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Review
A practical approach to assessing and managing sexual dysfunction in multiple sclerosis
  1. Vivien Li1,2,
  2. Collette Haslam1,
  3. Mahreen Pakzad1,
  4. Wallace J Brownlee2,
  5. Jalesh N Panicker1
  1. 1 Department of Uro-Neurology, National Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK
  2. 2 Queen Square Multiple Sclerosis Centre, UCL Institute of Neurology, Faculty of Brain Sciences, UCL, London, UK
  1. Correspondence to Dr Vivien Li, National Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London WC1N 3BG, UK; li.vivien{at}nhs.net

Abstract

Sexual dysfunction is common in both men and women with multiple sclerosis but is often under-reported and undertreated. Neurologists report that a major barrier to discussing sexual dysfunction with patients is their lack of knowledge. Here we review the common presentations of sexual dysfunction, discuss its causes in people with multiple sclerosis, and provide a practical approach for neurologists to assess and manage these problems.

  • multiple sclerosis
  • sexual dysfunction
  • erectile dysfunction
  • treatment

https://doi.org/10.1136/practneurol-2019-002321

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    Footnotes

    • Contributors VL drafted the manuscript. CH, MHP, WJB and JNP revised the manuscript for important intellectual content. All authors approved the final version of the manuscript.

    • Funding JNP is supported by the National Institute for Health Research University College London Hospitals Biomedical Research Centre (NIHR BRC UCLH/UCL).

    • Competing interests None declared.

    • Patient consent for publication Not required.

    • Provenance and peer review Commissioned. Externally peer reviewed by Ingrid Hoeritzauer, Edinburgh, UK.

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