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ALL ABOUT MS Symptoms of MS (Part 5)

Sexual function disorders

Sexual function disorders in MS are one of the most unusual manifestations of this disease most talked about by doctors. Precise frequency data does not take into account the fact that the problem of sexual disorders in MS is not given much attention during routine neurological examination, but it is estimated that about 62-83% of MS sufferers suffer from some type of sexual function disorder.

Because similar nervous webs control the function of the bladder and genital organs, sexual disorders are often associated with urinary disorders. They occur more often in patients with weakness and numbness of the leg.
Factors that affect the occurrence and severity of sexual function disorders in patients with MS are the activity of the disease which leads to variations in the manifestation of these symptoms, decreased touch sensitivity, psychological factors and depression, the presence of pain and an unpleasant tingling, disorders of urinary and defecation functions, fatigue (spasticity), fatigue, the use of certain drugs (antidepressants), and misunderstanding and misunderstanding of the nature of these symptoms by the partner.

The most common misconceptions about sexual disorders in patients with MS are:
1. I have MS and sexual disorders are the least important in this disease.
2. Patients with impaired walking do not have sexual needs.
3. My doctor is not interested in listening to my sexual problems.
4. It's not right to talk to a doctor about sexual problems.
5. Sexual relationship must end with an orgasm.
6. The physical relationship between partners must include sexual actions.
7. People must instinctively be sexually competent.
8. Patients should not masturbate or have sexual fantasies.

The most common disorders of sexual function in men with MS are impotence (erectile disorder) and ejaculation disorders.
It is estimated that about 70% of MS men have a potency problem, primarily with achieving and maintaining an erection as well as experiencing an orgasm. Impotence in the patient of this disease is thought to be caused by changes that damage the lower spinal bone. The average time of occurrence of this disorder is about 9 years since the onset of the disease and is mainly developed after the occurrence of problems with urinary incontinence.

Vardenafil (Levitra) is recommended as the most effective therapy for the treatment of erectile dysfunction (impotence). A positive therapeutic effect on erectile dysfunction and ejaculation, as well as the rise in sexual desire, are also shown by Yohimhin tablets (10-20 mg) taken about two hours before sexual intercourse. If these two preparations do not prove to be effective, it is possible to apply local procedures: Injection injection into the body of the penis substances called papaverine and prostaglandins. Usually an effective dose in MS is about 5-10 mg of papaverine. If, however, there are difficulties in achieving an orgasm, it is recommended to stimulate the vibrator on the front of the full body.

The most common sexual function disorders in women with MS are the lack of vaginal wetting, loss of touch sensation, inability to reach orgasm and unpleasant sensation in the vaginal region during the relationship. The occurrence of these symptoms in women is almost always associated with disorders of the bladder function.

This type of disorder can be partially treated. The lack of vaginal wetting can be overcome by local
use of various wetting gels, while other disorders, unfortunately, can be difficult to influence with drugs. In case of unpleasant sensations during sexual intercourse, it is recommended to take medicines that are otherwise given in the treatment of unhealthy sensory experiences in other parts of the body, such as antiepileptics (gabapentin, carbamazepine). Touch sensitivity can not be corrected by any drug, but the use of a vibration stimulator is recommended. In addition, studies are under way in the world to deal with the possible positive therapeutic effect of sildenafil in women with sex-related disorders due to MS.


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