Losing sexual function due to MS is more common than many people realize — up to 91% of men with MS report changes in their sex lives. It's nothing to feel ashamed about, and there are real options worth exploring.
MS can affect sexual function in a few key ways:
- Primary dysfunction — MS lesions damage the nerve Show Full Answer
Losing sexual function due to MS is more common than many people realize — up to 91% of men with MS report changes in their sex lives. It's nothing to feel ashamed about, and there are real options worth exploring.
MS can affect sexual function in a few key ways:
- Primary dysfunction — MS lesions damage the nerve pathways that control arousal and erection
- Secondary dysfunction — MS symptoms like fatigue, pain, or incontinence make intimacy harder
- Tertiary dysfunction — emotional and relationship factors that get in the way Here are some options that have helped other men:
- Oral medications like Viagra, Cialis, or Levitra can improve responsiveness for many men
- Injectable treatments like Caverject are an option if pills stop working or aren't suitable
- Implants are available for those who can't use other treatments
- Changing positions or using pillows/bolsters can make intimacy more comfortable
- Keeping the room cool can help prevent spasms during or after sex
- Focusing on intimacy without the goal of orgasm can reduce pressure and keep connection alive
One MyMSTeam member shared that Cialis was helpful, especially for confidence. Another found injectable treatments effective after pills stopped working. Talking openly — both with a doctor and a partner — is really important. A neurologist is trained to understand how MS affects the body in every way, including sexually. There's no need to feel embarrassed bringing it up.
If a partner has a higher sex drive, honest conversation about needs and limitations can help both people find a middle ground that works.
September 4
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