Which of the following factors can contribute to secondary sexual dysfunction in individuals with MS?

Secondary sexual dysfunction in individuals with multiple sclerosis (MS) is complex and can arise from various interconnected factors. The correct choice, which highlights fatigue and medication side effects, is significant because both aspects have well-documented effects on sexual function in people living with MS.

Fatigue is a common symptom experienced by many individuals with MS, affecting energy levels, motivation, and overall physical health. It can lead to reduced sexual desire and diminished capacity for sexual activity. The mental and physical exhaustion associated with MS can make sexual intimacy feel overwhelming, further complicating sexual health and relationships.

Additionally, the medications commonly prescribed to manage MS symptoms can also contribute to sexual dysfunction. For instance, certain treatments might lead to hormonal changes, decrease libido, or cause erectile dysfunction in men and reduced arousal in women. Understanding the impact of these side effects is crucial for providing comprehensive care and addressing sexual health concerns.

Other factors, such as CNS lesions affecting neural pathways involved in sexual function (often considered in other choices), can also play a role, but the immediate impact of fatigue and medication side effects can be more pronounced and directly affect daily life. Psychosocial issues, including stress and anxiety surrounding the condition, and environmental factors, such as accessibility to intimate spaces, also contribute to