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Sexual Health

Sex and Intimacy in People Living with MS


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Summary & Participants

Nerve damage caused by multiple sclerosis, which can cause muscle weakness, numbness or problems with bladder function, can affect sexual intimacy. Listen as experts provide practical tips to help you enjoy your intimate relationships.

Medically Reviewed On: July 21, 2009

Webcast Transcript


ANNOUNCER: Sex. It's something of a mystery. Partners want to please each other, but how? The puzzle gets even more complicated when someone has a disease like multiple sclerosis.

FRED FOLEY, PhD: Multiple sclerosis can cause a variety of symptoms and interfere in a variety of bodily functions. It's not surprising that about 80 percent of persons with MS describe some kind of sexual problems at some point in the course of their disease.

ANNOUNCER: For instance vaginal dryness might become worse with MS. The solution could be as close as your nearest pharmacy.

DOTTIE PFOHL, RN, MSCN: A water-based lubricant like KY jelly can be used and can also become part of sex play to really provide lots and lots of lubrication.

And I think people always worry about being neat or messing up the bed or whatever. So what we encourage is really padding the bed well, not worrying about it, throw caution to the winds.

ANNOUNCER: MS can sometimes create a lack of sensation in women. Look in the refrigerator for a possible solution.

DOTTIE PFOHL, RN, MSCN: A bag of frozen peas gently applied to a woman's perineum can stimulate sensation. Something that simple can become part of sex play and communication and become something to laugh about rather than something to agonize over.

FRED FOLEY, PhD: Oral sex is sometimes more stimulating, particularly for a woman than just traditional vaginal penetration. And we may advise partners on how to change their sexual approaches or techniques to provide more stimulation or to use vibrators.

ANNOUNCER: For men, reduced sensation might result in erectile dysfunction.

DOTTIE PFOHL, RN, MSCN: There are medications that can treat erectile dysfunction. The Viagra, the little blue pill, has been around a while.

ANNOUNCER: A complaint shared by men and women can be uncomfortably heightened sensation.

FRED FOLEY, PhD: We sometimes advise patients to dampen the sensations either with medicines that can be prescribed by their MS physician or for some, applying a cold pack to the genital area.

ANNOUNCER: If achieving orgasm is difficult, experts advise not focusing on the destination but instead enjoying the trip along the way.

DOTTIE PFOHL, RN, MSCN: It's worth looking at other ways of pleasuring that can be quite enjoyable. So there are ways, creative ways, then, of adjusting our expectations.

ANNOUNCER: Sometimes MS-related symptoms are the ones that can get in the way.

DOTTIE PFOHL, RN, MSCN: If a person is having problems with bladder incontinence, simple techniques, like being sure the bladder is empty before sex, of limiting drinking fluids for an hour or two before a planned activity, of emptying the bladder if the person catheterizes.

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