Multiple sclerosis and sexual dysfunction

Effective management requires a thorough assessment of all the possible contributing issues. She also suggests that patients write down their concerns and give the list to their doctor. Neurological impairment and disability were rated by Expanded Disability Status Score EDSS assessing pyramidal, cerebellar, brainstem, sensory, bowel and bladder, visual and mental functions. Rehabilitation of intimacy and sexual dysfunction in couples with multiple sclerosis. The HPA axis The HPA axis plays an important role in the control of the disease process in MS. J Neurol Neurosurg Psychiatry.

Onabotulinumtoxin A Botox is approved to treat upper limb spasticity in the flexor muscles of the elbow, wrist, and fingers. Epub Jul A lumbar puncture, or spinal tap, is done to measure levels of immune proteins, which are usually elevated in the cerebrospinal fluid of a person with MS.