Summary.
Sexuality and partnership have an important influence on the quality of life of every person and also on people with chronic disorders such as multiple sclerosis. The findings in literature show high evidence that people with multiple sclerosis experience high levels of sexual dysfunction, most of them with hypoactive sexual behaviour often associated with dissatisfaction in relationship, and also the partners seem to show lower sexual and partnership satisfaction. The most common problems in women are lack of sexual interest and decreased libido, often with problems in orgasmic capacity, while men report erectile dysfunction and also lack of sexual interest. The impact of the level of disability and duration of the illness remains unclear. Positive familial support can often help the patient in coping with the illness, nonetheless problems with changing roles and multiple-sclerosis-minimizing can improve the need of contacts to outstanding persons.
Similar content being viewed by others
References
JR Avasarala AH Cross K Trinkaus (2003) ArticleTitleComparative assessment of Yale Single Question and Beck Depression Inventory Scale in screening for depression in multiple sclerosis. Mult Scler 9 307–310 Occurrence Handle10.1191/1352458503ms900oa Occurrence Handle12814181
J Bancroft (1993) ArticleTitleImpact of environment, stress, occupational, and other hazards on sexuality and sexual behavior. Environ Health Perspect 101 IssueID[Suppl 2] 101–107
D Barton L Joubert (2000) ArticleTitlePsychosocial aspects of sexual disorders. Aust Fam Phys 29 527–531
K Beier D Goecker S Babinsky C Ahlers (2002) ArticleTitleSexualität und Partnerschaft bei Multipler Sklerose – Ergebnisse einer empirischen Studie bei Betroffenen und ihren Partnern. Sexuologie 9 4–22
RJ Buchanan S Wang M Tai-Seale H Ju (2003) ArticleTitleAnalyses of nursing home residents with multiple sclerosis and depression using the Minimum Data Set. Mult Scler 9 171–188 Occurrence Handle10.1191/1352458503ms872oa Occurrence Handle12708813
Burgener S, Logan G (1989) Sexuality concerns of the post-stroke patient. Rehabil Nurs 14: 178–181, 195
J Buvat A Lemaire (2001) ArticleTitleSexuality of the diabetic woman. Diabetes Metab 27 S67–S75 Occurrence Handle11787440
B Chandler SJNNP Brown (1998) ArticleTitleSex and relationship dysfunction in neurological disability. J Neurol Neurosurg Psychiatry 65 877–880 Occurrence Handle9854964
LD Channon SE Ballinger (1986) ArticleTitleSome aspects of sexuality and vaginal symptoms during menopause and their relation to anxiety and depression. Br J Med Psychol 59 IssueIDPt 2 173–180 Occurrence Handle3730319
AH Clayton (2001) ArticleTitleRecognition and assessment of sexual dysfunction associated with depression. J Clin Psychiatry 62 5–9
P Csesko (1988) ArticleTitleSexuality and multiple sclerosis. J Neurosci Nurs 20 353–355 Occurrence Handle2975311
GA Dakof SE Taylor (1990) ArticleTitleVictims’ perceptions of social support: what is helpful from whom? J Pers Soc Psychol 58 80–89 Occurrence Handle10.1037//0022-3514.58.1.80 Occurrence Handle2308075
R DasGupta CJ Fowler (2003) ArticleTitleBladder, bowel and sexual dysfunction in multiple sclerosis: management strategies. Drugs 63 153–166 Occurrence Handle12515563
De Loach D, Greer B (1981) Adjustment of severe physical disability: a metamorphosis. McGraw Hill, New York
F Foley A Sanders (1997) ArticleTitleSexuality, multiple sclerosis, and women. MS Management 4 1–10
CJ Fowler (1997) ArticleTitleThe cause and management of bladder, sexual and bowel symptoms in multiple sclerosis. Baillieres Clin Neurol 6 447–466 Occurrence Handle10101583
S Fruehwald H Loeffler-Stastka R Eher B Saletu U Baumhackl (2001) ArticleTitleDepression and quality of life in multiple sclerosis. Acta Neurol Scand 104 257–261 Occurrence Handle10.1034/j.1600-0404.2001.00022.x Occurrence Handle11696017
A Graziottin (1998) ArticleTitleThe biological basis of female sexuality. Int Clin Psychopharmacol 13 IssueID[Suppl 6] S15–S22
T Gunzelmann BD Rusch E Brahler (2004) ArticleTitleAttitudes towards eroticism and sexuality in the elderly over 60 years of age. Gesundheitswesen 66 15–20 Occurrence Handle10.1055/s-2004-812704 Occurrence Handle14767786
A Hordern (2000) ArticleTitleIntimacy and sexuality for the woman with breast cancer. Cancer Nurs 23 230–236 Occurrence Handle10.1097/00002820-200006000-00011 Occurrence Handle10851774
BM Hulter PO Lundberg (1995) ArticleTitleSexual function in women with advanced multiple sclerosis. J Neurol Neurosurg Psychiatry 59 83–86 Occurrence Handle7608715
R Huws AP Shubsachs PJ Taylor (1991) ArticleTitleHypersexuality, fetishism and multiple sclerosis. Br J Psychiatry 158 280–281 Occurrence Handle2012924
V Janardhan R Bakshi (2002) ArticleTitleQuality of life in patients with multiple sclerosis: the impact of fatigue and depression. J Neurol Sci 205 51–58 Occurrence Handle10.1016/S0022-510X(02)00312-X Occurrence Handle12409184
A Jonsson (2003) ArticleTitleDisseminated sclerosis and sexuality. Ugeskr Laeger 165 2642–2646 Occurrence Handle12886545
LA Kalayjian MJ Morrell (2000) ArticleTitleFemale sexuality and neurological disease. JSET 25 89–95
Kalb R (1998) Multiple sclerosis: a guide for families. Demos Bermande, New York
SA Kaplan RB Reis IJ Kohn EF Ikeguchi E Laor AE Te AC Martins (1999) ArticleTitleSafety and efficacy of sildenafil in postmenopausal women with sexual dysfunction. Urology 53 481–486 Occurrence Handle10.1016/S0090-4295(98)00633-5 Occurrence Handle10096370
II Kneebone EC Dunmore E Evans (2003) ArticleTitleSymptoms of depression in older adults with multiple sclerosis (MS): comparison with a matched sample of younger adults. Aging Ment Health 7 182–185 Occurrence Handle10.1080/1360786031000101148 Occurrence Handle12775398
T Koch D Kralik S Eastwood (2002) ArticleTitleConstructions of sexuality for women living with multiple sclerosis. J Adv Nurs 39 137–145 Occurrence Handle10.1046/j.1365-2648.2002.02253.x Occurrence Handle12100657
G Kockott (1989) ArticleTitleDiagnostic and therapeutic possibilities in psychological disorders as a cause of impotence. Urologe A 28 248–252 Occurrence Handle2683319
E Laan RH van Lunsen W Everaerd (2001) ArticleTitleThe effects of tibolone on vaginal blood flow, sexual desire and arousability in postmenopausal women. Climacteric 4 28–41 Occurrence Handle11379375
D Lehman K Hemphill (1990) ArticleTitleRecipients’ perceptions of support attempts and attributions for support attempts that fail. J Soc Pers Relationships 7 563–574
HG Lilius EJ Valtonen J Wikstrom (1976) ArticleTitleSexual problems in patients suffering from multiple sclerosis. Scand J Soc Med 4 41–44 Occurrence Handle1273550
K Loewit (2003) ArticleTitlePosition of sexual medicine in medical specialties. Wien Med Wochenschr 153 171–173 Occurrence Handle10.1046/j.1563-258X.2003.03009.x Occurrence Handle12764873
D Mattson M Petrie DK Srivastava M McDermott (1995) ArticleTitleMultiple sclerosis. Sexual dysfunction and its response to medications. Arch Neurol 52 862–868 Occurrence Handle7661722
M McCabe E McDonald A Deeks L Vowels M Cobain (1996) ArticleTitleThe impact of multiple sclerosis on sexuality and relationships. J Sex Res 33 241
MP McCabe (2002) ArticleTitleRelationship functioning and sexuality among people with multiple sclerosis. J Sex Res 39 302–309 Occurrence Handle12545413
MP McCabe G Taleporos (2003) ArticleTitleSexual esteem, sexual satisfaction, and sexual behavior among people with physical disability. Arch Sex Behav 32 359–369 Occurrence Handle10.1023/A:1024047100251 Occurrence Handle12856897
MP McCabe S McKern E McDonald LM Vowels (2003) ArticleTitleChanges over time in sexual and relationship functioning of people with multiple sclerosis. J Sex Marital Ther 29 305–321 Occurrence Handle14504019
AL McKee SuffixJr LR Schover (2001) ArticleTitleSexuality rehabilitation. Cancer 92 1008–1012 Occurrence Handle10.1002/1097-0142(20010815)92:4+<1008::AID-CNCR1413>3.0.CO;2-2 Occurrence Handle11519027
TN Monga G Tan HJ Ostermann U Monga M Grabois (1998) ArticleTitleSexuality and sexual adjustment of patients with chronic pain. Disabil Rehabil 20 317–329 Occurrence Handle9664190
M Neises (2002) ArticleTitleSexuality and sexual dysfunction in gynecological psychooncology. Onkologie 25 571–574 Occurrence Handle10.1159/000068630 Occurrence Handle12566904
A Nicolosi E Laumann D Glasser E Moreira A Paik C Gingell (2004) ArticleTitleSexual behavior and sexual dysfunctions after age 40: the global study of sexual attitudes and behaviours. Urology 64 991–954 Occurrence Handle10.1016/j.urology.2004.06.055 Occurrence Handle15533492
MR Nusbaum C Hamilton P Lenahan (2003) ArticleTitleChronic illness and sexual functioning. Am Fam Phys 67 347–354
SB Patten CA Beck JV Williams C Barbui LM Metz (2003) ArticleTitleMajor depression in multiple sclerosis: a population-based perspective. Neurology 61 1524–1527 Occurrence Handle14663036
MA Perez EC Skinner BE Meyerowitz (2002) ArticleTitleSexuality and intimacy following radical prostatectomy: patient and partner perspectives. Health Psychol 21 288–293 Occurrence Handle10.1037//0278-6133.21.3.288 Occurrence Handle12027035
A Rice (2000) ArticleTitleSexuality in cancer and palliative care 1. Effects of disease and treatment. Int J Palliat Nurs 6 392–397 Occurrence Handle12411851
RC Rosen A Riley G Wagner IH Osterloh J Kirkpatrick A Mishra (1997) ArticleTitleThe international index of erectile function (IEEF): a multidimensional scale for assessment of erectile dysfunction. Urology 49 822–830 Occurrence Handle10.1016/S0090-4295(97)00238-0 Occurrence Handle9187685
LR Schover (1994) ArticleTitleSexuality and body image in younger women with breast cancer. J Natl Cancer Inst Monogr 16 177–182 Occurrence Handle7999462
K Sjogren (1983) ArticleTitleSexuality after stroke with hemiplegia. II. With special regard to partnership adjustment and to fulfilment. Scand J Rehabil Med 15 63–69 Occurrence Handle6867637
K Sjogren JE Damber B Liliequist (1983) ArticleTitleSexuality after stroke with hemiplegia. I. Aspects of sexual function. Scand J Rehabil Med 15 55–61 Occurrence Handle6867636
A Solari A Motta L Mendozzi P Aridon R Bergamaschi A Ghezzi et al. (2004) ArticleTitleItalian version of the Chicago multiscale depression inventory: translation, adaptation and testing in people with multiple sclerosis. Neurol Sci 24 375–383 Occurrence Handle14767682
E Stenager E Stenager K Jensen J Boldsen (1990) ArticleTitleMultiple sclerosis: sexual dysfunctions. J Sex Educ Ther 16 262–269
G Szasz D Paty S Lawton-Speert K Eisen (1984) ArticleTitleA sexual functioning scale in multiple sclerosis. Acta Neurol Scand [Suppl] 101 37–43
ML Valleroy GH Kraft (1984) ArticleTitleSexual dysfunction in multiple sclerosis. Arch Phys Med Rehabil 65 125–128 Occurrence Handle6703886
S Ventegodt (1996) ArticleTitleSexuality and quality of life. Results from the quality of life-study of 4,626 Danes aged 31–33 years born at Rigshospitalet 1959–1961. Ugeskr Laeger 158 4299–4304 Occurrence Handle8757901
S Vermillion M Holmes (1997) ArticleTitleSexual dysfunction in women. Prom Care Update Ob/Gyns 4 234–240 Occurrence Handle10.1016/S1068-607X(97)00104-2
A Weissbach-Rieger (1987) ArticleTitlePartnership relations, sexuality and sexual behavior in elderly females and males after age 55. I. Partnership relations and sexuality from the social gynecologic and sociological viewpoint. Zfa 42 203–205 Occurrence Handle3630219
H Zephir J De Seze T Stojkovic B Delisse D Ferriby M Cabaret et al. (2003) ArticleTitleMultiple sclerosis and depression: influence of interferon beta therapy. Mult Scler 9 284–288 Occurrence Handle10.1191/1352458503ms915oa Occurrence Handle12814176
AR Zlotta CC Schulman (1999) ArticleTitleBPH and sexuality. Eur Urol 36 IssueID[Suppl 1] 107–112 Occurrence Handle10.1159/000052330
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Schmidt, E., Hofmann, P., Niederwieser, G. et al. Sexuality in multiple sclerosis. J Neural Transm 112, 1201–1211 (2005). https://doi.org/10.1007/s00702-005-0275-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00702-005-0275-7