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Sexual dysfuction among Greek patients with multiple sclerosis

Tzitzika, M1; Konstantinides, CH1

1: National Rehabilitation Center, Athens, Greece

Objectives: Multiple sclerosis can cause changes that affect one’s usual ways of expressing sexuality in a variety of ways. Sexual changes in MS can best be characterized as primary, secondary, or tertiary in nature. Primary sexual dysfunction stems from changes to the nervous system that directly impair the sexual response and/or sexual feelings. Secondary sexual dysfunction refers to MS-related physical changes that indirectly affect the sexual response. Tertiary sexual dysfunction results from psychosocial and cultural issues that can interfere with sexual feelings and sexual response. The present study is the first registration among Greek MS patients regarding sexual dysfunction in both sexes.

Materials and Methods: 607 MS patients (186 men, 421 women) all members of the MS Societies all over Greece participated in the study. They filled out the Greek version of the Multiple Sclerosis Intimacy and Sexuality Questionnaire (MSISQ19) along with demographic data.

Results: Sexual dysfunction is present in both sexes with high rates in all levels of SD but with statistically significant differences between Primary SD and the two other categories. There were no statistically significant differences between the prevalence of SD among sexes.

Conclusion: Sexual dysfunction among Greek MS patients is frequent in both sexes. This emphasizes the necessity for evaluation and treatment of SD from doctors and other healthcare professionals dealing with MS patients and the need for future studies about these issues.


Work supported by industry: no.

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