Sexual dysfunction and quality of life across age groups in multiple sclerosis patients: a prospective cross-sectional analysis

Abstract Introduction As the most frequent chronic neurological disorder in young adults, Multiple sclerosis (MS) significantly affects neurological function, particularly the autonomic nervous system. While the physical symptoms are visible, MS also causes hidden effects like sexual dysfunction. Re...

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Main Authors: Reza Dehghaniathar, Ali Faegh, Fahimeh Hajiakhoundi, Behnam Shakiba, Zeynab Najjar
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Neurology
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Online Access:https://doi.org/10.1186/s12883-025-04054-2
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author Reza Dehghaniathar
Ali Faegh
Fahimeh Hajiakhoundi
Behnam Shakiba
Zeynab Najjar
author_facet Reza Dehghaniathar
Ali Faegh
Fahimeh Hajiakhoundi
Behnam Shakiba
Zeynab Najjar
author_sort Reza Dehghaniathar
collection DOAJ
description Abstract Introduction As the most frequent chronic neurological disorder in young adults, Multiple sclerosis (MS) significantly affects neurological function, particularly the autonomic nervous system. While the physical symptoms are visible, MS also causes hidden effects like sexual dysfunction. Research indicates that sexual disorders are more prevalent in MS patients compared to other neurological conditions and are approximately five times more common than in the general population. This study utilized the Sexual Intimacy and Desires in MS Patients Questionnaire (MSISQ-19) and the Quality of Life in Patients with Multiple Sclerosis Questionnaire to investigate the impact of sexual disorders on the quality of life in MS patients. Methods This cross-sectional study was conducted on MS patients attending the MS clinic in 2022 and 2023. Eighty patients were randomly selected, and data were collected using the MSISQ-19 and MSQOL-54 questionnaires. The results were analyzed to establish the impact of sexual disorders on quality of life. Results 59 women and 21 men with MS were included. The Physical Health Scale (PHC) had a mean score of 51.6 (SD = 20.2), and the Mental Health Scale (MHC) had a mean score of 57.8 (SD = 20.5). Age appeared to influence physical health scores, with the youngest group (20–30 years) scoring highest and the oldest group (51–65 years) scoring lowest. Discussion and conclusion The present study found that primary, secondary, and tertiary sexual disorders are common in MS patients across all age groups and genders. These findings highlight the need for increased attention, research, and treatment interventions for sexual dysfunction in MS patients.
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spelling doaj-art-b58c5786506f4d559ce929bff09e72ee2025-02-02T12:30:08ZengBMCBMC Neurology1471-23772025-01-012511610.1186/s12883-025-04054-2Sexual dysfunction and quality of life across age groups in multiple sclerosis patients: a prospective cross-sectional analysisReza Dehghaniathar0Ali Faegh1Fahimeh Hajiakhoundi2Behnam Shakiba3Zeynab Najjar4Urology Department, Firoozgar Hospital, School of Medicine, Iran University of Medical SciencesSchool of Medicine, Alborz University of Medical SciencesNeurology Department, Firoozgar Hospital, School of Medicine, Iran University of Medical SciencesUrology Department, Firoozgar Hospital, School of Medicine, Iran University of Medical SciencesSchool of Medicine, Iran University of Medical SciencesAbstract Introduction As the most frequent chronic neurological disorder in young adults, Multiple sclerosis (MS) significantly affects neurological function, particularly the autonomic nervous system. While the physical symptoms are visible, MS also causes hidden effects like sexual dysfunction. Research indicates that sexual disorders are more prevalent in MS patients compared to other neurological conditions and are approximately five times more common than in the general population. This study utilized the Sexual Intimacy and Desires in MS Patients Questionnaire (MSISQ-19) and the Quality of Life in Patients with Multiple Sclerosis Questionnaire to investigate the impact of sexual disorders on the quality of life in MS patients. Methods This cross-sectional study was conducted on MS patients attending the MS clinic in 2022 and 2023. Eighty patients were randomly selected, and data were collected using the MSISQ-19 and MSQOL-54 questionnaires. The results were analyzed to establish the impact of sexual disorders on quality of life. Results 59 women and 21 men with MS were included. The Physical Health Scale (PHC) had a mean score of 51.6 (SD = 20.2), and the Mental Health Scale (MHC) had a mean score of 57.8 (SD = 20.5). Age appeared to influence physical health scores, with the youngest group (20–30 years) scoring highest and the oldest group (51–65 years) scoring lowest. Discussion and conclusion The present study found that primary, secondary, and tertiary sexual disorders are common in MS patients across all age groups and genders. These findings highlight the need for increased attention, research, and treatment interventions for sexual dysfunction in MS patients.https://doi.org/10.1186/s12883-025-04054-2Multiple sclerosisPsychological sexual dysfunctionSexual dysfunctionQuality of lifePsychological well-being
spellingShingle Reza Dehghaniathar
Ali Faegh
Fahimeh Hajiakhoundi
Behnam Shakiba
Zeynab Najjar
Sexual dysfunction and quality of life across age groups in multiple sclerosis patients: a prospective cross-sectional analysis
BMC Neurology
Multiple sclerosis
Psychological sexual dysfunction
Sexual dysfunction
Quality of life
Psychological well-being
title Sexual dysfunction and quality of life across age groups in multiple sclerosis patients: a prospective cross-sectional analysis
title_full Sexual dysfunction and quality of life across age groups in multiple sclerosis patients: a prospective cross-sectional analysis
title_fullStr Sexual dysfunction and quality of life across age groups in multiple sclerosis patients: a prospective cross-sectional analysis
title_full_unstemmed Sexual dysfunction and quality of life across age groups in multiple sclerosis patients: a prospective cross-sectional analysis
title_short Sexual dysfunction and quality of life across age groups in multiple sclerosis patients: a prospective cross-sectional analysis
title_sort sexual dysfunction and quality of life across age groups in multiple sclerosis patients a prospective cross sectional analysis
topic Multiple sclerosis
Psychological sexual dysfunction
Sexual dysfunction
Quality of life
Psychological well-being
url https://doi.org/10.1186/s12883-025-04054-2
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