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Sexual disturbances arising from multiple sclerosis.

J M Minderhoud, J G Leemhuis, J Kremer

    Acta Neurologica Scandinavica
    |October 1, 1984
    PubMed
    Summary
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    Sexual dysfunction is common in multiple sclerosis patients under 50 with mild disability, often linked to lumbosacral spinal cord damage. These issues, along with bladder and bowel problems, occur regardless of disease duration or motor impairment.

    Area of Science:

    • Neurology
    • Urology
    • Gastroenterology

    Background:

    • Multiple sclerosis (MS) is a chronic neurological disease.
    • Sexual dysfunction is a common but often underreported symptom in MS.
    • Understanding the specific causes and correlations of these dysfunctions is crucial for patient care.

    Purpose of the Study:

    • To investigate the prevalence and characteristics of sexual function disturbances in young and mildly disabled MS patients.
    • To identify potential correlations between sexual dysfunction, bladder/bowel dysfunction, and specific lesion locations in the spinal cord.
    • To determine if disease duration, age, or motor impairment influence the incidence of these dysfunctions.

    Main Methods:

    • Cross-sectional study comparing MS patients (under 50, mild handicap) with a control group.

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  • Assessment of sexual function, bladder, and bowel function.
  • Correlation analysis with neurological examination findings, focusing on lumbosacral spinal cord integrity.

    • Main Results:

    • High prevalence of sexual dysfunction in MS patients (71.4% males, 73.9% females) compared to controls (18.7%).
    • Approximately 19.6% of MS patients experienced severe sexual dysfunction.
    • Dysfunctions were primarily associated with isolated lumbosacral spinal cord lesions, independent of motor deficits, age, or disease duration.

    Conclusions:

    • Sexual dysfunction is highly prevalent in young, mildly affected MS patients.
    • Lumbosacral spinal cord lesions are a key factor in sexual, bladder, and bowel disturbances in MS.
    • These symptoms require focused clinical attention and management strategies in MS care.