Sexual dysfunction in patients with multiple sclerosis: a multidisciplinary approach to evaluation and management

Fletcher, Sophie; Castro-Borrero, Wanda; Remington, Gina; Treadaway, Katherine; Lemack, Gary E.; Frohman, Elliot M.

doi:10.1038/ncpuro1298

Cited by 65 publications

(35 citation statements)

References 53 publications

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“…Depression in literature-as one important symptom of tertiary SD is found to be in a very high rate associated with MS [37,39]. Clinical depression is thought to be more common in people with MS than in patients with other chronic diseases [40]. Similarly, the depression and anxiety scores of our subjects are found to be very high.…”

Section: Discussionsupporting

confidence: 50%

Sexual Dysfunction and Coping Strategies in Multiple Sclerosis Patients

et al. 2011

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Although sexual problems are not as serious as physical problems for patients with Multiple Sclerosis (MS) in terms of their daily life routines, these problems also lead to significant effects on their daily life. This study was planned and applied as a descriptive and a cross-sectional study. . This study was carried out using 45 participants with MS. The results of the comparison between ASEX scores and general total scores based on gender shows a statistically significant difference between female and male patients (P \ 0.05). The findings of the study point out that health care staff should improve their perceptions and understanding in regard to sexual problems of the patients.

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Section: Discussionsupporting

confidence: 50%

Sexual Dysfunction and Coping Strategies in Multiple Sclerosis Patients

et al. 2011

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“…It is well established that chronic illness and disability can have significant deleterious effects upon sexuality and quality of life (QOL) in women [1][2][3]. Multiple sclerosis (MS) and spinal cord injury (SCI) are two such disabling conditions [4,5].…”

Section: Introductionmentioning

confidence: 99%

A Mindfulness Psychoeducational Group Intervention Targeting Sexual Adjustment for Women with Multiple Sclerosis and Spinal Cord Injury: A Pilot Study

et al. 2016

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The high prevalence of sexual difficulties experienced by women with a neurological disability, such as multiple sclerosis (MS) or spinal cord injury (SCI), is well documented in the literature. The link has also been established between sexual problems of this population and decreased quality of life. Despite the frequency of sexual difficulties and the importance of sexual health for persons with MS or SCI, sexual dysfunction is an area largely un-addressed in practice settings and there are surprisingly few intervention studies in this area. This study aimed to evaluate the usefulness of an existing, previously tested, group psychoeducational intervention in the population of women with neurological disabilities. Six women were recruited to participate in the psychoeducational sessions, which involved education, mindfulness, and cognitive behavioural therapy. Despite a very small sample size, this study suggests that this intervention may be beneficial for women with MS or SCI in improving sexual functioning (especially in the domains of sexual desire and arousal) and in being less judgmental of their inner experiences. Findings suggest a psychoeducational approach (including mindfulness) has the potential to positively influence sexual adjustment for women with MS and SCI.

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“…o the partner and communication difficulties. Because of the complexity of SD in patients with MS and the negative impact that SD can have on quality of life, multidisciplinary evaluations 16 that include neurologic, urologic/gynecologic, and psychological components should be performed by the health-care team when treating patients with MS.…”

Section: Resultsmentioning

confidence: 99%

Multidisciplinary Management of Sexual Dysfunction, Perineal Pain, and Elimination Dysfunction in a Woman with Multiple Sclerosis

Miletta¹,

Bogliatto²,

Bacchio³

2017

International Journal of MS Care

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Multiple sclerosis (MS) is a chronic progressive neurologic disease that is most likely to affect young adults, when sexual activity is high. In addition to sensory disturbances, spasticity, tremors, weakness, depression, and cognitive problems, MS is well known to have significant detrimental effects on bowel, bladder, and sexual function, worsening the quality of life. Although sexual dysfunction (SD) is common in patients with MS, it remains underdiagnosed. According to a recent literature review, 1 SD prevalence ranges from 34% to 85% in women with MS and is more common and more severe than in male patients. 2In particular, reduced sexual desire is reported in 31.4% to 74.4% of women with MS, decreased lubrication in 35.7% to 48.4%, and orgasmic dysfunction in 37.0% to 44.9%.3 These data derive from standard questionnaires used to assess SD in patients with MS, helping to alleviate the common barriers that are reported by professionals when addressing sexual issues. Despite the large numbers of women who chose not to answer questions about SD in the different studies, 42% of respondents report such dysfunction, confirming that SD seems to be a major concern.4 To achieve a common and shared definition, SD is categorized as being related

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Sexual dysfunction in patients with multiple sclerosis: a multidisciplinary approach to evaluation and management

Cited by 65 publications

References 53 publications

Sexual Dysfunction and Coping Strategies in Multiple Sclerosis Patients

Sexual Dysfunction and Coping Strategies in Multiple Sclerosis Patients

A Mindfulness Psychoeducational Group Intervention Targeting Sexual Adjustment for Women with Multiple Sclerosis and Spinal Cord Injury: A Pilot Study

Multidisciplinary Management of Sexual Dysfunction, Perineal Pain, and Elimination Dysfunction in a Woman with Multiple Sclerosis

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