Psychiatria pre prax 2/2008

SEXUAL PROBLEMS IN MEN WITH MULTIPLE SCLEROSIS

Multiple sclerosis (MS) is a threatening disease for the ill with virtually interminable variability of symptoms. Many MS symptoms directly or indirectly influence negatively male sexuality. Sexual disorders in MS are present in 65–90 % of cases. Among them, erectile dysfunction, decreased sexual desire, problems in completing orgasm and decreased tactile sensitivity prevail. The treatment of sexual dysfunction in MS must be based on teamwork; the team being formed by neurologists, urologists, psychiatrists, psychologists and sexologists. The article deals with treatment possibilities of particular most frequent sexual dysfunctions in males with MS.

Keywords: multiple sclerosis, sexuality, sexual dysfunctions, erectile dysfunction, decreased sexual desire, orgasm disorders