Özet:

Purpose: Multiple sclerosis (MS) is a disease that usually begins in young adults, self-immune, inflammatory, so called. In MS patients, organic disorders are also shown to be accompanied by many mental and social problems. This study aims to identify the frequency of possible disorder of sexual function without a known psychiatric problem or progressive disability in patients with MS, which is often seen in young adults and a chronic disease. Method: The study included 56 patients who were diagnosed with precise MS according to the Mc Donald criteria, in the "relapsing remitting" clinical form. The Arizona Sexual Experience Measurement (ACYÖ) was applied to identify possible disorders for all patients. The average age of patients was 35.07 ± 8.72 years (min= 21, max= 46) 34 of the patients (60%). 7) women, 22 (39 per cent). 3) The man. The average extended disability status scale (EDSS) of the female sex was 2.29±1.45, the average EDSS of the male sex was 2.45±1.68. The average duration of the disease was 6.14 ± 3.14 years. The average ACY in the female sex was 16.26 ± 5.12, the average ACY in the male sex was 15.5 ± 4.67. 31 of the female patients (91.2 percent), 19 of the male patients (86.4 percent) had a disorder of sexual function. There was no statistically meaningful relationship between ADHD and the duration of the disease (p>0.05). The result: In our patients, although there is no disease-related disability, a psychiatric problem or a history of drug use to the extent that can affect sexual function, it has been found that most of them have a disorder of sexual function. Although there is no known risk factor that can cause sexual function disorder, the possibility of sexual function disorder can be explained by the effect of the disease on the nerve information and central nervous system. Sexual dysfunction in multiple sclerosis patients Objective: Multiple sclerosis (MS) is an autoimmune, inflammatory, demyelinisan disease which onsets at young adult ages. In MS patients, a lot of psychological and social problems are observed along with the organic problems. The aim of this work is to detect the frequency of the sexual function disorder developed in the MS patients without any known psychiatric problem and/or advanced disability. Methods: 56 patients, who were diagnosed as MS "relapsing remitting clinical form" according to the Mc Donald criteria, participated in this study. Sexual functions of the patients were measured by the "Arizona Sexual" Experience Scale (ASEX). Results: The Mean SD age of the 56 subjects (34 women, 22 men) was 35.07 ± 8.72 years (min= 21, max= 46). The average Expanded Disability Status Scala (EDSS) score of the women was 2.29 ± 1.45, while the EDSS score for the men was 2.45 ± 1.68. The average disease duration was 6.14 ± 3.14 years. The average ASEX score for the women was 16.26 ± 5.12. The average ASEX score for the men was 15. 5 ± 4.67. 31 (91.2%) of the women and 19 (86.4%) of the men had ASEX scores above 11. There was no statistical relationship observed between the ASEX score, the disease duration and EDSS score. The average EDSS score of the subjects was 2.35 ± 1.53 and the patients have no sexual disabilities that affect /sexual/ functioning. Conclusion: Additionally, the patients have no psychiatric problems or the story of drug use that can be related to a sexual function disorder. Despite the absence of any known risk factors that can result in a sexual function disorder, the developed sexual function disorder can be explained by the influences of the disease on the central neural system and the neural information.