All You Wanted to Know About MS & Sex (But Were Too Frightened to Ask)

⚠️ Please read with care: This blog shares personal, sometimes painful experiences. My intention is to support and speak honestly—not to harm. I’m not a professional, just someone who understands how hard it can get. If you're struggling, you're not alone—please reach out for help.

Let’s Drop the Embarrassment MS gate crashes your sex life like a drunk uncle at a wedding: uninvited, loud, and weirdly fixated on your nerves. The pamphlets say, “You may experience changes in sexual function.” Translation: “We’re too squeamish to say your bits and brain don’t always sync.” So we’re saying it. Straight. With humour. With dignity. And without the faux-clinical tap dance.

What MS Actually Does to Sex (Short Version) Wiring issues: numbness or oversensitivity, delayed orgasm, erectile changes, lubrication changes.

Body issues: fatigue, spasticity, pain, temperature sensitivity, bladder/bowel drama.

Brain issues: mood dips, anxiety, body-image wobble, brain fog murdering arousal mid-flow.

Relationship issues: feeling like a “patient,” awkward silence, mismatched desire.

None of this means “no sex.” It means different sex—sometimes better, because you stop faking and start designing.

The Detail (No Euphemisms) Sensation Chaos Numbness: direct touch may feel “off.” Work around the map: thighs, perineum, nipples, scalp, back, lips, ears. Pressure > light tickles.

Hypersensitivity: use fabric barriers (silk, cotton), hands over lube first, firm pressure instead of fluttery.

Orgasm & Arousal Takes longer / fizzles: slow build, rhythmic stimulation, patterned breath, edging.

After-tingle = hellfire: cool packs, fan, slow landing, avoid overheating (MS hates heat).

Mobility & Spasticity Warm up (literal warm compresses or shower).

Stretches you’d do before physio—hamstrings, hip flexors, adductors.

Positioning = everything (see cheat sheet below).

Bladder/Bowel Anxiety Pre-emptive loo runs, avoid trigger drinks/foods beforehand, keep towels handy, agree a “no shame” pact.

If urgency’s a beast: short sessions, build trust, try non-penetrative nights.

Meds & Mood (Plain English) Some meds blunt desire or erection, dry things out, or mess with timing.

Depression/anxiety = arousal killers. Treat them like medical problems, not moral failures.

If a drug wrecks sex, ask the prescriber about alternatives or timing tweaks.

Make It Work (Toolkit) Plan the window: your least-fatigued time. Morning sex is criminally underrated.

Lower effort, higher payoff: toys, pillows, wedges, chairs, harnesses.

Temperature control: fan on, room cool, breathable sheets.

Lube like you mean it: water- or silicone-based—reapply without guilt.

Communication: use explicit consent language (“Green/Yellow/Red” check-ins) so you can pivot without killing the mood.

Expand the definition: oral, hands, toys, mutual masturbation, sensual massage, kink-lite with safe words. Penetration is optional, intimacy isn’t.

Positions That Work (MS-Friendly, Wheelchair-Friendly)

1) Royal Spoon (Side-Lying)

Why: minimal effort, easy hip/leg support, great if heat/fatigue spike.

How: pillows between knees and behind back. Angle hips slightly forward for access.

2) Throne Room (Seated)

Why: chair/wheelchair does the stabilising.

How: giver seated; receiver straddles or sits facing/away. Use armrests, lap belt (optional), cushions behind lower back.

3) Modified Missionary (Support Stack)

Why: familiar but doable.

How: wedge under hips, pillows under knees. Giver on forearms or kneeling. Pace slow; micro-movements beat piston nonsense.

4) Over-Bed Table / Edge Assist

Why: takes weight off arms/hips.

How: receiver bends slightly over padded surface; giver stands/kneels. Great for external stimulation too.

5) Yab-Yum Lite (Supported Lap)

Why: connection, eye contact, shallow thrusts.

How: giver seated against wall/headboard; receiver sits on lap. Pillows behind lumbar; wrap a blanket round hips for stability.

6) Starfish Massage (No-Goal Night)

Why: zero performance pressure, rediscover erogenous map.

How: oil/lotion massage, breath sync, optional toys. If arousal arrives—great. If not—also great.

Symptom → Try This (Quick Map) Fatigue: morning window, side-lying/seated, short “sets” with breaks, breathable room.

Spasticity: warm shower, gentle stretches, fixed positions with props, slower rhythm.

Numbness: pressure-based touch, wider body map, vibrators with steady patterns.

Hypersensitivity: fabric barrier, firm—not flicky—touch; pause if burning/zinging starts.

Bladder urgency: bathroom first, towels down, agree it’s okay if accidents happen.

Erection issues: longer runway, ring (if safe), pump (if advised), PDE5 meds discussion with GP/neuro.

Dryness: quality lube, longer warmup, avoid foaming soaps pre-sex.

Scripts for Real Humans

Starting the convo: “I love you and I miss us. MS changed what my body can do. Can we experiment and design sex that suits both of us now?”

In the moment: “Yellow—hip cramp. Stay where you are, just slower pressure.”

After a wobble: “That was frustrating. You didn’t do anything wrong. Let’s try the chair setup next time and keep the fan on.”

This is lived reality + practical tactics. Not medical advice. If a med or symptom is wrecking your sex life, that’s a clinical problem—take it to the Doctor without shame.

Resources Pelvic floor physiotherapy – Ask your GP or neurologist for a referral; can improve bladder control, orgasm strength, and pelvic stability.

Sex therapy / psychosexual services – Available via NHS in some areas; ask your GP for a referral or search for accredited private practitioners.

Disability-inclusive sex shops – Look for suppliers that offer accessible toy designs, discreet packaging, and a no-hassle returns policy.

Community groups for MS + sexuality – Peer support means practical tips from people living it; search MS Society forums, Facebook groups, or local meet-ups.

I write in ink and fury, in breath and broken bone.
Through storm and silence, I survive. That is the crime and the miracle.