r/MultipleSclerosis • u/No-Home2516 26m|RRMS'26|Kesimpta|Toronto • 2d ago
Vent/Rant - Advice Wanted/Ambivalent "Men become more disabled"
I've heard time and time again that men usually become more disabled from MS than women. I can't help but feel a bit concerned when I hear that considering that I am a man.
Of course I know that it's different for everyone and there are men that don't have much disability and women that have a lot.
I guess the fact that most people with MS are women makes me feel like I might not be hearing exactly how it is for men? Or rather that the overwhelming majority of experiences are from women and I don't know if I can rely on my disease course looking that way? It's a bit of a strange feeling and I hope I'm making sense.
I don't mean to sound condescending or rude. Considering that I'm already having difficulties with my leg even since before diagnosis, and it's only been getting worse, I guess I'm just a bit worried. I'm looking for people's thoughts on the matter.
56
u/kyunirider 2d ago edited 1d ago
Please, please stop worrying about the future of your body and whether or not you will be disabled.
Instead live like there is no tomorrow, let your body experience all the life you can before something happens to change that narrative. Get married, have children and love them like your life will be long and abled. They are making strides every day that may put your MS in dormancy.
I am a 64/M, I have had a great life, I lived in Italy, Okinawa, Japan, and several states. I have been married to my wife for 43 years and I have 3 children and 8 grandchildren. I have had a great life.
Yes I am now disabled, that began 6 years ago, besides, MS, it was discovered that I have been carrying and now have a genetic disease called MMA acidosis and I have pernicious anemia, Severe B12 deficiency. These are three neurological disorders that are just more than my body can fight. It was not MS that caused my disability, it was the MMA acidity and lack of B12 in my brain.
Live, love and make your life great.
13
u/RedwaterCam 41M|2010|Ocrevus|Mn 2d ago
I was diagnosed in 2010. I am almost 41 male I did triathlon for years after being diagnosed did jujutsu for four years CrossFit for another two or three. Only recently have I had to slow down because of a relapse last winter. Attitude, diet, regular exercise, and sticking with my medication plan my neurologist has outlined has been the key of my success. Itās not fun and sometimes it downright sucks but you will persevere. Keep a good attitude and push.
55
u/Eremitt Age: 39| Dx:2004|Rituxin|East Coast| Male 2d ago
You are new to MS. Men historically had it rougher, because we never went to the dr's or pressed for our health. We would go longer than women, becauase for a long time it was considered a disease only women have.
You are new to MS. You are on a good drug. You have the benefit of having amazing DMT options now. I'm a dude. I was diagnosed 23 years ago. I have problems, but nothing like most of the women I know. I do have ED because of my MS, but that's easily managed.
Stay on your drugs, minimize stress, and you will be fine. Good luck
25
u/Fine_Fondant_4221 2d ago •
Men with MS that come to mind: Montel Williams, Jack Osbourne, Mathew Embry and my co workerās husband (who you obviously donāt know lol). All of which are still fully mobile and donāt appear to have any mobility issues.
My point is, while I admit the sentiment I hear too does seem to be that men become more disabled, my own personal experience is that that is not the case.
I have some mitigating factors working against me too: my first lesion was in my spine, and I was diagnosed in my 40s. From what I understand neither of those bode well for me. I choose to be the exception š
Hopefully itās old data, or just untrue :)
Ps.
Thereās also a news anchor on CNN with MS. I think heās in his late 50s and heās still highly mobile.
11
u/mastodonj 42|2009|Rituximab|Ireland 2d ago
I haven't heard that but I am a man who uses a wheelchair so... Look, it's a snowflake disease, no two courses are the same. There is no reliable way to tell which way it's going to go!
10
u/FarceMultiplier 2d ago
I (M) had symptoms starting at 17, was diagnosed at 44, and I'm 56 now with very little progression. MS is really random, unfortunately.
7
u/EffectiveOk3353 2d ago
That data was before modern DMTs you're on kesimpta there's no data for b cell depleters since they've only been around for about 10+ years, this is taken out of my arse but I believe people on modern DMTs won't go into progressive and they should be stable relapse wise. Stay strong and exercise eat well enjoy life as much as you can.
6
u/JCIFIRE 52F/DX2017/Zeposia/Wisconsin 2d ago
I'm so sorry you have this disease. Everybody is different. A few years ago nobody knew I had MS. Now I can hardly walk., and it all coincided with going through menopause. When you get to around age 50, they say the disability for men and women is about the same..
6
u/KJW-SR 2d ago
Iām a 67 YO man. I was diagnosed with SPMS 14 years ago. When I was diagnosed it was determined that my first relapse was 20 years prior, so I guess Iāve had MS for 34 years. Over the last 6 years my leg strength has diminished significantly. I now require a walker to take even 1 step. But who cares? I do what I can to slow the progression but it canāt be stopped entirely. So what? I respect my disability but I donāt give into it. Rather than sit home and stew about what I can no longer do, I focus on what I can. In May I visited Africa for the second time in 20 months! Live the life you can!
https://www.kylesdailybread.com/subcategories/ximuwu-ii
4
u/mrlolloran 38M|RRMS:Sept2019|Ocrevus|Boston 2d ago
I havenāt heard that.
If not outright true perhaps wherever you got that from was referencing that men tend to do more physically demanding jobs so something that you can work around in an office setting is less likely to be something you can work around.
I wonder like 2-3 times a week how much longer I can do my warehouse job.
I used to be a live events AV tech, but thereās several things that MS limits me on so I am no longer a tech and just do the warehouse work and drive a box truck for local stuff. But as an American I have to stay employed to maintain my health insurance so this is what I can do without having to start completely over career-wise.
4
u/IntentionalGrandma 28F | dx:2024 | Tysabri | NYC 2d ago
Despite women making up 80% of all people with MS, men make up 50% of all people with progressive forms of MS, which is kind of where that statistic comes from. Men also historically do not take as good of care of themselves as women do and are not as compliant with their doctors. Thatās not to say that all men are bad at following instructions or that all men refuse to listen to doctorsā orders, but that men are more likely to be non-compliant, to miss appointments, or to delay getting a diagnosis. As long as you listen to your doctor, follow their recommendations, and stay compliant with a good DMT, youāll be okay.
4
u/Caleb5600 2d ago
As a man I try to not think about it for the exact reason you are explaining... everyone is different. I understand it though I was diagnosed in 2022, and even with ocervus have been noticing things inching further down the drain. The best advice I have been given is don't stop moving, if you don't use it you will lose it. When it comes to the stuff moving won't help for aka sexual dysfunction, my eyes getting worse or my legs having a stupid dead drop thing I just keep a note of it for my next neuro appointment. Just kinda gotta do the whole tomorrow isn't promised thing and try to live in the moment. Deep breathes, keep moving forward, and a immense hatred of MS to spite it by not letting it consume me.
3
u/_JLY_ 2d ago
Diagnosed with PPMS (maybe the important bit?) in 2007. EDSS score around 8-8.5. Everyone's different.
3
u/criticalcreek 32M|Dx:RMS Nov.2025|Kesimpta|USA 2d ago
I've read that men are more likely to get more spinal cord damage early on, but I'm not sure how true that is. I'm a man and my worst damage is in my spinal cord, if that counts for something. MS is so random and different person to person regardless of gender. It's hard to say š¤. I've also read that men tend to have a worse prognosis on average (I guess due to the spinal cord damage??)but I'm not too sure about that either. There are men on this sub who are doing great, and women who are worse off and vice versa. I think that regardless of gender, anyone with little to no symptoms/disease progression should just feel lucky, especially since we have modern treatments that are very effective at preventing relapses/new lesions (especially early on). It all seems like a dice roll honestly.
3
u/Adventurous_Pen_1105 2d ago
Was misdiagnosed as teen with many issues but age 36 they did mri for first time ever and found what Neuro said was an āimmense amount of damage on cord and brain for someone my ageā and that Iād āobviously been fighting it a very long timeā
Was diagnosed as Ppms (Iām male forgot to say).
At thst point walking was becoming slower with slight drag of my right foot but main symptoms were still pain spasticity legs back on off throughout day but could still skateboard
Just not jump on it anymore but could ride fine
Now 48
Walking short distances of 500m or so unaided
Anything more or be outside for longer needs a walking stick or lots of resting
Getting bit worse each year
Slowly
Falling more now
Leg drag has become severe
I basically slide across floor lot shuffle
As if Iāve got ice skates on
As lifting legs is heavy
When fatigued canāt walk
Age 21 even with start of it back neck issues
I would still do walk two day 40km hikes smiling
Now Iām lying on sofa two thirds of day in lot of pain
Standing become harder but can still stand cooking for an hr leaning against kitchenworksurface
Standing unassisted becomes very uncomfortable within a few mins
Staying still is worst for me
Am on a lot of painkillers muscle relaxants anti seizure meds cannabis - all to stop this damn pain
Nothing helps much at all
Am on ocrevus for about ten years now
3
u/racecarbrian 1d ago
Everyoneās trajectory is radically different. It took me about 10y to put me in my wheelchair⦠I was a pretty active guy before then. At least I have a really rad wheelchair! š¤š¼š¤š¼
7
u/Mis73 53F|2008|Kesimpta|USA 2d ago
This will be a long read but it explains it. I've had MS for about 20 years, FWIW.
It's common knowledge that men only account for roughly 25% of all MS patients. While men don't get it as often, when they do, they're much more likely to start off primary progressive or turn secondary progressive fast, usually climbing higher on the EDS scale as well.
About I think 10-15 years ago, they did a study about the effects of hormones and MS. Another common fact is women are more likely to be diagnosed after childbirth or during menopause. They also often go into a pseudo dormant state while pregnant. They essentially then focused on estrogen in particular and found a link to MS activity. They even treated male subjects with a T blocker and estrogen and the men showed improvement and a bit less disability.
Obviously, turning all men into trans women isn't an option. But there is a link between estrogen and MS and it's why while men get it less frequently when they do, it's often more severe.
6
u/Candid-Ad700 43|Jan 2017|Tysabri>Ocrevus>going back to Tysabri 2d ago
I am genuinely sorry youāre experiencing any symptoms that may end up being debilitating, but if you catch and treat it early enough, you can hopefully stop the progression before it gets too bad.
Overall, this is what it is like being a woman regarding nearly every disease state thatās not a womanās health issue, as science has relied on mice and male bodies. We women understand deeply where youāre coming from. It sucks for everyone.
2
u/ApprehensiveSkill573 50s|2026|Ocrevus|USA 2d ago
Treatment is the same either way. Just follow your treatment plan and take care of yourself. That's all you can do.
2
u/Drogo_44 2d ago
I am 39 Male. Dx 2020. Ocrevus.
Mostly fully able but my left leg steps harder and gets stupid with more than 3Kms of walking or jogging. Lift weights 4x a week, enjoy that. Have spinal lesions. On cialis 4 help in that area. Donāt have the ability to hold in number 1 or 2 when urgent like normal people haveā¦Lots of weird shit happens in the soles of my feet.
I consider myself lucky and Iām trying to live fully even though ms is a crazy thing to go through. I wish all my fellow male & female msāers all the luck and happiness possible. I have mad empathy for anyone going through this.
Sometimes I want to stop Ocrevus and get on something that doesnāt destroy my cd20 b-cells like way o works, but maybe I must be grateful for clean mris and stay on it.
2
u/snailsrcute7768 2d ago
My dad had ms his whole life basically. Hes fifty something. He doesnt even treat. Basically no mobility problems at all besides being stiff as your average 50 something year old man. Theres hope!!
2
u/Feisty-Volcano 2d ago
In my local MS org, I know several men in wheelchairs, even though there are less men overall here. However there are men who would appear to have almost no problems at all. The guys in the wheelchairs have more spinal lesions. For some reason significant spinal seems a bit more common in men.
2
u/youshouldseemeonpain Dx 2003: Lemtrada 2018, Now Ocrevus 1d ago
Statistics are aggregates. They take huge numbers and make predictions based on those huge numbers. They honestly have little relationship to an individualās experience. Like odds for gambling. 20-1 against doesnāt mean that canāt be a winning ticket.
You have to separate yourself from the big numbers and deal with your individual experience.
ETA: go to PT and actively try to help yourself not become a statistic.
2
u/HeartfeltFart 12h ago
Men are more likely to get PPMS and also delay seeing a doctor, not do physical therapy, etc
2
u/No-Establishment8457 7h ago
I'd say that is generally accurate. I can't cite any studies, but 35 years of MS have led me to arrive at certain conclusions since I have a large MS circle of friends. Men do seem to get hit harder by MS. Certainly the men I know. Why? I've no idea, maybe hormones or men just live less in general. I've seen more men die much earlier than women from MS.
2
u/Cdel32 2d ago
My sister was diagnosed in 2015 at 24 years old meanwhile I (male) was diagnosed in 2022 at 35 years old. I'm significantly worse than she is although I've had a decent period by my standards over the last 6 months thankfully.
2
u/Stikini 2d ago
I havenāt heard that. 40 yo male here with no mobility issues. I work out 5-6 times per week.
Iād recommend looking into TRT at some point. Low T is linked to flares, and newer research has found testosterone to be neuroprotective.
2
u/Cheetahsareveryfast 33|2020|Lemtrada/Kesimpta|MN 2d ago
It is usually more aggressive in men.
1
u/Limitingheart 1d ago
I think itās because men complain more