Szasz G, Paty D, Maurice W L
Ann N Y Acad Sci. 1984;436:443-52. doi: 10.1111/j.1749-6632.1984.tb14817.x.
The nature, incidence, prevalence, etiology and management of sexual problems in MS has not been well defined yet. Sexual dysfunctions in MS seem to be related to a combination of the neurological consequences of MS and the personal, partner and social reactions to this condition. A sexual history is valuable in defining the specific areas of concern, and bringing into focus the patient's and the couple's sexual resources. Physical examination and investigations may assist in clarifying the extent of the sexual impairment and disability, and its relationship to MS. Treatment strategies include: relevant information, education, physical rehabilitation and supportive therapy in combination with medical intervention, and when indicated, surgical treatment or sex therapy. Long-range prognosis with or without treatment is not clear yet.
多发性硬化症（MS）中性功能问题的性质、发病率、患病率、病因及管理尚未得到明确界定。MS中的性功能障碍似乎与MS的神经学后果以及个人、伴侣和社会对这种状况的反应综合作用有关。性史对于确定具体关注领域以及聚焦患者及其伴侣的性资源很有价值。体格检查和调查可能有助于阐明性功能障碍和残疾的程度及其与MS的关系。治疗策略包括：提供相关信息、教育、身体康复和支持性治疗，并结合医学干预，必要时进行手术治疗或性治疗。无论是否接受治疗，远期预后尚不清楚。
