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Home›Religious movements›Parkinson’s disease, sex and intimacy: link and advice

Parkinson’s disease, sex and intimacy: link and advice

By Pamela Carlson
February 28, 2022
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Challenges related to sex and intimacy can arise when someone has Parkinson’s disease (PD). These problems may be due to changes in sexual desire or problems with sexual function. It can affect a person’s sex life or cause intimacy difficulties.

Some people with PD may have sexual problems, especially in the later stages of the disease. A person with PD may be able to improve their sex life with certain treatments and strategies.

This article will look at the impact of PD on sex and intimacy, as well as how to maintain a healthy sex life.

Certain factors can cause a person to develop sexual problems when they have PD.

These factors include:

  • Depression: The American Parkinson Disease Association states that up to 40% of people with Parkinson’s disease also suffer from depression. Depression can occur as a result of living with PD or due to changes in brain chemistry. This can reduce a person’s sexual function and lead to low libido. Research from 2018 found that 62.5% of men with depression in the study had some form of sexual dysfunction.
  • Certain medications: Some drugs that treat PD can affect a person’s libido, sex drive, and feelings. If a person notices changes in their sexual habits after taking certain medications, they should talk to a doctor.
  • Tired: PD can make a person tired or fatigued. If a person regularly lacks energy, they may not want to engage in physical intimacy.
  • Mobility issues: The tremor, stiffness, and slowness of movement characteristic of PD can affect a person’s ability to have intercourse.
  • Anxiety: Anxiety can decrease a person’s libido and ability to sustain an erection or orgasm.
  • Sleep problems: Sleep problems, such as restless leg syndrome (RLS), can cause you to feel tired. EPIRB is frequent among people with PD.

PD can cause a person’s dopamine levels to drop. This happens when the dopamine-producing nerve cells in the part of the basal ganglia called the substantia nigra die.

Dopamine is a chemical messenger that helps regulate coordinated movements. It is also involved in all types of positive sensations and pleasure, such as sexual pleasure. Dysregulated dopaminergic activity can lead to behavioral changes, including loss of interest in previously enjoyable activities.

The American Parkinson Disease Association notes that if a person has low levels of dopamine, they may have a reduced libido or interest in sex.

Mobility issues that occur due to PD can interfere with comfort during sex. If a person finds intercourse uncomfortable or painful, they may not want to have it.

On the other hand, less than 1% of people with Parkinson’s disease will experience hypersexuality. Hypersexuality is when a person has a compulsive libido. hypersexuality can cause:

  • increased interest in sex
  • increased arousal
  • preoccupation with sexual thoughts
  • frequent sexual desire
  • use of sexual lines, pornography or sex workers

Hypersexuality in PD could be due to a side effect of an PD drug called levodopa. If a person develops hypersexuality as a result of their treatment for Parkinson’s disease, they should talk to a doctor.

PD develops when nerve cells in the basal ganglia of the brain become impaired or die. The basal ganglia are a group of structures that help control movement.

Mobility issues that arise due to PD can also cause intimacy issues. Mobility issues include:

  • slowed movements
  • tremors
  • stiffness
  • pain
  • tired

PD can affect a person’s autonomic nervous system (ANS). The ANS controls involuntary processes in the body, such as heart rate and digestion. The ANS is also responsible for sexual arousal.

Research from 2021 found that problems with the ANS can cause erectile dysfunction and dry ejaculation.

Here are the sexual problems that can affect men with Parkinson’s disease:

Dyserection

According to the Michael J. Fox Foundation, erectile dysfunction is the most common sexual problem for a man with PD. Men may find that they are unable to get or keep an erection.

Erectile dysfunction due to PD can be the result of the disease itself, the medications used to treat it, or depression.

Lack of climax

PD can reduce sensation and function during sex, which means it can be difficult to achieve orgasm. This can lead to frustration or dissatisfaction.

Parkinson’s UK notes that women with Parkinson’s disease are most likely to experience:

Vaginal dryness and pain

PD can cause vaginal dryness in some women. This means that the vagina may not be properly lubricated during sex.

Vaginal dryness can lead to friction during sex, which can be uncomfortable or painful. Bladder infections are also common in women who suffer from vaginal dryness.

Lack of arousal or orgasm

Women with PD may also experience difficulty achieving orgasm. This can be due to arousal issues or pain and discomfort.

There are many ways a person can improve their sex life if they have Parkinson’s disease, for example:

Be open and honest with each other

Communication between partners is important if a person finds sex or intimacy difficult. A person should let their partner know how they are feeling and how PD is affecting their sex life.

If a person finds they are having trouble communicating with their partner, they may want to talk to a therapist. The therapist can help the couple open up to each other and facilitate change.

Talking with a doctor about medications

If a person suspects that their medications for Parkinson’s disease are affecting their sex life, they should talk to a doctor. A doctor may be able to replace a person’s medication with something more appropriate.

Additionally, a doctor may be able to prescribe medications that might help a person’s sexual function. This may include antidepressants or erectile dysfunction drugs, such as sildenafil (Viagra).

Methods to try during sexual activity

Sexual experimentation can help a person with PD determine what works best for them and their partner. Experimentation may involve:

  • using lubricants during penetration
  • try different forms of simulation
  • use sex toys
  • try new positions
  • applying oils to the skin to reduce friction from tremors
  • put satin sheets on the bed to reduce chafing
  • trying new things, like role-playing or dressing up
  • try positions that reduce tension and discomfort

PD can affect a person’s ANS, mood, and dopamine levels. This can cause a person to develop sexual or intimacy issues.

Certain factors, such as mobility issues, fatigue, or medications, can also reduce a person’s desire for sex.

PD can cause a person to develop erectile dysfunction, vaginal dryness, or lack of orgasm. These problems can have an impact on a person’s sex life.

Open and honest communication is important when it comes to sexual issues. If a person is having trouble discussing their sexual problems with their partner, they should talk to a doctor or a sex therapist.

There are many ways for someone with PD to improve their sex life. If a person is concerned about their sexual problems, they should talk to a medical professional.

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