Tools for comprehensive evaluation of sexual function in patients with multiple sclerosis

Area of Science:

• Neurology
• Neuroscience
• Sexual Medicine

Background:

• Multiple sclerosis (MS) is a central nervous system (CNS) demyelinating disease affecting young adults.
• MS symptoms include motor, visual, and sphincter control issues, impacting functional status and quality of life.
• Sexual dysfunction is a common yet often underestimated symptom in MS, affecting 50-90% of patients.

Purpose of the Study:

• To review and evaluate various questionnaires for assessing sexual dysfunction in MS patients.
• To identify the etiology of sexual dysfunction in MS to guide treatment decisions.
• To emphasize the importance of early multidisciplinary management for sexual dysfunction in MS.

Main Methods:

• Evaluation of five distinct questionnaires designed to identify sexual dysfunction in MS.
• Analysis of how these tools can determine the presence and severity of sexual dysfunction.
• Assessment of the questionnaires' utility in differentiating neurogenic from non-neurogenic causes.

Main Results:

• Five questionnaires were identified as capable of detecting sexual dysfunction in MS.
• These tools can help determine the underlying causes of sexual dysfunction in MS patients.
• The reviewed scales support informed treatment decision-making for sexual dysfunction.

Conclusions:

• Sexual dysfunction is a prevalent and impactful issue in multiple sclerosis (MS).
• Effective assessment tools are available to identify and characterize sexual dysfunction in MS.
• A comprehensive understanding of MS must include its effects on sexual health, necessitating early intervention.