Ms and relationships

 
Ms and relationshipsFamily and friends of those living with MS may not experience the physical changes of Multiple Sclerosis (MS), but they will share many of the same emotions. Anger, fear, and helplessness can also overcome a loved one. There will be friends and family who will withdraw by distancing themselves from someone with MS. And there will be people who will devote themselves tirelessly to their loved one's care. Many people don't know what to say or how to react when they've learned someone close to them is ill. And sometimes support comes from the most unlikely people.

Living with MS requires the whole family's cooperation. It is easier to personify a healthy lifestyle when everyone is in the game. Family and friends may need to take on new responsibilities such as driving, domestic chores, and childcare, particularly throughout the duration of a MS attack. It may also require relaxing household standards and reorganizing schedules. Flexibility is essential.

Sexuality

Psychological and physical changes experienced by people with MS can have a negative impact on sexuality. Painful muscle spasms, weakness, depression, and the lack of energy can dampen desire, performance, and sexual satisfaction. In addition, changes in sensation can cause intercourse to become painful.

The role of MS lesions in sexual problems is not well understood. Myelin can be damaged in nerve pathways controlling the sexual response, and some medications used to treat symptoms of MS can cause sexual impotence. It is unclear whether MS lesions located in areas of the brain controlling sexual desire contribute to sexual problems.

The most common sexual problem in men is erectile dysfunction, the inability to have or maintain an erection. Men can also have problems achieving an orgasm and ejaculating. Women may experience poor lubrication, and may have problems achieving an orgasm.

Fortunately, there are many medications and mechanical devices that can help improve sexual problems. Discuss any sexual issues with your health care professionals, who can make counseling and treatment recommendations. Include your sexual partner in these discussions.




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