Main sexual problems in Parkinson disease patients
Abstract
The incidence of impaired sexual function in adults with Parkinson’s disease (PD) is greater than in the general population. Sexual problems are commonly reported in PD .Gender differences of SD patterns have been demonstrated. In men the predominant SD were found to be erectile dysfunction (ED), difficulties in reaching orgasm, and premature ejaculation (PE), whereas the predominant symptoms for women with PD were low sexual desire and difficulties with arousal and with orgasm. Sexual disorders create problems among couple: the need to fill the role of a caregiver, the burden that becomes heavier as the disease progresses both physically and mentally, the reduced attractiveness of the PD partner due to abnormal movements, sloppy dressing, masked faces, excessive sweating, or salivation. Medications used to treat anxiety, agitation, insomnia, and psychosis are commonly associated with SD.
Downloads
References
Shabsigh R, Anastasiadis AG. Erectile dysfunction. Annu Rev Med. 2003; 54:153–68.
Berman JR, Berman L, Goldstein I. Female sexual dysfunction: incidence, pathophysiology, evaluation, and treatment options. Urology. 1999; 54:385–91.
Martin-Morales A, Sanchez-Cruz JJ, Saenz de Tejada I, et al. Prevalence and independent risk factors for erectile dysfunction in Spain: results of the epidemiologia de la dysfunction erectile masculina study. J Urol. 2001; 166:569–75.
Braun M, Wassmer G, Klotz T, et al. Epidemiology of erectile dysfunction: results of the “Cologne Male Survey”. Int J Impot Res. 2000; 12:305–11.
Chew KK, Earle CM, Stuckey BG, et al. Erectile dysfunction in general medicine practice: prevalence
O’Sullivan JD, Hughes AJ. Apomorphineinduced penile erections in Parkinson’s disease. Mov Disord. 1998; 13:536–9.and clinical correlates. Int J Impot Res. 2000; 12:41–5.
Padma-Nathan H, Giuliano F. Oral drug therapy for erectile dysfunction. Urol Clin North Am. 2001;28: 321–34.
McCarty T, Fromm L, Weiss-Roberts L. et al. In: Copeland L, editor. Textbook of gynecology. Philadelphia: Saunders; 2000. p. 475–85.
Berman JR. Physiology of female sexual function and dysfunction. Int J Impot Res. 2005;17:s44–51.
