphinctériensUrinary dysfunctionWomen

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Area of Science:

  • Neurology
  • Sexual Health
  • Clinical Research

Background:

  • Multiple sclerosis (MS) is a chronic neurological disease affecting young adults.
  • Sexual dysfunction is a common but often overlooked issue in women with MS.

Purpose of the Study:

  • To compare sexual function in women with MS versus controls.
  • To identify factors associated with sexual dysfunction in women with MS.

Main Methods:

  • A descriptive and analytical case-control study compared 26 women with MS to 26 age- and socioeconomically matched controls.
  • Evaluations included the Female Sexual Function Inventory (FSFI) and Beck Depression Inventory-Short Form (BDI-SF).
  • Disability was assessed using the Expanded Disability Status Scale (EDSS).

Main Results:

  • Sexual dysfunction prevalence was 69.2% in women with MS versus 26.9% in controls (P=0.002).
  • Sexual desire, arousal, and orgasm were most affected.
  • Lower FSFI scores correlated with older age, longer marriage duration, higher disability (EDSS), and depression (BDI-SF).

Conclusions:

  • Sexual dysfunction is highly prevalent and significantly impacts women with MS.
  • Addressing sexual health in clinical assessments is crucial for improving patients' quality of life.