Publication details
Sexuální poruchy u nemocných s roztroušenou mozkomíšní sklerózou
| Title in English | Sexual dysfunction in patients with multiple sclerosis |
|---|---|
| Authors | |
| Year of publication | 2017 |
| Type | Article in Periodical |
| Magazine / Source | Bolest |
| MU Faculty or unit | |
| Citation | |
| Field | Psychiatry, sexuology |
| Keywords | multiple sclerosis; sexual dysfunction; erectile dysfunction |
| Description | Multiple sclerosis is a demyelinating disease of the central nervous system resulting in a wide array of impairments that may include difficulties with gait, sensation, pain, bladder and/or bowel control, vision, sexuality, and cognitive function. Sexual dysfunction is a common consequence of multiple sclerosis. Compared with the general population for both sexes is characterized by lower levels of sexual activity, sexual satisfaction in a relationship and a higher incidence of sexual dysfunction. Impairment of sexual function occurs in 70 - 80% of patients, most commonly as a loss of sexual desire, decreased sensitivity of genitalia, erectile dysfunction / lubrication and orgasmic dysfunctions. Accompanying symptoms of the disease such as pain, tremor, spasticity and paresthesias, but also sadness, have negative impact on sexuality. Men reported symptoms of sexual dysfunction more frequently than women. Symptoms of sexual dysfunction more reported in women with multiple sclerosis were anorgasmia or hyporgasmia in 37 %, decreased vaginal lubrication in 36 %, and reduced libido in 31 %, in men erectile dysfunction in 63 %, ejaculatory dysfunction and/or orgasmic dysfunction in 50% and reduced libido in 40 %. Fifty-one percent of patients experienced symptoms of sphincteric dysfunction. In patients with multiple sclerosis, symptoms of sexual dysfunction increase significantly with the illness duration. Relapses did not influence the number of symptoms of sexual dysfunction, but a worsening of pre-existing symptoms cannot be excluded. The change of sexual function appears to be independently associated to bladder dysfunction. The patients, healthcare team, and healthcare community must work together, to treat (to reduce) sexual dysfunction with goal to improve the quality of life for patients living with multiple sclerosis. |