Sexuality and parkinson's disease.

This article is a clinical description of the sexual concerns of 25 people with idiopathic parkinsonism referred for sexual help to a tertiary, university-affiliated sexual medicine department. In this paper the author attempts to identify pathophysiology and psychosexual factors that underlie changes in the areas of sexual desire, sexual function, sexual selfesteem, partnership, mood, energy, mobility, bowel and bladder continence and fertility. Strategies used in management are discussed with emphasis on attempting to help both partners, each of whom suffers sexually but often in different ways as a result of idiopathic parkinsonism.