Sex problems in Brazil

Silva RA, Olival GS, Stievano LP, Toller VB, Jordy SS, Eloi M, Tilbery CP.Validation and cross-cultural adaptation of sexual dysfunction modified scale in multiple sclerosisfor Brazilian population. Arq Neuropsiquiatr. 2015;73(8):681-687.

Multiple sclerosis (MS) is a chronic inflammatory disease of the central nervous system (CNS). These patients suffer from various comorbidities, including sexual dysfunction (SD). The lesions of MS may affect regions of the CNS along the pathway of sexual response. The Multiple SclerosisIntimacy and Sexuality Questionnaire-19 (MSISQ-19) is a scale that assesses sexual dysfunction. Adapt and validate the MSISQ-19 to Brazilian patients with MS. 204 individuals were evaluated, 134 patients with MS and 70 healthy persons for the control group. It was determined reproducibility, validity, internal consistency and sensitivity of the MSISQ-19-BR. Among patients with MS, 54.3% of male and 71.7% of female presented some kind of SD. In the control group the results were 12.5% and 19.5%, respectively. The MSISQ-19-BR is reproducible, reliable and valid for the Brazilian population and may be used as a tool for assessing the impact of sexual dysfunction in patients with MS.

Sexual problems can be common. There are lots of posts on the blog, including some videos, about this. Do not suffer in silence

If there is a problem. talk to your nurse or neurologist

Se há um problema , fale com o seu enfermeiro ou neurologistas

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  • Cool, second Brazilian study that I see here … I hope other Brazilian studies are being published, but with clear quality … In these times of crisis here and there are many budget cuts, mainly in scientific research grants, the which is very worrying …

  • I would love to know how many patients have robust enough relationship with their neurologists to turn to their neurologist for help with sexual dysfunction. my partner had no qualms talking to her breast cancer doctors and nurses about anything, including sexual problems. The thought of her choosing to consult any one of the 6 neurologists she has seen in relation to sexual problems makes me laugh – she just wouldn't. The therapeutic relationship is not strong enough and there is not enough trust. It is really unfortunate and seems endemic with neurologists. Anyway, thank you yet again for the effort you put into this blog and the conversations you have with your audience. If only there was more of it everywhere.


  • You might be interested to know that I had difficulty posting this article to FaceBook -"Warning: This Message Contains Blocked Content: Your message couldn't be sent because it includes content that other people on Facebook have reported as abusive." I had to post the article from PubMed. Keep up the good work, this kind of information is important to quality of life.

    • I wonder if it had the word S………E … and X in the title. I once put REDRUM (read backwards) in a blog post and it made the whole of the blog become an adult site.

  • Very interesting questions, this throws up. I wonder if there is some cultural differences here; in that -perhaps- less 'embarrassment' in Brazil than English culture? I'm sure this will play a role in duplicating this research in the UK. Age, gender, upbringing etc will also come into the dynamic.

    Personally if I had these issues I'd discuss them with my neurologist but then my neurologist is female and I'm not English. The question is how would she feel, probably fine as I'm a woman too. And if not, well that's just too bad 🙂

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