According to the MJ Fox Foundation
https://www.michaeljfox.org/mobile/topic.php?se...
Unfortunately, sexual dysfunction is common in Parkinson’s patients, usually due to a combination of factors including the disease process itself, side effects of medications and psychological issues.

The most common sexual problem for men with Parkinson’s disease is achieving and maintaining an erection, followed by impaired sexual arousal, drive and orgasm. Medications can help improve erectile function. Talk to your doctor to see if they are suitable for you.

Less is known about the impact of Parkinson’s disease on women, but many women with Parkinson’s disease experience a decline in sexual desire and a reduced ability to experience orgasm during sex. Sex also can be uncomfortable for women because of a lack of lubrication, particularly for those who have experienced menopause.

For both sexes, some Parkinson’s disease medications, particularly the dopamine agonists, are associated with a high prevalence of sexual dysfunction, particularly hypersexuality. If sexual obsession becomes an issue, a change in meds may be warranted.

Depression itself can be a cause of impotence, and some antidepressants commonly prescribed for Parkinson’s patients are known to inhibit sexual feeling. However, newer antidepressants are improving in this regard. As with any other side effect, you must decide for yourself (in consultation with your physician) what you are able to tolerate in exchange for the benefits of the medication.

There are also some practical barriers to sexual activity. Parkinson’s disease can make it difficult to move and turn in bed. Some possible solutions include using satin sheets, wearing silky pajamas or a nightgown, or abandoning the bed altogether. And remember: It always helps to keep your sense of humor!

Hello sweet Taffy. This has been my personal consensus ....needs to be held, cuddles with warm and loving communication and understanding but for the most part nothing sexually intimate. Intimacy is very important but not necessarily sexual encounter. Some PDers whose spouses are still sexually active in their needs will find themselves having sex just to please their spouse. The only thing that they get out of it is knowing that they have done something for their spouse that fulfills a need for one of you. That is is if one of you is happy then the other is also happy so it works to some degree, 99 out of 100 PDers, in my opinion. do not feel sexy and do not want sex, and generally have no interest in the sex act itself. But hugging, kissing, snuggling,,cuddling , spooning, and some sex play is what I found to be true with this question. Thank you for your question Taffy. Best wishes. Sterling

For me, fecal incontinence is a definite fear/obstacle for me.

I have had YOPD for 10yrs I"m 56yrs old! not sure either of us was willing to let that part of our relationship. go... we deal with leg cramps and temors. and I find myself apologizing for the distractions. the frequency has decreased but I hope we can continue to have an intimate phys relationship for many more yrs. with that said we all are at different stages and challenges, the true intimate heart of your material covenant needs nurturing and the above advice is right on. cluddle. laugh. share looks and secrets together, marriage is in sickness and in health. I am blessed with a good man but I try to be someone he wants to come home to...

@A MyParkinsonsTeam Member and @A MyParkinsonsTeam Member, I have found for the past year especially, I don't really want the sex, but more just to have that warm hug. Now that my intestines are such a mess, the idea of intimacy is the farthest thing from my mind.

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