The Site of Female Sex Issues

Winder K, Linker RA, Seifert F, Deutsch M, Engelhorn T, Dörfler A, Lee DH, Hoesl KM, Hilz MJ. Ann Neurol. 2016 Jul 27. doi: 10.1002/ana.24746. [Epub ahead of print]

OBJECTIVE: This study intended to determine associations between alterations of female sexual arousal as well as vaginal lubrication and the site of cerebral multiple sclerosis (MS) lesions.
In 44 women with MS (mean age 36.5±9.9 years), we assessed their medical history and evaluated sexual function using the Female Sexual Function Index scores for arousal and vaginal lubrication. We determined potential confounding factors of sexual dysfunction: age, disease duration, physical disability, depression, bladder or urinary dysfunction, and total volume of cerebral lesions. Arousal and lubrication scores were correlated with each other and with potential confounding factors. Cerebral MS lesions were recorded on imaging scans. 

RESULTS: Decreased arousal scores correlated with decreased lubrication scores; decreased lubrication scores were associated with bladder or urinary symptoms. Arousal and lubrication scores were not associated with any other variables. Multivariate analysis including arousal and lubrication scores showed right occipital lesions associated with impaired arousal and left insular lesions associated with decreased lubrication. Impaired lubrication remained associated with left insular lesions after adjustment for bladder or urinary dysfunction.
INTERPRETATION: Our data indicate that impaired female sexual arousal is associated with MS lesions in the occipital region integrating visual information and modulating attention towards visual input. Impaired lubrication correlated with lesions in the left insular region contributing to mapping and generating visceral arousal states

You can read this and you can look at the picture to see where the action occurs.

If you have issues in this area speak to your Nurse  /MS specialist

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  • It's all very well focussing on arousal and lubrication – both still work ok for me. My issue is the loss of feeling in my genitals.

    A further complicating factor (when it comes to considering discussing any of this with my neurologist or MS nurse) is that I am gay. The NHS is only just getting its head around the fact that gay people get MS too. Loss of hand function and muscle weakness affects my ability to get "frisky" – using MS Unites cute phrase – with my wife.

  • Your gay?….many people are…..If your MS team can't deal with that find some who can. I'm sure where there is a will there is a way.

    I don't know anything about sensitivity or lack of it or but I am sure there are people that do and unless you talk about it there can be no solution

    • This blog confuses me. I thought personal submissions will not be shown. Sometimes some of my comments don't get published, they are not marketing or political related or have personal details, they often don't have weblinks. They are relevant to MS. It seems whoever is moderating is very selective in what comments are shown.

    • Sometimes comments go straight to spam and this does not always get checked.
      Sometimes there are mistakes and they get deleted by accident I did this yesterday I think..

    • Sometimes comments go straight to spam and this does not always get checked.
      Sometimes there are mistakes and they get deleted by accident I did this yesterday I think..

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