Sexual dysfunction in multiple sclerosis: Gender differences

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dc.authoridCelik Ornek, Dilaram Billur/0000-0002-0950-4999
dc.authoridPoyraz, Esra/0000-0003-0010-6545
dc.contributor.authorCelik, Dilaram Billur
dc.contributor.authorPoyraz, Esra Coskuner
dc.contributor.authorBingol, Ayhan
dc.contributor.authorIdiman, Egemen
dc.contributor.authorOzakbas, Serkan
dc.contributor.authorKaya, Derya
dc.date.accessioned2024-09-18T20:56:57Z
dc.date.available2024-09-18T20:56:57Z
dc.date.issued2013
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractPurpose: To assess the frequency and nature of sexual dysfunction in multiple sclerosis (MS) patients and to investigate the relationships of SD with clinical, demographic and psychosocial factors by comparing MS patients with and without SD. Methods: Eighty-nine patients were included, 45 males and 44 females, aging an average of 37.4 +/- 8.6 years (range:21-56). We applied Multiple Sclerosis Intimacy and Sexuality Questionnaire-19 (MSISQ-19) and Arizona Sexual Experiences Scale (ASEX) to all patients. Disability was evaluated with the expanded disability status scale (EDSS). Results: 60.7% (n = 54) of patients reported SD according to MSISQ scores. Women exhibited significantly higher MSISQ scores than men (42.6 +/- 12.9 and 36.6 +/- 13.3, respectively; P = 0.034). Women (7.9%) also reported to experience sexual arousal difficulties significantly more than men (1.1%) (P = 0.024) according to ASEX. The patients were classified into three MSISQ-19 subscales, Primary, Secondary and Tertiary SD. The most common reported dimension of SD was secondary (32.5%, n = 41). In this dimension of SD, patients mostly complained of pain-burning, memory-concentration problems and bowel symptoms. A significant relationship was found between Secondary SD and both EDSS score and disease duration (r = 0.34 p = 0.001 and r = 0.21 p = 0.042, respectively). Tertiary SD was also associated with EDSS score (r = 0.23 p = 0.03). Conclusion: Sexual Dysfunction, a frequent problem for MS patients, is associated with gender. Women reported more SD than men. Secondary SD symptoms were the most common complaints for both men and women. Nonetheless women had more secondary SD symptoms than men. The emotional dimension of SD is related with disability. (C) 2012 Elsevier B.V. All rights reserved.en_US
dc.identifier.doi10.1016/j.jns.2012.08.019
dc.identifier.endpage20en_US
dc.identifier.issn0022-510X
dc.identifier.issn1878-5883
dc.identifier.issue1-2en_US
dc.identifier.pmid23079605en_US
dc.identifier.scopus2-s2.0-84870885310en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage17en_US
dc.identifier.urihttps://doi.org/10.1016/j.jns.2012.08.019
dc.identifier.urihttps://hdl.handle.net/20.500.12483/12203
dc.identifier.volume324en_US
dc.identifier.wosWOS:000314855500003en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.relation.ispartofJournal of The Neurological Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectSexual dysfunctionen_US
dc.subjectMultiple sclerosisen_US
dc.titleSexual dysfunction in multiple sclerosis: Gender differencesen_US
dc.typeArticleen_US

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