Episode Details
Back to Episodes
Reclaiming Intimacy with MS: Practical Help for Sexual Dysfunction (Expert Interview with Dr. Markus Heibel)
Description
Sexuality is still a taboo topic for many people with multiple sclerosis (MS), even though sexual dysfunction is a common symptom of the disease. In this episode, I speak with neurologist Dr. Markus Heibel, medical director of a specialized MS clinic in Germany, about why sexual problems occur in MS—and what can help.
We discuss the difference between primary, secondary, and tertiary sexual dysfunction, how symptoms like spasticity, pain, medication side effects, or psychological stress can affect intimacy, and which treatment options exist. Dr. Heibel also shares practical strategies from clinical practice—from physiotherapy and psychotherapy to communication within relationships and creative solutions that couples have found helpful.
The conversation shows that fulfilling intimacy is still possible with MS—and that talking openly about the topic is often the first and most important step.
👉 Read the full interview and resources on the blog: https://ms-perspektive.com/156-dr-heibel
Topics in this episode-
Why sexual dysfunction in MS is still a taboo topic
-
Primary, secondary, and tertiary sexual dysfunction explained
-
The role of medication, hormones, physiotherapy, and psychotherapy
-
Practical strategies for couples living with MS
-
Why communication and openness are key
-
What people with MS can do themselves to improve intimacy
Sexual health is an important part of overall wellbeing, but many people with multiple sclerosis (MS) still find it difficult to talk about intimacy, desire, and sexual dysfunction. Fortunately, several international MS organizations provide reliable information, practical advice, and educational materials about sexuality, relationships, and intimacy with MS.
The following resources are good starting points if you would like to learn more or look for further support.
Global resources-
MS International Federation (MSIF) – Relationships and intimacy Overview article on intimacy, relationships, and communication when living with MS. https://www.msif.org/living-with-ms/relationships-and-intimacy/
-
MS International Federation (MSIF) – Sexual problems Explains the different types of sexual dysfunction in MS (primary, secondary, tertiary) and common symptoms. https://www.msif.org/about-ms/symptoms-of-ms/sexual-problems/
-
MS International Federation (MSIF) – Sexuality and MS (resource guide) Educational resource covering topi