Multiple sclerosis (MS) is the most common disabling neurological condition for young adults in the United States, affecting approximately 250,000 people. Sexuality and fertility are important concerns for this population since the onset of MS generally occurs between ages 20 and 40. MS is typified by lesions in the white matter of the brain and spinal cord, particularly the periventricular region in the brain and the tracts of the optic nerves and chiasm, brainstem, and spinal cord (Adams & Victor, 1981). Nerve conduction in these areas may be entirely impeded, or impaired on a partial or intermittent basis. Consequently, MS produces a variety of symptoms that may change as disease activity fluctuates.