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New Treatment for Sexual Dysfunction in Patients With Multiple Sclerosis

Welcome to our site! We are excited to offer our latest resource on treating sexual dysfunction in patients with multiple sclerosis. This site provides information on the causes and treatments of sexual dysfunction, as well as resources for patients and caregivers. We invite you to explore our site and learn more about this important topic. Thank you for visiting!

Treating Sexual Dysfunction in Patients With Multiple Sclerosis

Sexual dysfunction is a common problem for people with multiple sclerosis (MS). It can have a profound impact on quality of life and relationships. Fortunately, there are treatments available.

Sexual dysfunction includes any problem that prevents you from enjoying sex. It can be a problem with any part of the sexual response cycle, which includes desire, arousal, climax, and resolution.

Sexual dysfunction can be caused by MS itself or by MS treatments. It can also be the result of other health problems, such as depression, pain, or bladder problems.

Up to 80 percent of people with MS will have some form of sexual dysfunction. Men are more likely to have problems with erections, while women are more likely to have problems with lubrication, sensation, and orgasm.

Treatments for sexual dysfunction can be divided into three categories:

  • Lifestyle changes. These can include managing other health problems, such as depression and pain.
  • Medications. These can be used to treat problems with desire, arousal, and orgasm.
  • Devices. These can be used to treat erectile dysfunction.

Your doctor can help you find the treatment or combination of treatments that will work best for you.

Lifestyle changes

These changes can help improve sexual function:

  • Manage other health problems. Treating problems such as depression, anxiety, and pain can improve sexual function.
  • Exercise. This can improve overall fitness and help with fatigue. It can also improve sexual function by increasing blood flow to the genitals.
  • Quit smoking. Smoking can damage blood vessels and affect blood flow to the genitals.
  • Limit alcohol. Drinking too much alcohol can interfere with sexual function.

Medications

These drugs can be used to treat sexual dysfunction:

  • Viagra (sildenafil). This drug is used to treat erectile dysfunction. It can be taken by mouth or injected into the penis.
  • Cialis (tadalafil). This drug is used to treat erectile dysfunction. It can be taken by mouth or injected into the penis.
  • Levitra (vardenafil). This drug is used to treat erectile dysfunction. It can be taken by mouth or injected into the penis.
  • MUSE (alprostadil). This drug is used to treat erectile dysfunction. It is a pellet that is inserted into the urethra (the tube that carries urine from the bladder to the outside of the body).
  • Testosterone. This hormone can be used to treat low libido in men. It can be given as a patch, gel, or injection.
  • Vivitrol (naltrexone). This drug is used to treat low libido in women. It is a monthly injection.
  • Addyi (flibanserin). This drug is used to treat low libido in women. It is taken by mouth.
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On the long list of concerns patients with multiple sclerosis have to deal with on a daily basis their sexual health may not be high on the list of priorities. By having a conversation it can be an obstacle that can be overcome.

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Video transcription:

Almost 80% of people with MS men and women will have, and it’s hard to talk about with your doctor or your healthcare provider and oftentimes the health care provider doesn’t want to bring it up. So the person doesn’t want to talk about it. The health care provider doesn’t want to talk about it. So really, what we wanted to do is emphasize the importance of communication and where you can fit in that assessment during an office visit and then also how you can give pearls to a couple about how to talk about it and the biggest problem. Besides things not working, is that, then people just stop talking about it and that’s really sad and it decreases quality of life and really with communication. You can enhance your sex life I. Think it’s a missing piece, so I don’t think it’s a huge piece like dr. Foley and I gave two talks yesterday, if I close my eyes and estimate the number of people that were in the room during both of those talks, I think total was probably about 75 people, most of them or nurses or social workers or counselors only about I’m. Going to estimate and say, 1/5 of them were prescribing nurses like me, and nurse practitioners, or pas and I, don’t think we had any physicians in the room, so definitely a missing piece, but as we really start to work to improve the quality of life of people living with this disease and we focus more on invisible symptoms. This is one that is very invisible, and it’s also in hiding like under a veil at a baseball cap, so just to help improve quality of life. I think it’s it’s an important piece, so they might come in with really bad fatigue or cognitive dysfunction or pain or spasticity, and that’s like the least of their worries and plus they. They might also say well what that can’t be a part of my life anymore. When really it should it just might look different than it used to. If you have mobility issues and you’re in a wheelchair, or if you have about our bladder issues and you have a catheter, there are some things that need to be done to to change the way that you set up for an encounter with your loved one and and and people don’t necessarily always want to go there and they need help getting there. They need help trying to figure out what to do next and once you cross that bridge and open that line of communication. It’s really like a huge sense of relief for people living with MS and for their partners nah. So we still four menus the PDF at pde5 inhibitors, like the viagra cialis levitra. But if you have spinal cord dysfunction in such a way that that erectile function is just completely not happening, then they may need to use other things like calves or jacked injections or pumps, and things like that. So it can be a little bit trickier and then for women. The issues that you’re dealing with the most are usually bladder issues, mobility and spasticity, and then women have like a million reasons just in our minds to have sexual dysfunction and Men. It’s just like one button, women, it’s like 50, so for women. You really have to talk. You have to get into a little bit more of the psychology behind behind. We do a review of systems with with persons living with any disease head to toe, and it fits really nicely into bladder. Bowel sex I call it below the belt issues, and you just have to ask about it. I sat and I thought about. What’s the lamest thing, I’ve ever said to a patient to ask them about sexual dysfunction and the lamest thing that I’ve ever said, I think was how are things at home? What does that mean? Or how are things in the bedroom? Well, I got new curtains, and so you really just have to get to the point like: are you having any sexual dysfunction and initially I? Think people are like? What did you just ask me and then they’re kind of like well yeah, I am and I, don’t really know what to do about it or they don’t understand the difference between a low libido and the inability to physically perform. So there are different things that you need to talk about in that realm, but actually there was a survey I think it was. It was a global survey like thousands of people, and they asked just people in general, not with MS, but people in general. In the past three years, has your health care provider asked you about sexual function in the United States? It was. 14% of people had been asked, so it’s really pitiful, given our culture and how, in dated we are with sexuality for everyone. Yes, so dr. Foley is a world renowned psychologist and has written much of the pivotal literature on treating sexual dysfunction in people with MS, so psychologists, physical therapists, who do pelvic floor rehab, particularly for women, OBGYNs primary care providers and neurologists I mean that if you’ve got six people working together for this one person, somebody’s got to be doing the asking. Well, so you ask and you get an answer and the answer may be that sex drive is low and if you look at the medications that we give to people living with MS, most of them can lower one sex drive or it can cause some sort of side effect like sleepiness or dryness or something that affects sexual function. So we can look at their medications and say well, maybe we could change things a little bit with your say, antidepressant and give you one that is more dopaminergic or maybe we need to if you and your partner pick a date for a sexual encounter. Maybe we we take away your sedating medication for a couple of days before that, time or time the the dosing of your antispasmodic, so that your legs feel better and then moving forward from there. You can look at look on the internet, get catalogs, look for toys, look for furniture, look for things that make life easier and and then we go from there.

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