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A practical approach to assessing and managing sexual dysfunction in multiple sclerosis.

Vivien Li1,2, Collette Haslam3, Mahreen Pakzad3

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Sexual dysfunction is common in multiple sclerosis (MS) but often overlooked. This review offers neurologists practical guidance for assessing and managing sexual health issues in MS patients.

Keywords:
erectile dysfunctionmultiple sclerosissexual dysfunctiontreatment

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Area of Science:

  • Neurology
  • Sexual Medicine
  • Neuroimmunology

Background:

  • Sexual dysfunction frequently affects individuals with multiple sclerosis (MS).
  • Under-reporting and undertreatment of sexual dysfunction in MS are significant clinical challenges.
  • Neurologists' knowledge gaps hinder open discussion and management of sexual health in MS.

Purpose of the Study:

  • To review the common clinical presentations of sexual dysfunction in MS.
  • To discuss the underlying causes of sexual dysfunction in the context of MS.
  • To provide a practical framework for neurologists to assess and manage these issues.

Main Methods:

  • Literature review of sexual dysfunction in multiple sclerosis.
  • Synthesis of common presentations and etiological factors.
  • Development of a clinical assessment and management strategy.

Main Results:

  • Sexual dysfunction manifests in various ways in men and women with MS.
  • Causes are multifactorial, including neurological, psychological, and treatment-related aspects.
  • A structured approach can improve patient care and outcomes.

Conclusions:

  • Addressing sexual dysfunction is crucial for improving the quality of life in MS patients.
  • Enhanced neurologist education and practical tools are needed.
  • Proactive assessment and management are essential for comprehensive MS care.