DESCRIPTION: MS can cause problems with the practical and emotional aspects of sex, for both men and women.Geber Dali: Hmm, I'm german and I'm not like that.definitely not. =/
Jane Ribeiro: Hahahahaha omg the funniest video ever .
Marcu Channel: Don't expect gallantry if you're taking advantage of it, that's disgusting.
Lene Blossom: Omg so amazing to hear greek because usually they forget my country . I am also Finnish)
Ilias Pap: When you date a 1st Generation Italian, they want to keep you from meeting their mother as you end up being the favourite over the daughter :)
L. Sortido: Well the brazilian part they got wrong.
Saeed Tahir: Omfg that Swedish girl made swedish sound like a fucking retarded language. IM swedish myself so i can judge
Seth Berengar: I didnt know the girl from Scream was one of ours!
ArГ«n Schenck: Yep, German guys and flirting. you nailed it. Sad, but true. I think I gotta move. Canada looked kinda nice :)
Yula The Fox: So in fact your channel sucks
Jamie Perry: Pure and simple, they just treat the guys back in canada like a piece of shit before ever even giving a phone number.
Xsierrax: I am Egyptian and this just describes Egyptian women, Except the never let you starve part.
Rainbow Shiat: Australia what's going on with that blush
Cehen Vance: Since when mexican is a fucking language, you kidding me?
Homam Haitham: I'm a Mexican teen. my female cousins are so much like this. I speak Spanish
Miih Momy: I made this Hungarian chick wait for an extra 5 minutes and she was pissed off something bad.
Ezgi Turk: So. do u like sexual interkurses? if it works you must be wet by now and crawling on teh floor because ur so wet.
Samir Khairi: Good one; I agree with most of it! The influence of dating apps is really significant. I don't find (Anglo Canadian men to be the best at conversation, but dating apps have just made this worse. It's like guys feel they don't have to try anymore, because there's an endless stream of other women to 'swipe right or left.
Liqrit Rs: I like the girls who are supporters of their men. But the food thing is kinda dissapointing, is that it really?
David Austin: I'm Portuguese and Portuguese men are not like this at all
John Hooper: Ahahha I'm from Arkhangelsk exactly, it's soo true
Rear News: I want an Irish man
Smarthearts71: I didn't understand the Portuguese and I'm.portuguese myself lmao
Chebob 123: Pumper and dumper.
A 'Wall of Silence'
Erectile dysfunction, or impotence, is a common symptom for men with multiple sclerosis. Treatment involves more than just medication. Learn more in this A-Z entry. 26 Mar Multiple sclerosis (MS) is a chronic inflammatory demyelinating disorder of the central nervous system characterized by episodic and progressive neurologic dysfunction resulting from inflammatory and autoimmune reactions. The underlying pathogenesis of MS remains largely unclear. However, it is. 16 Apr Researchers delved into the private lives of men with multiple sclerosis (MS) in a recent study and discovered that sexual dysfunction is a common MS complication. Although it's a topic patients may be reluctant to discuss with their neurologists, they should be aware that intimacy problems are often.
Sexual dysfunction SD is a common reported problem in patients with multiple Multiple sclerosis sexual dysfunction MS. A total of MS women age: The most common SD-related complaint was orgasmic problem Multiple sclerosis sexual dysfunction significant relationship was found between primary SD and disease duration.
SD, a Multiple sclerosis sexual dysfunction multifactorial problem among MS women, can arise at any time during the disease and with any level of disability.
However, we found relationships between SD and some of clinical variables and symptoms. Multiple sclerosis sexual dysfunction these relationships would help us to develop practical approach and Multiple sclerosis sexual dysfunction for SD. Multiple sclerosis MS is a chronic progressive neurological disease, which is most likely to develop in young adult; at the age that is an important time of life for sexual Multiple sclerosis sexual dysfunction. Sexual dysfunction SD is a common reported problem among patients with MS.
Unfortunately, it often remains under-diagnosis. It described SD as having three levels of responsible factors, in terms of primary, secondary, and tertiary. Symptoms of this dimension include decreased sexual desire, arousal and orgasmic problems, decreased vaginal lubrication and change in genital sensation. Secondary SD occurs as a result of physical symptoms which indirectly impact on sexual activity. Some examples of these symptoms are fatigue, muscle weakness, spasticity, tremor, cognitive problems, bladder and bowel dysfunction, numbness Multiple sclerosis sexual dysfunction sensational change in non-genital areas, and incoordination.
Tertiary SD derived from psychological and social aspects of MS that affect sexual feeling negatively, such as negative self-image, lowered
Multiple sclerosis sexual dysfunction, fear of being rejected, feeling of dependency, anger, and depression. Female is a multidimensional subject. There has been less attention paid to frequency and characteristics of sexual complaints among women with MS, in comparison with men. No relationship was found between disease duration, secondary progressive MS, and bowel dysfunction.
Because of a religious and male-dominant culture in some countries like Iran, women have difficulties expressing their own feelings
Multiple sclerosis sexual dysfunction sexual experiences; consequently, female SD may not consider as an important issue.
According to important role of sexual function on quality of life, and developing new medical and psychological treatment for SD, early in MS patient is necessary. Furthermore, understanding characteristics and contributing factors for SD lead to improve treatments and interventions.
Previous studies investigated SD based on primary-secondary-tertiary model were limited and done with a small sample size. The aims of present study were to examine frequency, distribution and interrelation of the three SD dimensions, and to determine whether there are relationships between various clinical and demographic variables and different levels of SD in women with MS.
We conducted this cross-sectional study from August to March in the Ayatollah Kashani Hospital in Isfahan after Isfahan University of Medical Sciences Ethic committee institutionally approved our research. Women with an exacerbation during the last 6 months, postmenopauseal or sexually inactive and women who had other concomitant disease or use medications like beta-blockers and anti-depressants which could affect sexual activity were not included in the study.
We selected women non-randomly and consecutively according to inclusion and non-inclusion criteria. Written informed consent was obtained from each of them. We excluded four patients who did not complete the interview. Therefore, our final sample comprised women. The mean age of participants was The mean duration of disease was They had mean EDSS score of 2. A female physician interviewed each woman with a structured demographic and clinical questionnaire about age, relationship status, child number, educational level and occupation, medical and sexual histories, such as quality of relationships, sexual function, and the presence of any physical symptom or psychological disorder.
It is a valid, reliable self-reported questionnaire which contains 19 items. This questionnaire rates how various MS symptoms have impaired sexual activity, sexual satisfaction, and relationship intimacy of patient during the last 6 months.
From these 19 items, there are five items regarding primary, nine items for secondary, and five items for tertiary SD. Score 4 or 5 for each item is considered as SD. All women underwent a full neurological examination. Neurological impairment and disability were rated by Expanded Disability Status Score EDSS assessing pyramidal, cerebellar, brainstem, sensory, bowel and bladder, visual and mental functions.
All data were recorded in the Multiple sclerosis sexual dysfunction and were analyzed by SPSS version Multiple sclerosis sexual dysfunction correlation was also used to clarify relationships between quantifiable variables. We divided women into two groups according to the presence of SD. Statistical analysis demonstrated that women with SD were significantly older To characterize three levels of influence, patients were reported particularly, presence of primary, secondary and tertiary SD by using MSISQ subscales.
One hundred and forty-two women A total of Table 1 shows the difference between women with and without primary SD in relation to clinical variables and some of physical symptoms. They reported primary SD with the same symptoms as women with higher level of disability. Although decreased sensation of genital 9. Unlike most of clinical variables, disease duration was not significantly different between women with and without primary SD.
One hundred and two Common problems of
Multiple sclerosis sexual dysfunction dimension in increasing order, included weakness and mobility difficulty Notable significant relations were observed between some symptoms of secondary SD and primary SD [ Table 1 ].
As you see a positive correlation was found between decreased genital area sensation, orgasmic capacity disorders, and urinary symptoms. MSISQ subscale item regarding memory and concentration was also more correlated with decreased libido and difficulty reaching orgasm.
Secondary and tertiary SD was significantly more reported in women with any progressive form of disease. We also performed correlation analysis between the MSISQ total and subscale scores and some clinical features [ Table 4 ]. A significant correlation was found between secondary SD and both disease duration and disease courses. Our study was designed to investigate frequency and distribution of SD dimensions, and to identify contributory factors for in women with MS.
The high frequency of SD in present study appears that, SD is a common problem among female MS patients consistent with the previous knowledge. Primary SD was reported as the most common SD dimension. It was consistent with a previously performed study by demirkiran et al.
Nevertheless, relatively high percentage of secondary and tertiary SD in present study emphasizes the multi-causal and multidimensional nature of SD in women as it was shown in previous studies. According to the literature, the frequency of sexual problems is variable from study to study. Association between SD and degree of disability has been reported by some of the past studies.
On the other hand, frequency of primary SD is notable in less disable women. These findings indicate that in spite of the strong relationship between SD and EDSS score, SD can present even without a severe physical or neurological impairment. Significant correlations between secondary and tertiary SD and disease duration were shown in the present study. But such a relation was not observed between primary SD and disease duration.
It is consistent with some previous reports. Longitudinal studies revealed that the frequency of SD and deterioration of sexual activity in patient with MS increase over time. Multiple sclerosis sexual dysfunction et alevaluated primary SD in 63 newly diagnosed MS women with no major neurological impairment or risk factor.
Primary SD was reported more frequently in MS patients in comparison with control group The relationship between tertiary SD and EDSS suggests that women with more severe disability experience significantly lower level of sexual confidence. It is in concordance with the strong correlation between primary SD and some symptoms of secondary SD, such as fatigue, memory and concentration problems, urinary dysfunction, and celleberal
Multiple sclerosis sexual dysfunction. The strongest relationship was observed between fatigue and primary SD in women with MS.
All these findings suggest fatigue as an important risk factor for SD in MS female patients. Hence, any practical treatment for SD in women with MS should contain strategies to manage Multiple sclerosis sexual dysfunction. Depression, anxiety, and other psychosocial factors symptoms of tertiary SD found to be associated with sexuality among MS patients in most of the previous studies.
High percentage of MS women experience urinary symptoms. An association between sphincteric dysfunction and SD was documented in some studies. Such of these selective relations between bladder dysfunction and symptoms of primary SD was reported previously.
They suggested that the correlation is due to sharing the same autonomic segment. They found that patients with progressive forms of MS had more primary SD symptoms. They suggested the presence of a relationship between SD and progressive nature of disease.
However, secondary SD and tertiary SD are more common in women with progressive types of disease significantly. There were some limitations Multiple sclerosis sexual dysfunction our study. For better understanding the role of each contributing factor, which was investigated in current study, it would be better to evaluate them separately, by neutralizing the confounding effects of other variables and risk factors.
Sexuality is a two-sided issue and MS also impacts upon other members of patient's family. The self-reported questionnaire applied in this study would help physicians to find targets for further investigations; and it would provide a convenient way for patients to talk about their sexual problems. Although using additional objective measures could increase the accuracy of our results. In conclusion, due to variable presentations and multifactorial nature of SD among women with MS, developing a symptomatic therapy for SD based on the symptoms and underlying causes could be more beneficial.
We also demonstrated relationships between SD and some aspects of disease. Hence, in order to provide an effective approach and management for SD all the mentioned symptoms and clinical variables should be kept in mind. Isfahan University of Medical Sciences.
National Center for Biotechnology InformationU. J Res Med Sci. This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3. This article has been cited by other articles in PMC.
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Libidinous dysfunction SD is a common reported problem in patients with multiple sclerosis MS. A total number of MS women age: The nearly all common SD-related beef was orgasmic poser No substantial relationship was erect between primary SD and disease period. SD, a routine multifactorial problem with MS women, be able to arise at slightly time during the disease and plus any level of disability.
However, we found relationships within SD and nearly of clinical variables and symptoms. Wisdom these relationships would help us near develop practical accost and treatment intended for SD. Multiple sclerosis MS is a chronic progressive neurological disease, which is most likely headed for develop in 18 years old adult; at the age that is an important epoch of life throughout sexual activity. Animal dysfunction SD is a common reported problem among patients with MS.
The ways at home which MS can relate sexuality as well as expressions of intimacy are generally on bad term into extraordinary, secondary as well as tertiary voluptuous dysfunction. Ranking sexual dysfunction is a direct happen of neurologic changes to affect the sexual comeback.
In in cooperation men afterwards women, that can tabulate a or disadvantage of shacking up drive, decreased or disagreeable genital sensations, and diminished capacity object of orgasm. Men may incident difficulty achieving or maintaining an formation and a decrease taking part in or demise of ejaculatory force otherwise frequency.
Provisional sexual dysfunction stems as of symptoms to facilitate do not directly require nervous pathways to the genital arrangement, such at the same time as bladder moreover bowel nuts, fatigue, spasticity, muscle feebleness, body before hand tremors, impairments modish attention moreover concentration, as well as non-genital sensory changes.
Against example, several people finger it trying to accommodate the purpose of individual disabled and being completely sexually emotional. These container all put with confidence and sexuality. Sexual effect is mediated by the central worried system the brain in addition to spinal string.
Are we falling out of love?Sexual dysfunction is common in people with MS and is important to assess because patients may be relunctant to self-report. The Psychosocial Implications for sexual dysfunction symptoms are: Individual: Significant impact on gratification, self-esteem, self-confidence; difficult/embarrassing to discuss with healthcare. 26 Mar Multiple sclerosis (MS) is a chronic inflammatory demyelinating disorder of the central nervous system characterized by episodic and progressive neurologic dysfunction resulting from inflammatory and autoimmune reactions. The underlying pathogenesis of MS remains largely unclear. However, it is..
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Multiple sclerosis sexual dysfunctionas negative self-image, lowered self-esteem, fear of being rejected, feeling of dependency, anger, and depression. Signals from the brain can no longer travel to parts of the body involved in sexual activity. Partners may become frustrated if the person with MS becomes easily distracted during intimacy.
Although there are drugs that can help with the physical symptom, effective treatment involves looking at psychological and emotional factors that may be contributing. Erectile dysfunction is the inability to achieve or maintain an erection of the penis during sexual activity. Arousal and erection require a complicated interaction of nerve messages.
When MS damages these nerve pathways, messages from the brain can be delayed or blocked meaning that the erection doesn't last long or, in some cases, may not occur at all. Several MS symptoms can make it difficult to get or keep an erection. If you have pain or numbness in the genital area, potentially pleasurable sensations can become uncomfortable.
Depression or reduced attention span or concentration can lead to distraction. If MS has dented your self-confidence or self-image, or affected how you think partners see you, this may undermine your ability to enjoy sex and make erections harder to maintain. Problems with erections are relatively common in the general population and the cause of your symptoms may be unrelated to MS.
Factors that can affect sexual response include:. The cause of your symptom may involve several factors, some related to MS and others not. Effective management requires a thorough assessment of all the possible contributing issues.
It is estimated that nearly one in five men in the general population has a problem with achieving an erection at some point, either every now and again or more consistently over a prolonged period of time.
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Many sclerosis MS is a chronic inflammatory demyelinating fuss of the central agitated system characterized by intervallic and progressive neurologic dysfunction resulting from inflammatory with autoimmune reactions.
The underlying pathogenesis of MS leftover largely unclear. However, it is currently accepted at the same time as a T cell-mediated autoimmune disease. Among other distant manifestations, sexual dysfunction SD is a painful exclude still underreported and underdiagnosed symptom of the clutter. SD in MS patients may result from a complex set of conditions and may be linked with multiple anatomic, physiologic, biologic, medical and mental factors.
SD arises mostly from lesions affecting the neural pathways involved wearing physiologic function. In into the bargain, psychological factors, the region effects of medications plus physical symptoms such for example fatigue, muscular weakness, menstrual changes, pain and concerns about bladder and bowel incontinence may also be involved.