Sexual dysfunction in Brazilian patients with multiple sclerosis.

Area of Science:

• Neurology
• Sexual Medicine
• Psychiatry

Background:

• People with multiple sclerosis (PwMS) experience a higher risk of sexual dysfunction (SD), affecting both women and men.
• Sexual health is a critical aspect of quality of life for individuals with chronic neurological conditions.

Purpose of the Study:

• To apply the Multiple Sclerosis Intimacy and Sexuality Questionnaire-19 (MSISQ-19) to assess sexual function in PwMS.
• To compare study findings with existing literature.
• To evaluate the usability of the MSISQ-19 and patient engagement in discussing sexuality.

Main Methods:

• A web-based Google form questionnaire, including the MSISQ-19, was used for online data collection.
• Baseline characteristics were analyzed using descriptive statistics (proportions, mean ± SD, median ± IQR).
• Categorical variables were stratified by sex and analyzed using chi-squared tests; statistical analyses were performed using STATA v. 16.

Main Results:

• Out of 621 respondents, 541 were included in the analysis.
• A significant proportion of patients with MS (64.14%, n=347) reported sexual dysfunction.
• The frequency of SD did not significantly differ between genders.

Conclusions:

• High incidence of sexual dysfunction among PwMS necessitates further investigation into causes and development of treatment strategies.
• The MSISQ-19 offers a quick and user-friendly method for clinicians to assess sexual functioning.
• The questionnaire empowers patients to discuss sexual health concerns and seek appropriate support.