1. SEXUAL DYSFUNCTION IN PARKINSON'S DISEASE

2. In people with Parkinson’s disease (PD), sexual dysfunction is a common complaint with many research studies suggesting and having evidence that 70-80% PD patients experience sexual dysfunction. Common sexual problems in male PD patients are erectile dysfunction, diminished libido (sex drive), premature or delayed ejaculation, and incapability to orgasm. Females having PD often might experience decreased libido, lack of sexual arousal, inability to orgasm, and decreased lubrication and/or pain with intercourse. Causes like underlying disease itself, side effects and psychological issues or all of the aforementioned etiological factors present in combination may subsidize to sexual dysfunction in PD. Nevertheless, there are numerous approaches and therapies that can come to the rescue. Any treatment can work if the communication between the healthcare provider and the patients and / or his partner is open

3. The motor symptoms of Parkinson's disease are certain physical barricades to sexual activity. Bradykinesia (slowness) and rigidity (stiffness) can cause simple activities like rolling over in bed a challenge. Try using satin sheets, wearing silky sleepwear for easier mobility or abandon the bed altogether. Tremor or dyskinesia also restrict sex, particularly as these symptoms certainly upsurge with excitement. Non-motor symptoms including fatigue, depression, anxiety or sleep disturbances, could also be factors in sexual dysfunction. Numerous treatments may be available but some antidepressants can cause a side effect of sexual dysfunction. Other options are to plan sexual activity at such a time when your medication classically works best or look for ways to experience sexual pleasure that don't essentially involve intercourse. Sexual Activity and Parkinson's Symptoms

4. Dopamine agonists which are common medications used for the management of PD can exhibit impulse control disorders like hypersexuality (such as sex addiction), pathological gambling and compulsive shopping. Refer your physician if you notice these patterns developing. Altering medication and looking for counseling may alleviate these issues. Investigators are functioning to comprehend how and why impulse control illnesses happen and to test treatments explicitly for them. Parkinson's and Hypersexuality

5. Erectile dysfunction (ED) is the most common in men with PD. Medication side effects, disease progression and non-motor symptoms (e.g., anxiety, apathy, and sleep problems) can individually or in combination diminish sex drive, the ability to achieve or maintain erections, and the potential to reach orgasm. ED and depression can often co-occur as depression is a common non motor symptom of PD. In this case, treating depression may improve ED. The symptoms of depression, their influence on body image and self-reliance, and even certain antidepressants may constrain desire and impact performance. Parkinson's, Sexual Health and Men

6. Give your complete medical history to your physician before starting this medicine. Avoid driving and operating machinery while taking Generic Viagra. The use of Generic Viagra in pregnant women, nursing mothers and men below 18 years of age is not recommended. Take the missed dose as soon as you remember. Skip the dose if it’s already the time to take the next scheduled dose. Do not double the dose in order to compensate for the missed dose. Call the poison control center or your doctor immediately if an over dose is suspected. PRECAUTIONS AND WARNINGS

7. Due to the unique hormonal composition of females, women with PD face exclusive issues. PD affects Estrogen levels and vice versa, however details of this interaction are not yet known. Other sexual problems for women with Parkinson's include lack of sex drive or arousal, inability to orgasm and distress with intercourse, often due to reduced lubrication (mainly for post-menopausal women). Treatment alternatives include adding lubrication, timing sex for periods when Parkinson's symptoms are well controlled, and consulting a therapist. PARKINSON'S, SEXUAL HEALTH AND WOMEN

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