A practical approach to assessing and managing sexual dysfunction in multiple sclerosis

Pract Neurol. 2020 Apr;20(2):122-131. doi: 10.1136/practneurol-2019-002321. Epub 2019 Nov 21.

Abstract

Sexual dysfunction is common in both men and women with multiple sclerosis but is often under-reported and undertreated. Neurologists report that a major barrier to discussing sexual dysfunction with patients is their lack of knowledge. Here we review the common presentations of sexual dysfunction, discuss its causes in people with multiple sclerosis, and provide a practical approach for neurologists to assess and manage these problems.

Keywords: erectile dysfunction; multiple sclerosis; sexual dysfunction; treatment.

Publication types

  • Review

MeSH terms

  • Disease Management*
  • Female
  • Humans
  • Male
  • Multiple Sclerosis / epidemiology
  • Multiple Sclerosis / psychology*
  • Multiple Sclerosis / therapy*
  • Neurologists / psychology
  • Physician-Patient Relations*
  • Quality of Life / psychology
  • Sexual Dysfunction, Physiological / epidemiology
  • Sexual Dysfunction, Physiological / psychology*
  • Sexual Dysfunction, Physiological / therapy*