Skip to main content

Advertisement

Log in

Assessment of Sexual Satisfaction in Relation to Potential Sexual Problems in Women with Multiple Sclerosis: A Pilot Study

  • Original Paper
  • Published:
Sexuality and Disability Aims and scope Submit manuscript

Abstract

Changes in sexual functioning are common in Multiple Sclerosis (MS) patients, but its impact on women’s sexual satisfaction remains unclear. The study examined the level of sexual satisfaction in relation to sexual functioning changes and explored the factors associated with overall sexual wellbeing in women with MS. A cross-sectional anonymous survey was administered to 160 women during routine MS clinic visits. Sexual satisfaction was assessed using a modified version of the Female Sexual Functioning Index. One-hundred-forty-four subjects completed the entire survey with a 90% completion rate. Subject’s mean age was 42 (SD 10.2) years. Mean MS duration was 8.7 (SD 6.9) years. The majority reported Relapsing-Remitting form of MS (79%) and were walking independently (73%). Presence of at least one bladder and bowel problem was noticed in 54/144 and 69/144 subjects respectively. Generalized sexual satisfaction was demonstrated in this cohort of women (44%). Respondents reported extreme satisfaction with their partner-relationship (35%), highest satisfaction for frequency of sexual activity (48%) and highest dissatisfaction for sexual desire (33%). Frequency of sexual activity and sexual desire ranked highest for having an impact on overall sex life. Other factors in the descending order of importance were: natural wetness, sexual arousal, orgasm, partner-relationship and disease duration.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Orton, S.M., Herrera, B.M., Yee, I.M., Valdar, W., Ramagopalan, S.V., Sadovnick, A.D., et al.: Sex ratio of multiple sclerosis in Canada: a longitudinal study. Lancet Neurol. 5, 932–936 (2006)

    Article  PubMed  Google Scholar 

  2. Foley, F.W., Sanders, A.: Sexuality, multiple sclerosis and women. Mult. Scler. Manag. 1, 1–9 (1997)

    Google Scholar 

  3. Tepavcevic, D.K., Kostic, J., Basuroski, I.D., Stojsavljevic, N., Pekmezovic, T., Drulovic, J.: The impact of sexual dysfunction on the quality of life measured by MSQoL-54 in patients with multiple sclerosis. Mult. Scler. 14, 1131–1136 (2008)

    Article  PubMed  Google Scholar 

  4. Zorzon, M., Zivadinov, R., Monti Bragadin, L., Moretti, R., De Masi, R., Nasuelli, D., et al.: Sexual dysfunction in multiple sclerosis: a 2-year follow-up study. J. Neurol. Sci. 187, 1–5 (2001)

    Article  PubMed  Google Scholar 

  5. Laumann, E., Paik, A., Rosen, R.: Sexual dysfunction in the United States: prevalence and predictors. JAMA 281, 537–544 (1999)

    Article  PubMed  Google Scholar 

  6. Foley, F., Gimbel, B.: Introduction to intimacy and sexuality in multiple sclerosis. MS Focus 6, 4–5 (2006)

    Google Scholar 

  7. Basson, R., Berman, J., Burnett, A., Derogatis, L., Ferguson, D., Fourcroy, J., et al.: Report of the international consensus development conference on female sexual dysfunction: definitions and classifications. J. Urol. 163, 888–893 (2000)

    Article  PubMed  Google Scholar 

  8. Rosen, R.C., Shifren, J.L., Monz, B.U., Odom, D.M., Russo, P.A., Johannes, C.B.: Correlates of sexually related personal distress in women with low sexual desire. J Sex Med 6(6), 1549–1560 (2009)

    Article  PubMed  Google Scholar 

  9. Hulter, B.M., Lundberg, P.O.: Sexual function in women with advanced multiple sclerosis. J. Neurol. Neurosurg. Psychiatry 59, 83–86 (1995)

    Article  PubMed  Google Scholar 

  10. Tzortzis, V., Skriapas, K., Hadjigeorgiou, G., Mitsogiannis, I., Aggelakis, K., Gravas, S., et al.: Sexual dysfunction in newly diagnosed multiple sclerosis women. Mult. Scler. 14, 561–563 (2008)

    Article  PubMed  Google Scholar 

  11. McCabe, M.P., McDonald, E.: Perceptions of relationship and sexual satisfaction among people with multiple sclerosis and their partners. Sex. Disabil. 25, 179–188 (2007)

    Article  Google Scholar 

  12. Nortvedt, M.W., Riise, T., Myhr, K.M., Landtblom, A.M., Bakke, A., Nyland, H.I.: Reduced quality of life among multiple sclerosis patients with sexual disturbance and bladder dysfunction. Mult. Scler. 7, 231–235 (2001)

    PubMed  Google Scholar 

  13. Zorzon, M., Zivadinov, R., Bosco, A., Bragadin, L.M., Moretti, R., Bonfigli, L., et al.: Sexual dysfunction in multiple sclerosis: a case-control study. I. Frequency and comparison of groups. Mult. Scler. 5, 418–427 (1999)

    PubMed  Google Scholar 

  14. Rosen, R., Brown, C., Heiman, J., Leiblum, S., Meston, C., Shabsigh, R., et al.: The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J. Sex Marital Ther. 26, 191–208 (2000)

    Article  PubMed  Google Scholar 

  15. Breiman, L.: Random forest. Mach. Learn. 45, 5–32 (2001)

    Article  Google Scholar 

  16. Nortvedt, M.W., Riise, T., Frugård, J., Mohn, J., Bakke, A., Skår, A.B., et al.: Prevalence of bladder, bowel and sexual problems among multiple sclerosis patients two to five years after diagnosis. Mult. Scler. 13, 106–112 (2007)

    Article  PubMed  Google Scholar 

  17. Haavio-Mannila, E., Kontula, O.: Correlates of increased sexual satisfaction. Arch. Sex. Behav. 26(4), 399–419 (1997)

    Article  PubMed  Google Scholar 

  18. Hennessey, A., Robertson, N.P., Swingler, R., Compston, D.A.S.: Urinary, faecal and sexual dysfunction in patients with multiple sclerosis. J. Neurol. 246, 1027–1032 (1999)

    Article  PubMed  Google Scholar 

  19. Demirkiran, M., Sarica, Y., Uguz, S., Yerdelen, D., Aslan, K.: Multiple sclerosis patients with and without sexual dysfunction: are there any differences? Mult. Scler. 12, 209–214 (2006)

    Article  PubMed  Google Scholar 

  20. Lundberg, P.O.: Sexual dysfunction in female patients with multiple sclerosis. Int. Rehabil. Med. 3(1), 32–34 (1981)

    PubMed  Google Scholar 

  21. Barak, Y., Achiron, A., Elizur, A., Gabbay, U., Noy, S., Sarova-Pinhas, I.: Sexual dysfunction in relapsing-remitting multiple sclerosis: magnetic resonance imaging, clinical, and psychological correlates. J. Psychiatry. Neurosci. 21, 255–258 (1996)

    PubMed  Google Scholar 

  22. Christopherson, J.M., Moore, K., Foley, F.W., Warren, K.G.: A comparison of written materials vs. materials and counselling for women with sexual dysfunction and multiple sclerosis. J. Clin. Nurs. 15(6), 742–750 (2006)

    Article  PubMed  Google Scholar 

  23. Zivadinov, R., Zorzon, M., Bosco, A., Bragadin, L.M., Moretti, R., Bonfigli, L., et al.: Sexual dysfunction in multiple sclerosis: II. Correlation analysis. Mult. Scler. 5, 428–431 (1999)

    PubMed  Google Scholar 

  24. McCabe, M.P., McKern, S., McDonald, E., Vowels, L.M.: Changes over time in sexual and relationship functioning of people with multiple sclerosis. J. Sex Marital Ther. 29, 305–321 (2003)

    Article  PubMed  Google Scholar 

  25. Dunn, K.M., Croft, P.R., Hackett, G.I.: Satisfaction in the sex life of a general population sample. J. Sex Marital Ther. 26, 141–151 (2000)

    Article  PubMed  Google Scholar 

  26. Nosek, M.A., Rintala, D.H., Young, M.E., Howland, C.A., Foley, C.C., Rossi, D., et al.: Sexual functioning among women with physical disabilities. Arch. Phys. Med. Rehabil. 77, 107–115 (1996)

    Article  PubMed  Google Scholar 

  27. Laumann, E.O., Paik, A., Glasser, D.B., Kang, J.H., Wang, T., Levinson, B., et al.: A cross-national study of subjective sexual well-being among older women and men: findings from the global study of sexual attitudes and behaviors. Arch. Sex. Behav. 35, 145–161 (2006)

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

The research reported in this paper was part of a master’s thesis by Rashmi D.Sahay at the University of Cincinnati. No financial support was provided for this research. The authors wish to thank all the participants of the study. We are grateful to Dr. Maria Melanson and the staff of Waddell Center of Multiple Sclerosis at University of Cincinnati for their help. The corresponding author takes responsibility for the integrity of the data and the accuracy of the data analysis. Currently, the corresponding author is supported by the training grant NIEHS T32ES10957.

Conflict of interest

None Declared.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Rashmi D. Sahay.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Sahay, R.D., Haynes, E.N., Rao, M.B. et al. Assessment of Sexual Satisfaction in Relation to Potential Sexual Problems in Women with Multiple Sclerosis: A Pilot Study. Sex Disabil 30, 227–236 (2012). https://doi.org/10.1007/s11195-011-9242-4

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11195-011-9242-4

Keywords

Navigation