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Identifying barriers to help-seeking for sexual dysfunction in multiple sclerosis.

Katarina Ivana Tudor1,2, S Eames3, C Haslam3

  • 1Department of Neurology, University Hospital Centre Zagreb, Kispaticeva 12, 10000, Zagreb, Croatia. katarina.ivana.tudor@kbc-zagreb.hr.

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Summary
This summary is machine-generated.

Patients with multiple sclerosis (MS) and healthcare professionals (HCPs) face similar barriers when discussing sexual dysfunction (SD). Addressing these barriers can improve patient care and communication.

Keywords:
BarriersHealthcare professionalsHelp-seekingMultiple sclerosisQuestionnairesSexual dysfunction

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Area of Science:

  • Neurology
  • Sexual Health
  • Patient-Provider Communication

Background:

  • Sexual dysfunction (SD) is a prevalent yet under-reported issue among individuals with multiple sclerosis (MS).
  • Understanding the obstacles in discussing SD is crucial for improving patient care and quality of life.

Purpose of the Study:

  • To identify and compare the barriers encountered by patients with MS and healthcare professionals (HCPs) in discussing sexual dysfunction.
  • To inform strategies for facilitating open communication about SD in MS care.

Main Methods:

  • A prospective, two-part study conducted at a tertiary care center.
  • Patients with MS completed questionnaires assessing SD (MSISQ, ASEX) and depression (PHQ-2).
  • Healthcare professionals (HCPs) also completed a questionnaire regarding barriers to discussing SD.

Main Results:

  • Seventy-four patients and 98 HCPs participated. SD was significant, with primary, secondary, and tertiary factors contributing.
  • Patients' primary barriers included the dominance of neurological symptoms, presence of others, and not being asked.
  • HCPs' main barriers were the presence of others, lack of SD knowledge, and insufficient consultation time.

Conclusions:

  • Barriers to discussing sexual dysfunction are largely consistent between patients with MS and HCPs.
  • Common barriers are addressable through clinic environment modifications, increased awareness, and targeted training for HCPs.
  • Improving communication about SD can enhance the management of MS.