Sexual dysfunction and sympathetic skin response recorded from the genital                 region in women with multiple sclerosis

Seçıl, Yaprak; Yetimalar, Yeşim; Gedizlioğlu, Muhteşem; Arpaci, Esra; Tokuçoğlu, Figen; Kendir, Ayşen İnceoğlu; Başoğlu, Mustafa; Ertekin, Çumhur

doi:10.1177/1352458506073647

Cited by 33 publications

(12 citation statements)

References 30 publications

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“…This finding is consistent with several previous studies showing that SP are a prevalent squeal in women with MS [3,10]. The total score of MSISQ-19 was 48.1, indicating a higher score than in the studies of Demirkiran et al, Celik et al and Yeliz et al [3,4,23].…”

Section: Discussionsupporting

confidence: 92%

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Sexual problems among women with multiple sclerosis

Khoei

Qaderi

Amini

et al. 2013

Journal of the Neurological Sciences

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Background Sexual problems are prevalently experienced by women with multiple sclerosis (MS) and have investigated in several studies. The nature of sexual changes in MS is best defined as primary, secondary, and tertiary. Objectives The aim of this study was to investigate three levels of sexual problems (SP) in female patients with MS and to examine their relationship with various clinical and demographic variables. Methods 132 women with MS completed two questionnaires; demographic and clinical history, and Multiple Sclerosis Intimacy and Sexuality Questionnaire-19 (MSISQ-19). Fatigue was evaluated by Fatigue (energy) sub-scale of Multiple Sclerosis Quality of Life-54 (MSQOL-54) questionnaire. General physical ability and frequency of sexual intercourse were also evaluated. Results 115 patients (87.1%) reported primary SP. The most frequent symptoms of primary, secondary and tertiary sexual problems were delayed orgasm, spasticity and concern about partner’s sexual satisfaction, respectively. The MSISQ-19 total score was correlated with age(p=0.002), disease duration(p=0.010), marriage duration(p=0.001), fatigue(p<0.001), number of children(p=0.006), physical ability(p<0.001), education(p=0.006), economic status(p=0.002), number of times having sexual intercourse(p=0.007) and number of times approached by spouse for intercourse(p=0.012) in the last 30 days. Conclusions Sexual problems were prevalent among our participants. Appropriate management of SP depends on understanding the disturbed level.

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Section: Discussionsupporting

confidence: 92%

“…Studies on sexual dysfunction in patients with MS report a wide range of frequencies between 40%-80% in women and 50%-90% in men [4-7]. Almost half (47%) of American women [8] and 61% of Israeli women [9] had sexual dysfunction, while in Turkey, the majority of women (75-80.1%) reported sexual dysfunction [3,10]. …”

Section: Background and Objectivesmentioning

confidence: 99%

Sexual problems among women with multiple sclerosis

Khoei

Qaderi

Amini

et al. 2013

Journal of the Neurological Sciences

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“…Demirkiran et al [14] determined that primary SD had developed in 80.4% of MS patients. Oskay et al [27] found the sexual dysfunction rate of female fertile groups as 42.9%, while the Seçil et al [15] study results showed the sexual dysfunction rate as 75%. However, when compared to other studies, our own study results showed a lower rate of dysfunction at 27.1%.…”

Section: Discussionmentioning

confidence: 95%

“…Hulter and Lundberg's study [35] with female MS patients found that urinary bladder and intestinal problems, changes in lubrication and decreasing desire and capacity were related to vertigo and changes in the senses. The Seçil et al [15] study stated that there is no statistical relation between EDSS and sexual dysfunction, yet when the severity of the disease increases, the number of complaints of SD due to disability, depression, and partner irritability increases as well. Sevene et al [36] stated that motor, sensorial, bladder, intestinal problems, cognitive problems and spasms negatively affect the sexual lives of MS patients.…”

Section: Discussionmentioning

confidence: 99%

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Problems and Factors Affecting the Sexual Lives of Patients with Multiple Sclerosis Living in Turkey

Akkuş

Duru

2011

Sex Disabil

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Sexual dysfunction is frequently reported by patients with Multiple Sclerosis (MS), and this topic is receiving more attention in Turkey with many recent studies having been conducted. A descriptive study was conducted to determine the sexual problems and factors affecting the sexual lives of patients with MS living in Turkey. A demographic questionnaire and the evaluation form of sexual satisfaction were completed 59 study participants. The patients' symptom severity evaluated with the MS-Related Symptom Scale (MS-RS) and sexual problems evaluated with Multiple Sclerosis Intimacy and Sexuality Questionnaire-19 (MSISQ-19). Data has been collected from a face-to-face interview performed by a neurology unit nurse. Results indicated that 27.1% of the participating MS patients had sexual problems, and the difference of patients' sexual satisfaction scores was statistically significant both before and after onset of disease. It was also determined that the relation between MS-RS and MSISQ-19 was significant in a positive way. The total MSISQ-19 score was higher and the difference was significant for participants who were married, who had insufficient income, who engaged in exercise, who had tense relationships with their spouse, who thought that sexual fulfillment is important and that the medicines had changed their sexual life, and who spoke with their spouse about sexual problems. Many factors are involved in the development of sexual difficulties in MS patients. The study determined that as the symptom intensity of MS patients increases, sexual problems also increase. Also this study have shown that after the onset of MS sexual satisfaction decreases. For these reasons, it has been suggested that MS patients and their spouses should be given information about symptom control, and the nurses should offer counsel to the spouses concerning this important topic. Furthermore, patients also need to know the side effects of the medicines they must take, suitable exercises and social activities should be planned, at-home care should be arranged for patients who need it, and free care should also be arranged for those who cannot afford it otherwise.

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Systematic review of the prevalence, symptomatology and management options of sexual dysfunction in women with multiple sclerosis

Dünya

Tülek

Uchiyama

et al. 2019

Neurourology and Urodynamics

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Aims: Sexual dysfunction (SD) is highly prevalent in women with multiple sclerosis (MS), however little is known about treatment options. The aim of this paper is to review the prevalence, symptomatology, and management options of sexual dysfunction in women with MS. Methods: The Cochrane Database of Systematic Reviews, MEDLINE, EMBASE, CINAHL, AMED, PsycINFO, PEDro, Database of International Rehabilitation Research, Occupational Therapy Systematic Evaluation of Evidence, ClinicalTrials.gov, and Current Controlled Trials databases were searched. No limitations were placed on the date. A critical appraisal of the literature on SD in women with MS was performed according to the PRISMA statement. Two reviewers screened and extracted data. Study quality was evaluated using a standardized tool. Results: A search of 12 databases identified 61 relevant studies (33 observational, 14 case-control, 4 follow up, 10 interventional). Significant variability in the prevalence of SD and questionnaires used to evaluate SD were observed. The most commonly reported sexual difficulties were problems with desire, arousal, and orgasm. Different demographics and MS-related characteristics were found to contribute to SD. Few studies have evaluated interventions for treating SD, and bias was high because of the weak quality of trial designs. Conclusions: SD in women with MS is multidimensional, comparable in prevalence with other neurological disorders and increases with advancing disease. Studies evaluating practical strategies and pharmacological interventions are few, and properly designed trials using MS-specific validated outcome measures of SD are required to inform evidence-based treatment options for this high impact MS-related dysfunction. K E Y W O R D S female, management, multiple sclerosis, prevalence, sexual dysfunction, symptomatology, systematic review

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Sexual dysfunction and sympathetic skin response recorded from the genital region in women with multiple sclerosis

Cited by 33 publications

References 30 publications

Sexual problems among women with multiple sclerosis

Sexual problems among women with multiple sclerosis

Problems and Factors Affecting the Sexual Lives of Patients with Multiple Sclerosis Living in Turkey

Systematic review of the prevalence, symptomatology and management options of sexual dysfunction in women with multiple sclerosis

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