Male Sexual Problems

Lew-Starowicz M, Rola R. Sexual Dysfunctions and Sexual Quality of Life in Men with Multiple Sclerosis. J Sex Med. 2014 Feb. doi: 10.1111/jsm.12474. [Epub ahead of print]

INTRODUCTION: Multiple sclerosis (MS) is one of the most frequent diseases of the central nervous system and usually occurs at the age when people would be expected to be in the prime of their sexual lives. Clinicians working in this field commonly concentrate on the classical neurological deficits and often overlook symptoms that seriously affect the quality of life, such as sexual dysfunction (SD). Sexual functioning of MS patients remains poorly understood.
AIM: The aim of this study was to assess the prevalence of SDs, their relationship with demographic factors, and sexual quality of life in men with multiple sclerosis (MS).
METHODS: Sixty-seven patients from the National Multiple Sclerosis Center were interviewed, completed the questionnaires, and underwent neurological assessment.
MAIN OUTCOME MEASURES: Primary outcome measures included the International Index of Erectile Function (IIEF), the Sexual Quality of Life Questionnaire (SQoL), and the Expanded Disability Status Scale (EDSS).
RESULTS: The most common complaints were erectile dysfunction (52.9%), decreased sexual desire (26.8%), and difficulties in reaching orgasm (23.1%) or ejaculation (17.9%). The severity of SD had a clear impact on sexual quality of life, especially in the domains of erectile function and intercourse satisfaction. However, neither IIEF nor SQoL scores were correlated with age, time since onset of MS symptoms, or EDSS scores. Only 6% of the patients had ever discussed their concerns with a medical professional or undergone sexual therapy.
CONCLUSIONS: SD is highly prevalent but commonly overlooked in MS patients and has a significant impact on their sexual quality of life. The data support a multifactorial etiology of SD in MS. More focus on SD and use of appropriate screening tools in clinical practice with MS patients are recommended. 

Remember if you are having any Sexual problems (a) You are not alone and (b) there are some solutions s speak to your MS professional about this

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  • neurologists/ms nurses and GPs don't discuss or help with erection problems sadly. you've got to buy your own treatment online from high street pharmacy websites when you should be getting it free on the NHS. just as well they've now reduced the price of sildenafil online to more realistic prices.

  • Interesting. I have had conversations with my neurologist about this. I know men are typically reluctant to talk about these issues, but come on, Who else should an MS patient talk to about sensory or nervous system issues if not their neurologist? Is the nervous system fair game to mention for disease activity only if it happens above the bellybutton or below the thigh? After all, so much of one's happiness comes from relationships, and why would protecting and maintaining one's intimate relationships not rate high enough a concern to treat? There was a stat on here about how much more likely MS patients are to get divorced compared to healthy couples. I can't imagine SD helps. Even given all the quality of life issues MS brings to the forefront, I would still rank this one pretty high up there on the need to treat scale.

  • Sex therapist Terrioreilly says, Many people believe that sex just can’t happen without a man’s erect penis and many men simply stop initiating when they can no longer count on having an erection on demand. In many cases education can make things better if not totally solve it. What remedies are available? What can be changed in your personal situation? Have you discussed your situation with your physician? Sex therapy is the better option to overtake this problem.

  • Many people believe mistakenly that cardio is all about going to the gym and running on the treadmill. If you don’t like the gym, you can choose among a vast range of alternative possibilities.

    Some of the most effective forms of aerobic exercise include biking with your kids, having a jog in the park, climbing the stairs, swimming, rowing (one of the most effective fat burning aerobic exercises), skiing and even walking.

  • Hello I'm 51 years old and I have had MS for two years. I can not have a orgasm. In the beginning I could but not now not sure what changed. Is there a pill. I take 5 mg of Cialis but it does not help.

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