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Sexual problems



Sexual problemsSexual dysfunction is a violation of psychological and physical balance of person or couple in whole.
Sexual problems are often experienced by people with MS, but they are very common in the general population as well. Sexual arousal begins in the central nervous system, as the brain sends messages to the sexual organs along nerves running through the spinal cord. If MS damages these nerve pathways, sexual response—including arousal and orgasm—can be directly affected. Sexual problems also stem from MS symptoms such as fatigue or spasticity, as well as from psychological factors relating to self-esteem and mood changes.
Ignoring these problems can lead to major losses in quality of life. For women, over 20% report lack of sexual desire, 14% have problems with arousal or reaching orgasm, and for 7% sexual intercourse is painful. Men have it slightly better, but over 20% complain of premature ejaculation, 5% report erectile dysfunction (previously called impotence), and 5% just aren't much interested in sex. Yet both individuals and health-care professionals are often slow to bring up the subject.
In most cases, each of these dysfunctions reflects the individual’s anxiety or other negative feelings about the sex act or partner, although emotional conflicts outside the sexual relationship itself can also produce failures of sexual function. Some sexual problems have less to do with organs and chemistry than they have to do with emotions and previous experiences. Sexual dysfunction might be caused by medications such as antidepressants, blood pressure medications, and alcohol or other mood-altering drugs including nicotine. Medical causes include diabetes, heart disease, neurological disorders, pelvic scarring, or menopause. Loss of sexual interest and function might also be due to reduced levels of hormones such as testosterone.
Chronic stress, anxiety, or depression will often diminish a person's sexual interest or sexual response. Sometimes sexual problems develop and worsen simply because one partner doesn't understand the other's needs, and the other person either assumes the partner should know, or the person is too shy to tell the partner. Often sexual problems have nothing to do with sex: especially for a woman, sexual receptiveness and response requires first a relationship of emotional intimacy with her partner.