Health conditions
Multiple Sclerosis and Erectile Dysfunction in Men
MS can affect erections, sensation, ejaculation and libido. Learn why it happens, how fatigue and bladder symptoms play a role, and ways to cope.
In short: Multiple sclerosis and erectile dysfunction are closely linked. MS damages nerve pathways between the brain and spinal cord, which can affect erections, genital sensation and ejaculation. Fatigue, bladder symptoms, low mood and some medicines also play a part.
How MS affects sexual function
Multiple sclerosis (MS) is a condition where the immune system damages the protective coating around nerves. Sexual function depends on nerve signals travelling between the brain, spinal cord and genitals, so MS can affect sex in three ways:
Primary effects (from nerve damage)
- Difficulty getting or keeping an erection
- Reduced or altered genital sensation
- Delayed or absent ejaculation
- Lower desire
Secondary effects (from other MS symptoms)
- Fatigue
- Muscle stiffness, spasms or weakness
- Bladder and bowel symptoms
- Pain or numbness
Emotional effects
- Low mood and anxiety
- Changes in body image and confidence
- Relationship strain
How common is it?
Sexual problems are very common in men with MS – many studies suggest more than half experience some difficulty at some point. You are not alone, and it is worth raising with your MS team.
Medicines
Some medicines used for MS symptoms, depression or bladder problems can affect sexual function. Speak to your prescriber rather than stopping anything yourself. See antidepressants and sexual side effects.
Practical ways to cope
- Plan intimacy for times of higher energy – often earlier in the day.
- Empty your bladder before sex.
- Cool environments may help if heat worsens your symptoms.
- Experiment with positions and touch to work around weakness or numbness.
- Explore other forms of intimacy – see sensate focus exercises.
- Pelvic floor training may help some men – see Kegel exercises for men.
Communication matters
Talking openly with your partner reduces pressure and helps you find what works. Read how to talk to your partner about erectile dysfunction.
Medical options
Your MS team or an appropriately registered medical professional can discuss medical treatments for erection or ejaculation problems and whether they are suitable for you.
How we can help
Our naturopath in Sandton offers private consultations on natural support for energy, stress, confidence and intimacy, always alongside your MS care.
Why men choose our natural approach
Walk in or consult remotely
Walk in at Buccleuch, Sandton, with parking available, or consult by phone or video from anywhere in South Africa.
Natural and non-surgical
Herbal remedies and practical guidance, with no injections or surgery.
Faster appointments
Enquiries answered 24/7, with same-day appointments often available.
Transparent pricing
Consultations are R2,500, with any remedy costs confirmed before you commit.
Private self-check: 5 quick questions
Answer these honestly before you try anything new or book. They help you describe what is happening and get more from your first consultation.
- Do you struggle to get or keep an erection firm enough for sex more than half the time?
- Have you noticed fewer or weaker morning erections?
- Do you have high blood pressure, diabetes, high cholesterol or a heart condition?
- Do you smoke, vape, drink heavily or feel under constant stress?
- Is it affecting your confidence, relationship or desire for intimacy?
A yes to question three, or erection problems with chest pain or breathlessness, means you should also see an appropriately registered medical professional. For lifestyle-related concerns, a naturopath can help with natural support alongside medical care.
What happens at your first consultation
- Walk in or book online, call +27 10 205 9855 or WhatsApp +27 81 823 1313. In Gauteng, walk in at 199 Vanessa Street, Buccleuch, Sandton, where parking is available. Outside Gauteng, choose a confidential phone or video consultation. Enquiries are answered 24/7.
- Talk privately with a naturopath about your symptoms, health history, lifestyle and goals.
- Receive a personalised natural plan, with any remedy costs confirmed upfront.
- Follow up in person or remotely so your progress is reviewed and your plan adjusted.
Your health and safety
Our naturopaths use natural remedies and lifestyle support, and always check your health history and current medicines first. If anything needs medical attention we tell you honestly and refer you to an appropriately registered medical professional. Avoid unregistered “enhancement” products sold online or at markets, as SAHPRA has warned that some contain hidden ingredients.
Seek urgent medical care for chest pain, an erection lasting more than four hours, sudden weakness or other sudden symptoms.
Consultation price
A consultation is R2,500, in person or remote, and your naturopath confirms any further costs before you go ahead. See our mens clinic prices for details.
Frequently asked questions
Can multiple sclerosis cause erectile dysfunction?
Yes. MS can damage the nerve pathways needed for erections, sensation and ejaculation.
How common are sexual problems in men with MS?
Very common. Many studies suggest more than half of men with MS experience sexual difficulties at some point.
Can MS affect ejaculation?
Yes. Some men experience delayed or absent ejaculation because of nerve changes.
Do MS medicines affect sex?
Some medicines for MS symptoms, mood or bladder problems can affect sexual function. Speak to your prescriber.
What can help with MS-related sexual problems?
Planning around fatigue, emptying the bladder, open communication, pelvic floor exercises and medical advice from your MS team.
How much does a consultation cost?
A consultation is R2,500, and any remedy costs are confirmed with you before you go ahead.
Book your consultation today
Walk in at our Sandton practice any time, day or night, or book ahead. Outside Gauteng? Book a remote consultation.
References and further reading
Reviewed by George Mulaudzi, Naturopath. This page is general information and does not replace a personal consultation. If you have chest pain, sudden symptoms or a medical emergency, seek urgent medical care.
