Neurology Main > Neuroimmunology & Multiple Sclerosis
ln

FAQ
Glossary
Research
- Clinical Trials
Treatment
- Cyclophosphamide (Cytoxan)
- First Line Disease Modifying Therapies
- Intravenous Immunoglobulin (IVIG)
- Methotrexate
- Mitoxantrone (Novantrone)
- Natalizumab (Tysabri)
- Rituximab (Rituxan)
- Solu-Medrol

Appointments and Referrals

Faculty
- Jaime Imitola, MD
- D. Joanne Lynn, MD
- Colleen O'Connell, CNP
- Michael Racke, MD
Infusion Nurses
- Cynthia Hunter, RN
- Nancy, Ficco, RN
Research Staff
- Misty Regula
- Stephanie Scarberry, RN

Contact us at 614.293.4969

Sexuality
ln

Why is sexuality affected in Multiple Sclerosis?
MS affects sexuality because sexual arousal starts in the brain and is transmitted to the nerves in the spinal cord. Many factors can cause difficulty with sexual function including decrease in nerve conduction, decrease in blood supply, fatigue, spasticity, medications and psychological factors.

How is sexuality affected in Multiple Sclerosis?
Symptoms differ between the sexes.

Women may have symptoms including, reduced or increased (painful) sensation to the vaginal or clitoral area; vaginal dryness; difficulty reaching orgasm; loss of sexual desire due to fatigue, weakness, medication, spasticity, bowel and bladder issues.

Men may experience difficulty achieving or maintaining erection; decreased sensation in the penis; difficulty achieving orgasm or ejaculation; loss of sexual desire due to fatigue, weakness, medication, spasticity, bowel and bladder issues.

How are sexual issues treated in MS?

For Women:
• A vibrator and/ or oral stimulation may help to increase sensation to the clitoris.
• Water soluble lubricants such as Replens, KY jelly are suggested for vaginal dryness.
• DO NOT USE VASOLINE OR PETROLEUM JELLY to decrease vaginal dryness due increased risk of infection.
• Medications can be used to decrease unpleasant or painful vaginal sensation and spasticity. Stretching may also decrease spasticity.
• Self catheterization and a bowel program can decrease bladder/bowel issues during intercourse.
• Psychological factors can be very complex and need to be addressed on an individual basis.

For Men:
• Difficulty with achieving or maintaining erection can be aid by the use of oral medications, such as Viagra®, Levitra® and Cialis. Difficulties with blood supply to the penis can be overcome with use of injectable drugs like papaverine, phentolamine. Occasionally, implants and assistance from vacuum devices are required for erection. Learn more about
Treatments For Erectile Dysfunction (ED) and Injection Of Medicine
• Use of a vibrator or oral stimulation to the penis/scrotal area may increase sensation and ability to achieve erection/orgasm.
• Medications and stretching may be useful for those who experience spasticity.
• Self catheterization and a bowel program can decrease bladder/bowel issues during intercourse.
• Psychological factors can be very complex and need to be addressed on an individual basis.