Factors Associated with Sexual Dysfunction in Individuals with Multiple Sclerosis

Domingo, Samantha; Kinzy, Tyler G.; Thompson, Nicolas R.; Gales, Shauna; Stone, Lael A.; Sullivan, Amy B.

doi:10.7224/1537-2073.2017-059

Cited by 38 publications

(24 citation statements)

References 13 publications

(12 reference statements)

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“…Sexual dysfunction is one of the common side effects of multiple sclerosis (MS) that usually goes unreported by patients and do not address by clinicians [16]. The prevalence of sexual dysfunction in MS patients had been estimated to be between 40% and 80 % [24].…”

Section: Discussionmentioning

confidence: 99%

“…According to ELIXIR study, 76 per cent of depressed participants suffer from arousal problems, and the other 24 per cent had problems with erectile or lubrication [33]. Physiological and psychological factors can cause depression symptoms in MS patients that require close monitoring and selecting appropriate treatment options such as behavioural and pharmacological approaches) [34]. Furthermore, using antidepressants by depressed patients may worsen the sexual dysfunction in them, as studies have confirmed the relation between antidepressants and sexual dysfunction [35], [36].…”

Section: Discussionmentioning

confidence: 99%

“…The ideal is that physicians make it a part of their daily assessment. However, many physicians and health care providers do not spend enough time or have not convenience to talk about sexual issues of their patients, and many of them do not have enough education about treatment of sexual dysfunction [34].…”

Section: Discussionmentioning

confidence: 99%

“…Better identifying the MS patients with sexual dysfunction as well as determining the associated factors requires a better understanding of the prevalence and nature of MS to provide therapeutic strategies for these patients [16].…”

Section: Introductionmentioning

confidence: 99%

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Sexual Function in Iranian Female Multiple Sclerosis Patients

Alehashemi¹,

Mostafavian²,

Dareini³

2019

Open Access Maced J Med Sci

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BACKGROUND: One of the typical complaints in females with multiple sclerosis (MS) is Sexual dysfunction (SD). AIM: This study aimed to compare the sexual function of women with and without MS and to recognise factors that possibly related to sexual dysfunction of women with MS. MATERIAL AND METHODS: Sexual function of 64 women with MS as a case study group were compared to a group of control comprised of 64 women. Female Sexual Function Inventory (FSFI) and Beck Depression Inventory (BDI) were used accordingly to assess sexual function and severity of depression of case and control groups. Functional status of MS Patients was assessed by the Expanded Disability Status Scale (EDSS). The data were analysed using chi-square, independent Samples t, Pearson's correlation coefficients, and multiple linear regression tests. RESULTS: There were no differences in the Total FSFI and 4 FSFI subscale scores (i.e. sexual desire, arousal, lubrication and satisfaction) between women with MS and controls. The only significant difference between the two groups was the dimension of orgasm (p = 0.016). Multivariate analysis demonstrated that only BDI and FSFI total scores have significantly related (B = -0.436, P < 0.001). In women with MS, a significant negative correlation was found between FSFI and EDSS scores (rho = -0.35, P = 0.032), as well as between FSFI scores and disease duration (rho = -0.25, P = 0.01). CONCLUSION: Depression was associated to sexual dysfunction in women. It could be advantageous to evaluate and treat depression in women with MS who suffer from sexual dysfunction.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Sexual Function in Iranian Female Multiple Sclerosis Patients

Alehashemi¹,

Mostafavian²,

Dareini³

2019

Open Access Maced J Med Sci

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“…Patients with multiple sclerosis (MS) usually experience an alteration in physiological and emotional health that can affect women’s sexual life. MS can influence sexual satisfaction and sexual activity that are often underreported and under-diagnosed [ 1 ].. Patients with MS might experience sexual dysfunction, sexual dissatisfaction, and problems in relationships with their partners.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with intimacy and sexuality among young women with multiple sclerosis

Mohammadi

Rahnama

Rafei³

et al. 2020

Reprod Health

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Background Patients with multiple sclerosis (MS) especially those with younger age experience an alteration in physiological and emotional lifestyle that can affect intimacy and sexuality . The aim of this study was to determine demographic and disease related determinants of intimacy and sexuality in young women with MS. Methods This was a cross sectional study carried out in Tehran, Iran. A convenience sample of young women aged ≤35 years old with MS attending to outpatient clinics in a teaching hospital affiliated to Tehran University of Medical Sciences was entered into the study. The Multiple Sclerosis Intimacy and Sexuality Questionnaire-19 (MSISQ-19) was used to evaluate how the disease influences sexual function and satisfaction in these patients. Multivariable analysis using hierarchical method was performed to identify variables that are associated with intimacy and sexuality. Results In total 117 young women with confirmed diagnosis of MS were included in the study. Participants mean was 25.7 (SD = 8.07) years. A multivariable hierarchical regression analysis was performed using demographic variables entered in step one, relevant neurological variables in step two, and psychological variables in step three. Furthermore, we loaded antidepressant use in the last step. Overall, the seven variables accounted for 39% of total variance observed for the MSISQ score ( P < 0.001). At step one the demographic variables accounted for 13% of the variance in the MSISQ score ( P < 0.001). At step two the inclusion of relevant neurological variables increased the R 2 significantly and explained 27% of variance for the MSISQ (P < 0.001). However in the third step the inclusion of psychological factors increased R 2 significantly (adjusted R 2 increased to 0.39, P < 0.001). Conclusions The findings indicated that psychological, disease-related and demographic factors (education and employment status) contributed to intimacy and sexuality in young women with multiple sclerosis. Appropriate interventions, especially psychological interventions, appear to be essential immediately following a definite MS diagnosis in young women.

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Multiple Sclerosis and Sexual Dysfunction

Sepúlveda Gázquez

2024

Trends in Andrology and Sexual Medicine

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Factors Associated with Sexual Dysfunction in Individuals with Multiple Sclerosis

Cited by 38 publications

References 13 publications

Sexual Function in Iranian Female Multiple Sclerosis Patients

Sexual Function in Iranian Female Multiple Sclerosis Patients

Factors associated with intimacy and sexuality among young women with multiple sclerosis

Multiple Sclerosis and Sexual Dysfunction

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