Multiple sclerosis patients with and without sexual dysfunction: are there any differences?
Objective Sexual dysfunction (SD) severely affects the quality of life in patients with multiple sclerosis (MS). The aim of this study is to investigate the type and frequency of sexual complaints in MS patients, to analyse their relationship to various clinical and psychosocial variables and to cla...
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| Veröffentlicht in: | Multiple sclerosis 2006-04, Vol.12 (2), p.209-211 |
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| creator | Demirkiran, M. Sarica, Y. Uguz, S. Yerdelen, D. Aslan, K. |
| description | Objective
Sexual dysfunction (SD) severely affects the quality of life in patients with multiple sclerosis (MS). The aim of this study is to investigate the type and frequency of sexual complaints in MS patients, to analyse their relationship to various clinical and psychosocial variables and to clarify the differences between MS patients with and without SD.
Methods
Thirty-five relapsing-remitting (RR), nine secondary progressive and seven primary progressive MS patients were included in this study. A structured face-to-face interview regarding sexual function and other physical problems which may interfere with sexual functioning was administered to each patient. They also filled out Multiple Sclerosis Intimacy and Sexuality Questionnaire-19 (MSISQ-19), which includes items for primary (direct physical), secondary (indirect physical) and tertiary (psychosocial) causes of SD. Disability, cognitive functions and psychological functioning were also evaluated.
Results
Forty-one patients (80.4%) reported primary SD; decreased libido was the most frequent complaint (80.5%). These patients were older and more disabled, however 39% had low disability scores. SD was a common problem for both men and women. Patients with RRMS were affected less in all items of primary SD. Several items of secondary SD-problems with memory and concentration, bladder symptoms, bowel symptoms-showed correlation with different items of primary SD; these were altered genital sensation, decreased libido, increased time for arousal, decreased lubrication/difficulties with erection. Total MSISQ-19 scores were correlated with disease duration, age, disability, disease course, Beck depression scale, temporary and long-standing anxiety and low level of education.
Conclusion
SD is an underestimated, common symptom of MS. It may occur in MS even in the absence of severe disability. Physicians’ awareness of this problem may help to bring about appropriate treatments and management, and improve the quality of life for these patients. |
| doi_str_mv | 10.1191/135248506ms1253oa |
| format | Article |
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Sexual dysfunction (SD) severely affects the quality of life in patients with multiple sclerosis (MS). The aim of this study is to investigate the type and frequency of sexual complaints in MS patients, to analyse their relationship to various clinical and psychosocial variables and to clarify the differences between MS patients with and without SD.
Methods
Thirty-five relapsing-remitting (RR), nine secondary progressive and seven primary progressive MS patients were included in this study. A structured face-to-face interview regarding sexual function and other physical problems which may interfere with sexual functioning was administered to each patient. They also filled out Multiple Sclerosis Intimacy and Sexuality Questionnaire-19 (MSISQ-19), which includes items for primary (direct physical), secondary (indirect physical) and tertiary (psychosocial) causes of SD. Disability, cognitive functions and psychological functioning were also evaluated.
Results
Forty-one patients (80.4%) reported primary SD; decreased libido was the most frequent complaint (80.5%). These patients were older and more disabled, however 39% had low disability scores. SD was a common problem for both men and women. Patients with RRMS were affected less in all items of primary SD. Several items of secondary SD-problems with memory and concentration, bladder symptoms, bowel symptoms-showed correlation with different items of primary SD; these were altered genital sensation, decreased libido, increased time for arousal, decreased lubrication/difficulties with erection. Total MSISQ-19 scores were correlated with disease duration, age, disability, disease course, Beck depression scale, temporary and long-standing anxiety and low level of education.
Conclusion
SD is an underestimated, common symptom of MS. It may occur in MS even in the absence of severe disability. Physicians’ awareness of this problem may help to bring about appropriate treatments and management, and improve the quality of life for these patients.</description><identifier>ISSN: 1352-4585</identifier><identifier>EISSN: 1477-0970</identifier><identifier>DOI: 10.1191/135248506ms1253oa</identifier><identifier>PMID: 16629425</identifier><identifier>CODEN: MUSCFZ</identifier><language>eng</language><publisher>Thousand Oaks, CA: SAGE Publications</publisher><subject>Adult ; Biological and medical sciences ; Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases ; Disabled Persons ; Erectile Dysfunction - physiopathology ; Female ; Humans ; Immunomodulators ; Libido ; Male ; Medical sciences ; Middle Aged ; Multiple Sclerosis - complications ; Multiple Sclerosis - physiopathology ; Multiple Sclerosis - psychology ; Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis ; Multiple Sclerosis, Chronic Progressive - physiopathology ; Multiple Sclerosis, Relapsing-Remitting - physiopathology ; Neurology ; Pharmacology. Drug treatments ; Sex Characteristics ; Sexual Dysfunction, Physiological - physiopathology</subject><ispartof>Multiple sclerosis, 2006-04, Vol.12 (2), p.209-211</ispartof><rights>2006 INIST-CNRS</rights><rights>2006 Arnold</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c395t-aa5a2ca63fa01300ce463eb9d704dd99a244820ec82ed96a6b5f132d0ef165c93</citedby><cites>FETCH-LOGICAL-c395t-aa5a2ca63fa01300ce463eb9d704dd99a244820ec82ed96a6b5f132d0ef165c93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1191/135248506ms1253oa$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1191/135248506ms1253oa$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>315,781,785,21824,27929,27930,43626,43627</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17688895$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16629425$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Demirkiran, M.</creatorcontrib><creatorcontrib>Sarica, Y.</creatorcontrib><creatorcontrib>Uguz, S.</creatorcontrib><creatorcontrib>Yerdelen, D.</creatorcontrib><creatorcontrib>Aslan, K.</creatorcontrib><title>Multiple sclerosis patients with and without sexual dysfunction: are there any differences?</title><title>Multiple sclerosis</title><addtitle>Mult Scler</addtitle><description>Objective
Sexual dysfunction (SD) severely affects the quality of life in patients with multiple sclerosis (MS). The aim of this study is to investigate the type and frequency of sexual complaints in MS patients, to analyse their relationship to various clinical and psychosocial variables and to clarify the differences between MS patients with and without SD.
Methods
Thirty-five relapsing-remitting (RR), nine secondary progressive and seven primary progressive MS patients were included in this study. A structured face-to-face interview regarding sexual function and other physical problems which may interfere with sexual functioning was administered to each patient. They also filled out Multiple Sclerosis Intimacy and Sexuality Questionnaire-19 (MSISQ-19), which includes items for primary (direct physical), secondary (indirect physical) and tertiary (psychosocial) causes of SD. Disability, cognitive functions and psychological functioning were also evaluated.
Results
Forty-one patients (80.4%) reported primary SD; decreased libido was the most frequent complaint (80.5%). These patients were older and more disabled, however 39% had low disability scores. SD was a common problem for both men and women. Patients with RRMS were affected less in all items of primary SD. Several items of secondary SD-problems with memory and concentration, bladder symptoms, bowel symptoms-showed correlation with different items of primary SD; these were altered genital sensation, decreased libido, increased time for arousal, decreased lubrication/difficulties with erection. Total MSISQ-19 scores were correlated with disease duration, age, disability, disease course, Beck depression scale, temporary and long-standing anxiety and low level of education.
Conclusion
SD is an underestimated, common symptom of MS. It may occur in MS even in the absence of severe disability. Physicians’ awareness of this problem may help to bring about appropriate treatments and management, and improve the quality of life for these patients.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</subject><subject>Disabled Persons</subject><subject>Erectile Dysfunction - physiopathology</subject><subject>Female</subject><subject>Humans</subject><subject>Immunomodulators</subject><subject>Libido</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Multiple Sclerosis - complications</subject><subject>Multiple Sclerosis - physiopathology</subject><subject>Multiple Sclerosis - psychology</subject><subject>Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis</subject><subject>Multiple Sclerosis, Chronic Progressive - physiopathology</subject><subject>Multiple Sclerosis, Relapsing-Remitting - physiopathology</subject><subject>Neurology</subject><subject>Pharmacology. Drug treatments</subject><subject>Sex Characteristics</subject><subject>Sexual Dysfunction, Physiological - physiopathology</subject><issn>1352-4585</issn><issn>1477-0970</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kE1rFEEQhhsxmA_9AV6kEfQ2SX9PtxeRYFRI8KInD0Ntd7XpMNuzTveg--_TyS4sKF6qXqin6i1eQl5yds654xdcaqGsZmZduNBygifkhKu-75jr2dOm27xT2upjclrKHWOs76V-Ro65McIpoU_Ij5tlrGkzIi1-xHkqqdAN1IS5Fvo71VsKOTyKaam04J8FRhq2JS7Z1zTldxRmpPUWW4W8pSHF2HT2WN4_J0cRxoIv9v2MfL_6-O3yc3f99dOXyw_XnZdO1w5Ag_BgZATGJWMelZG4cqFnKgTnQChlBUNvBQZnwKx05FIEhpEb7Z08I293dzfz9GvBUod1Kh7HETJOSxlMb61hRjTw9V_g3bTMuf02CG6bh3qE-A7yLY0yYxw2c1rDvB04Gx5iH_6Jve282h9eVmsMh419zg14swegeBjjDNmncuB6Y611D9z5jivwEw_f_d_5Hi1Pmik</recordid><startdate>20060401</startdate><enddate>20060401</enddate><creator>Demirkiran, M.</creator><creator>Sarica, Y.</creator><creator>Uguz, S.</creator><creator>Yerdelen, D.</creator><creator>Aslan, K.</creator><general>SAGE Publications</general><general>Arnold</general><general>Sage Publications Ltd</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9-</scope><scope>K9.</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20060401</creationdate><title>Multiple sclerosis patients with and without sexual dysfunction: are there any differences?</title><author>Demirkiran, M. ; Sarica, Y. ; Uguz, S. ; Yerdelen, D. ; Aslan, K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c395t-aa5a2ca63fa01300ce463eb9d704dd99a244820ec82ed96a6b5f132d0ef165c93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</topic><topic>Disabled Persons</topic><topic>Erectile Dysfunction - physiopathology</topic><topic>Female</topic><topic>Humans</topic><topic>Immunomodulators</topic><topic>Libido</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Multiple Sclerosis - complications</topic><topic>Multiple Sclerosis - physiopathology</topic><topic>Multiple Sclerosis - psychology</topic><topic>Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis</topic><topic>Multiple Sclerosis, Chronic Progressive - physiopathology</topic><topic>Multiple Sclerosis, Relapsing-Remitting - physiopathology</topic><topic>Neurology</topic><topic>Pharmacology. Drug treatments</topic><topic>Sex Characteristics</topic><topic>Sexual Dysfunction, Physiological - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Demirkiran, M.</creatorcontrib><creatorcontrib>Sarica, Y.</creatorcontrib><creatorcontrib>Uguz, S.</creatorcontrib><creatorcontrib>Yerdelen, D.</creatorcontrib><creatorcontrib>Aslan, K.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Multiple sclerosis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Demirkiran, M.</au><au>Sarica, Y.</au><au>Uguz, S.</au><au>Yerdelen, D.</au><au>Aslan, K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Multiple sclerosis patients with and without sexual dysfunction: are there any differences?</atitle><jtitle>Multiple sclerosis</jtitle><addtitle>Mult Scler</addtitle><date>2006-04-01</date><risdate>2006</risdate><volume>12</volume><issue>2</issue><spage>209</spage><epage>211</epage><pages>209-211</pages><issn>1352-4585</issn><eissn>1477-0970</eissn><coden>MUSCFZ</coden><abstract>Objective
Sexual dysfunction (SD) severely affects the quality of life in patients with multiple sclerosis (MS). The aim of this study is to investigate the type and frequency of sexual complaints in MS patients, to analyse their relationship to various clinical and psychosocial variables and to clarify the differences between MS patients with and without SD.
Methods
Thirty-five relapsing-remitting (RR), nine secondary progressive and seven primary progressive MS patients were included in this study. A structured face-to-face interview regarding sexual function and other physical problems which may interfere with sexual functioning was administered to each patient. They also filled out Multiple Sclerosis Intimacy and Sexuality Questionnaire-19 (MSISQ-19), which includes items for primary (direct physical), secondary (indirect physical) and tertiary (psychosocial) causes of SD. Disability, cognitive functions and psychological functioning were also evaluated.
Results
Forty-one patients (80.4%) reported primary SD; decreased libido was the most frequent complaint (80.5%). These patients were older and more disabled, however 39% had low disability scores. SD was a common problem for both men and women. Patients with RRMS were affected less in all items of primary SD. Several items of secondary SD-problems with memory and concentration, bladder symptoms, bowel symptoms-showed correlation with different items of primary SD; these were altered genital sensation, decreased libido, increased time for arousal, decreased lubrication/difficulties with erection. Total MSISQ-19 scores were correlated with disease duration, age, disability, disease course, Beck depression scale, temporary and long-standing anxiety and low level of education.
Conclusion
SD is an underestimated, common symptom of MS. It may occur in MS even in the absence of severe disability. Physicians’ awareness of this problem may help to bring about appropriate treatments and management, and improve the quality of life for these patients.</abstract><cop>Thousand Oaks, CA</cop><pub>SAGE Publications</pub><pmid>16629425</pmid><doi>10.1191/135248506ms1253oa</doi><tpages>3</tpages></addata></record> |
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| subjects | Adult Biological and medical sciences Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases Disabled Persons Erectile Dysfunction - physiopathology Female Humans Immunomodulators Libido Male Medical sciences Middle Aged Multiple Sclerosis - complications Multiple Sclerosis - physiopathology Multiple Sclerosis - psychology Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis Multiple Sclerosis, Chronic Progressive - physiopathology Multiple Sclerosis, Relapsing-Remitting - physiopathology Neurology Pharmacology. Drug treatments Sex Characteristics Sexual Dysfunction, Physiological - physiopathology |
| title | Multiple sclerosis patients with and without sexual dysfunction: are there any differences? |
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