Symptom 6: Sexual Dysfunction
Sexual dysfunction is a disconcerting but unfortunately common symptom experienced by individuals suffering from MSA. This mainly occurs due to the autonomic failure associated with the disorder, impairing the body’s automatic processes that are vital for sexual function.
In men, MSA often manifests through erectile dysfunction, a condition characterized by difficulty achieving or maintaining an erection. This symptom can be highly distressing, as it interferes with their ability to engage in satisfying sexual activity.
Erectile dysfunction also has psychological repercussions. The inability to perform sexually often deals a severe blow to men’s self-esteem and confidence. It can create tension within relationships, lead to anxiety, and in severe cases, spiral into depression.
However, it’s crucial to understand that erectile dysfunction in MSA patients is not due to a loss of sexual desire or libido. The issue lies in the body’s physiological response. In other words, the desire for sexual intimacy is present, but the body fails to respond as it should due to the nerve damage caused by MSA.
Women with MSA aren’t spared from sexual dysfunction either. They may face problems with vaginal lubrication, making sexual intercourse uncomfortable or even painful. Much like their male counterparts, women too may experience psychological distress as a result of this symptom. They may feel inadequate or believe that they’re letting their partners down, leading to feelings of guilt and anxiety. (6)