Tools for comprehensive evaluation of sexual function in patients with multiple sclerosis

Managing the Symptoms of Multiple Sclerosis

“…Part of the definition of sexual dysfunction (SD), which can encompass multiple symptoms, is that it is a condition that causes anxiety or interpersonal dysfunction for six months. 173 However, it can still be considered a "hidden" symptom of MS, with estimates of prevalence ranging up to almost 80% of MS patients. 112,113,114,115,116 Sexual dysfunction may be underreported as neurologists do not address it with even a general question in half of cases, and patients may not independently address the topic with their neurologists if not asked.…”

“…Scales for evaluation of sexual dysfunction in patients with multiple sclerosis can provide an opportunity to discuss the topic as well as assessment of specific complaints, with the Female Sexual Function Index, initially developed in a nonneurological context, as the most widely used scale for assessment of sexual dysfunction for MS patients. 173,174 Other useful assessments include Szasz Sexual Functioning Scale, International Index of Erectile Function, Multiple Sclerosis Intimacy and Sexuality Questionnaire (MSISQ-19) or MSISQ-15. 173 For complete evaluation of SD, patients should also be assessed on mood, urodynamic function, and overall quality of life.…”

“…173,174 Other useful assessments include Szasz Sexual Functioning Scale, International Index of Erectile Function, Multiple Sclerosis Intimacy and Sexuality Questionnaire (MSISQ-19) or MSISQ-15. 173 For complete evaluation of SD, patients should also be assessed on mood, urodynamic function, and overall quality of life. 173 Primary sexual dysfunction is caused directly by lesions and can primarily be localized to the spinal cord, although can also result from peri-insular injury, similarly to bowel and bladder complaints in patients with MS. 117,118 In women, this can manifest as concerns about pain, numbness, or parasthesias during vaginal intercourse, lubrication, sexual satisfaction and orgasm.…”

“…173 For complete evaluation of SD, patients should also be assessed on mood, urodynamic function, and overall quality of life. 173 Primary sexual dysfunction is caused directly by lesions and can primarily be localized to the spinal cord, although can also result from peri-insular injury, similarly to bowel and bladder complaints in patients with MS. 117,118 In women, this can manifest as concerns about pain, numbness, or parasthesias during vaginal intercourse, lubrication, sexual satisfaction and orgasm. Patients can be referred to pelvic floor therapy exercises in conjunction with use of devices (i.e vibrators).…”