Correlates of Sexual Dysfunction in Men and Women with Multiple Sclerosis

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Learning Objectives

After reading this article, learners will be able to:

  1. Identify 2 disabilities associated with sexual dysfunction in men with MS.
  2. Identify 2 disabilities associated with sexual dysfunction in women with MS.
  3. Describe 3 interventions for MS patients experiencing sexual dysfunction.
1. The purpose of this study was to:

  a. Investigate the type and frequency of sexual problems in men and women with MS.

  b. Investigate factors associated with SD in men and women with MS.

  c. Investigate the relationship between SD and disabilities in men and women with MS.

  d. Investigate sexual and relationship functioning in men and women with MS.

2. Which of the following was not part of the inclusion criteria for this study?
  a. Diagnosis of relapsing-remitting MS.
  b. Coexisting significant medical illness other than MS.
  c. Willingness and ability to complete all evaluations.
  d. Readiness to provide informed consent.
3. Which of the following statements is true about the Americanized version of the Guys Neurological Disability Scale (GNDS)?

  a. Measures pyramidal, cerebellar, brain stem, sensory, bowel, bladder, visual, and cerebral functions.

  b. Provides an easy means to initiate discussion about sensitive issues related to SD.

  c. Explores psychosocial factors related to SD such as self-efficacy and self-esteem.

  d. Assesses sexual satisfaction, communication, roles and relationships.

4. Which of the following statements is true about the findings in this study?

  a. Men report higher levels of SD than women.

  b. Men report having more difficulties satisfying self or partner.
  c. The relationship of SD and MS disabilities are similar for men and women.

  d. The relationship of SD and MS disabilities differ for men and women.
5. A significant positive relationship was found in men with MS between SD and the following:

  a. Age and the number of years with MS.

  b. Cognitive disability and fatigue.

  c. Lower-limb disability and bladder disability.

  d. Upper limb disability and spasm.

6. Strategies to help manage symptoms of fatigue in patients with MS include:

  a. Maintain a cool climate.
  b. Take warm baths.

  c. Avoid exercise.

  d. Increase caffeine intake.

7. The most common sexual dysfunction problems for men with MS involve:

  a. Erection and ejaculation.

  b. Fatigue and insomnia.

  c. Difficulty becoming aroused and lack of sexual interest.

  d. Difficulty masturbating and lack of sensation.

8. The most common sexual dysfunction problems for women involve:

  a. lack of sensation and numbness.
  b. painful intercourse and difficulty becoming aroused.

  c. urge incontinence and lack of sensation.

  d. vaginal lubrication and orgasm.

9. Interventions for men and women with sexual dysfunction and MS may include all of the following except:

  a. symptomatic treatment.
  b. referral of the couple for sexual counseling.

  c. sensory body mapping.
  d. decreasing all physical contact.

10. The strongest correlation for women with MS and sexual dysfunction was between:

  a. Sexual dysfunction and insomnia.

  b. Sexual dysfunction and fatigue.

  c. Sexual dysfunction and MS disabilities.

  d. Sexual dysfunction and the number of years with MS.