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EAN 2023 | Approach to neurogenic sexual dysfunction

Jalesh Panicker, MBBS, MD, DM, MRCP, UCL Queen Square Institute of Neurology, London, UK, discusses sexual dysfunction in neurological patients, focusing on how to distinguish between neurogenic and non-neurogenic causes. Common symptoms include erectile dysfunction and reduced lubrication, but subtle indicators like early loss of ejaculation may suggest neurogenic origins. Accompanying neurological symptoms or bladder and bowel issues, indicating involvement of more than one pelvic viscera, can further suggest a neurogenic cause. Taking a detailed history is key as the use of many medications in neurological patients, such as selective serotonin reuptake inhibitors, may contribute to sexual dysfunction. This interview took place at the European Academy of Neurology (EAN) 2023 Congress in Budapest, Hungary.

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