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<p>This study explored how reproductive-age adults living with multiple sclerosis (MS) experience and interpret sexuality, focusing on physical, emotional, and relational dimensions of sexual life. A qualitative design using conventional content analysis was applied. Between February and March 2025, online video interviews were conducted with 25 purposively selected participants, and transcripts were analysed following Graneheim and Lundman’s five-step approach with MAXQDA 10. Participants reported that MS affected their daily routines through chronic fatigue and decreased social participation, and described primary and secondary sexual dysfunctions such as reduced desire, orgasm difficulties, vaginal dryness, and erectile problems. Many participants reported limited partner understanding, difficulties communicating about sexual issues, and little or no professional counselling. Our analysis suggested that the convergence of neurogenic symptoms, fatigue, partner misunderstanding, and insufficient clinical attention contributes to persistent, unmet sexual-health needs. These findings indicate that sexual concerns remain under-addressed in MS management. Integrating culturally sensitive, multidisciplinary, person-centred sexual counselling into neurological services to better integrate sexual health into routine MS care may improve quality of life by addressing physiological, psychological, and relational aspects simultaneously.</p>

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Sexuality Experiences of People with Multiple Sclerosis in Reproductive Age: A Qualitative Study

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年2月11日

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  • Ezgi Şahin,
  • Saadet Yazici,
  • Melike Mercan

摘要

This study explored how reproductive-age adults living with multiple sclerosis (MS) experience and interpret sexuality, focusing on physical, emotional, and relational dimensions of sexual life. A qualitative design using conventional content analysis was applied. Between February and March 2025, online video interviews were conducted with 25 purposively selected participants, and transcripts were analysed following Graneheim and Lundman’s five-step approach with MAXQDA 10. Participants reported that MS affected their daily routines through chronic fatigue and decreased social participation, and described primary and secondary sexual dysfunctions such as reduced desire, orgasm difficulties, vaginal dryness, and erectile problems. Many participants reported limited partner understanding, difficulties communicating about sexual issues, and little or no professional counselling. Our analysis suggested that the convergence of neurogenic symptoms, fatigue, partner misunderstanding, and insufficient clinical attention contributes to persistent, unmet sexual-health needs. These findings indicate that sexual concerns remain under-addressed in MS management. Integrating culturally sensitive, multidisciplinary, person-centred sexual counselling into neurological services to better integrate sexual health into routine MS care may improve quality of life by addressing physiological, psychological, and relational aspects simultaneously.