Question: Are there any “do and don’t” tips?

Answer: Absolutely! There are “do” tips tailored to help individuals with multiple sclerosis (MS) overcome challenges and build intimacy and a satisfying sexual connection:

“Do” Tips:

1. Open Communication – It’s important to share feelings about sexuality with your partner, including sexual desire and what feels good or less comfortable. Developing a dialogue can reduce stress around things you may not be able to or enjoy doing, thereby decreasing tension and fostering closeness and comfort in bed.
2. Using Aids – Consider using pillows for support or lubricants to ease discomfort in cases of dryness. There are also sex blankets designed to absorb fluids. It’s worth mentioning that there are vibrators for men and women that provide stronger sensations during sexual stimulation.
3. Choosing the Right Time – Pick a suitable time for intimacy when you have more energy, such as mornings or early evenings, to make the most of the experience.
4. Consulting Experts – Seek advice from a doctor or sexologist specializing in MS, who can help tailor solutions and provide strategies for addressing sexual challenges.

“Don’t” Tips:

1. Don’t Ignore Difficulties – Sexual problems related to MS can distance you from intimacy and your partner. It’s important to share with your partner, maintain closeness, and find ways to keep pleasurable touch alive.
2. Don’t Compare Yourself to Others – Everyone experiences MS differently, so what works for someone else may not suit you. Focus on what feels right for you.
3. Don’t Pressure Yourself – Sexuality is a sensitive area. Avoid putting pressure on yourself or feeling obligated. Take things at a pace that feels comfortable and focus on activities that bring you joy.
4. Don’t Give Up on Your Sexuality – You can create a sexuality that suits your personal needs, even if it doesn’t align with traditional models of penetrative sex or orgasm. Good sex can be about enjoying touch and closeness without requiring specific acts or outcomes.

Question: Are there proven data on the impact of MS on delayed male ejaculation?

Answer: To answer this question, I consulted Dr. Eric Schechter, Chair of the Israeli Society for Sexual Dysfunction and Director of the Relationship Clinic at Rambam Medical Center. Dr. Schechter explains that delayed ejaculation among MS patients can result from specific factors:

• Delayed Ejaculation or Inability to Ejaculate: This can occur due to disruptions in neural communication.
• Reduced Sensitivity: A decrease in skin sensation in the genital area or elsewhere can make it harder to enjoy intimate touch. Additionally, reduced libido or erectile dysfunction may affect ejaculation and orgasm sensations.

Possible Solutions: Increased stimulation, including the use of a vibrator before or during penetration, can help achieve ejaculation.

Question: I’ve lost the ability to reach orgasm for a long time. Is there anything I can do?

Answer: Since MS is a neurological disease affecting the nervous system, it can also disrupt sexual function, and losing the ability to reach orgasm is a phenomenon experienced by some MS patients. This can be challenging, but there are ways to address or improve the situation. It’s important to explore what works for you:

1. Consult a Specialist: Seek advice from an expert in MS and sexuality. Specialists may suggest treatments or techniques to enhance the sexual experience.
2. Explore New Methods of Stimulation: Experiment with different types of stimulation to enhance the experience. For example, using vibrators designed for clitoral stimulation (suction action) or vibrators designed for vaginal penetration and clitoral stimulation can heighten sensations.
3. Share with Your Partner: If you have a partner, it’s essential to share your feelings and challenges. Together, you can explore ways to experience closeness and pleasure through touch, even without orgasm.