Sexual problems for men with MS

Sexual difficulties – particularly erectile dysfunction and difficulty reaching orgasm – are common in men with MS. Sexual problems often result from a complex interaction of physical, social, psychological and emotional elements.

You may find it awkward or embarrassing to talk about sex, but there is support available. Although there are drugs for some symptoms, the key element in managing sexual issues is the willingness to discuss problems.

What are sexual problems for men with MS?

Sexual difficulties reported by men include:
decreased or absent sexual desire
erectile dysfunction – problems achieving or maintaining an erection
difficulty reaching orgasm

What causes sexual problems for men with MS?

For many people, sexual problems are caused by a combination of physical, psychological, emotional and social factors. These fall into three broad groups arising:

directly from MS damage to nerve pathways in the brain and spinal cord that process erotic stimuli and control sexual feelings and responses.
indirectly from symptoms of MS, such as bladder symptoms, fatigue, low mood and depression or spasticity, or from prescribed medications.
from the wider consequences of living with MS. This can undermine your sense of self, sexual identity and enjoyment, and your confidence as a sexual partner or potential partner. Emotional reactions can be an issue for both the man with MS and his partner, and relationship difficulties are commonly reported.

Having MS doesn’t stop you from experiencing sexual difficulties unrelated to the condition. Problems with erections and orgasms are relatively common in the general population and can be due to a number of causes unrelated to MS such as alcohol or drug use, other health conditions or age.

How many men with MS have sexual problems?

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