How can people with MS manage sexual problems and intimacy challenges?
Sexual problems are very common with MS — affecting up to 72% of women and 91% of men. Since MS impacts the nervous system, it can interfere with arousal, sensation, lubrication, orgasm, and overall desire. It can also affect erections and ejaculation Show Full Answer
How can people with MS manage sexual problems and intimacy challenges?
Sexual problems are very common with MS — affecting up to 72% of women and 91% of men. Since MS impacts the nervous system, it can interfere with arousal, sensation, lubrication, orgasm, and overall desire. It can also affect erections and ejaculation for men.
There are three ways MS can impact sexual function:
- Primary dysfunction – MS damages the nerve pathways involved in arousal and sexual response
- Secondary dysfunction – MS symptoms like spasticity, fatigue, or bladder issues make intimacy difficult
- Tertiary dysfunction – Feeling unwell or unlike yourself emotionally reduces desire altogether Here are some practical tips that may help:
- Use water-based lubricants to ease dryness or vaginal discomfort (avoid petroleum-based products like Vaseline)
- Try sex toys or vibrators to enhance sensation and arousal
- Keep the room cool — overheating can worsen spasms and fatigue
- Stretch regularly to improve flexibility and reduce spasticity
- Experiment with different positions or use pillows/bolsters for support
- Focus on intimacy without pressure — touching and foreplay can be fulfilling on their own
- Consider Botox injections if spasms in specific areas are a recurring issue
As one MyMSTeam member put it, "Use a lot of stimulation, foreplay, imagination, and patience." Open communication is truly key — both with a partner and a healthcare provider. If libido differences exist between partners, having honest adult conversations about needs and exploring different forms of intimacy can make a big difference.
Don't hesitate to bring this up with a neurologist either. As one MyMSTeam member shared, "Your doctor has probably dealt with sexual questions before. You'll probably feel a whole lot better after discussing the matter."
May 27
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