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First, primary sexual dysfunction, which happens because of multiple-sclerosis-related neurological changes, directly affects sexual feelings or sexual response. The primary symptoms include decreased libido, altered genital sensation, decreased vaginal lubrication, and decreased frequency or intensity of orgasm.

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Sexual arousal begins in the central nervous system, as the brain sends messages to the sexual organs along nerves running through the spinal cord. If MS damages these nerve pathways, sexual response — including arousal and orgasm — can be directly affected.

Apr 24, - Intimacy problems can arise when living with multiple sclerosis. Decreased sex drive; Altered genital sensations (numbness, pain, increased vaginal muscle tone; Ejaculation difficulty; Problems having an orgasm.

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