1. Public Health Scotland . Scottish Multiple Sclerosis Register National Report 2020, https://www.msr.scot.nhs.uk/Reports/Dashboard-2020.html (2020, accessed 30th December 2021).
Google Scholar2. Bove, R, Okai, A, Houtchens, M, et al. Effects of Menopause in Women With Multiple Sclerosis: An Evidence-Based Review. Front Neurol 2021; 12: 554375. doi: 10.3389/fneur.2021.554375
Google Scholar | Crossref | Medline3. Mohammadi, K, Rahnama, P, Mohseni, SM, et al. Determinants of sexual dysfunction in women with multiple sclerosis. BMC Neurol 2013; 13: 83.
Google Scholar | Crossref | Medline4. Nazari, F, Shaygannejad, V, Mohammadi Sichani, M, et al. Sexual dysfunction in women with multiple sclerosis: prevalence and impact on quality of life. BMC Urol 2020; 20: 15. 2020/02/23.
Google Scholar | Crossref | Medline5. Fletcher, SG, Castro-Borrero, W, Remington, G, et al. Sexual dysfunction in patients with multiple sclerosis: a multidisciplinary approach to evaluation and management. Nature Clinical Practice Urology 2009; 6: 96–107.
Google Scholar | Crossref | Medline6. Hinchliff, S, Lewis, R, Wellings, K, et al. Pathways to help-seeking for sexual difficulties in older adults: qualitative findings from the third national survey of sexual attitudes and lifestyles (natsal-3). Age Ageing 2021; 50: 546–553. 2021/01/29.
Google Scholar | Crossref | Medline7. Rothwell, PM, McDowell, Z, Wong, CK, et al. Doctors and patients don’t agree: cross sectional study of patients’ and doctors’ perceptions and assessments of disability in multiple sclerosis. Br Med J 1997; 314: 1580.
Google Scholar | Crossref | Medline8. Dastoorpoor, M, Zamanian, M, Moradzadeh, R, et al. Prevalence of sexual dysfunction in men with multiple sclerosis: a systematic review and meta-analysis. Syst Rev 2021; 10: 10. 2021/01/08.
Google Scholar | Crossref | Medline9. Orasanu, B, Frasure, H, Wyman, A, et al. Sexual dysfunction in patients with multiple sclerosis. Mult Scler Relat Disord 2013; 2: 117–123. 2013/04/01.
Google Scholar | Crossref | Medline10. Wazqar, DY . Sexual health care in cancer patients: a survey of healthcare providers’ knowledge, attitudes and barriers. J Clin Nurs 2020; 29: 4239–4247 DOI:
Google Scholar | Crossref | Medline11. Korse, NS, Nicolai, MP, Both, S, et al. Discussing sexual health in spinal care. Eur Spine J 2016; 25: 766–773. 2015/05/13.
Google Scholar | Crossref | Medline12. EB, R . Sexual health attitudes, knowledge, and clinical behaviors: implications for counseling. The Family Journal 2012; 20: 94–101.
Google Scholar | SAGE Journals13. Egerod, I, Wulff, K, Petersen, MC. Experiences and informational needs on sexual health in people with epilepsy or multiple sclerosis: a focus group investigation. J Clin Nurs 2018; 27: 2868–2876 DOI:
Google Scholar | Crossref | Medline14. NICE . Multiple sclerosis in adults: management. Clinical guideline [CG186] https://www.nice.org.uk/guidance/cg186 (2019, accessed 1st May 2021).
Google Scholar15. Yin, RK . Case study research: design and methods. 5th ed. USA: Sage Publications, 2014.
Google Scholar16. Braun, V, Clarke, V. Using thematic analysis in psychology. Qual Res Psychol 2006; 3: 77–101.
Google Scholar | Crossref17. Guest, G, Bunce, A, Johnson, L. How many interviews Are enough? An experiment with data saturation and variability. Field Methods 2006; 18: 59–82.
Google Scholar | SAGE Journals | ISI18. Varpio, L, Ajjawi, R, Monrouxe, LV, et al. Shedding the cobra effect: problematising thematic emergence, triangulation, saturation and member checking. Med Educ 2017; 51: 40–50.
Google Scholar | Crossref | Medline19. Annerstedt, CF, Glasdam, S. Nurses’ attitudes towards support for and communication about sexual health—A qualitative study from the perspectives of oncological nurses. J Clin Nurs 2019; 28: 3556–3566 DOI:
Google Scholar | Crossref | Medline20. Cleland, J, Durning, SJ. Education and service: how theories can help in understanding tensions. Med Educ 2019; 53: 42.
Google Scholar | Crossref | Medline