## Breadcrumb - [Home](/) - [Resources & Support](/resources-support) - [Parkinson's Today Blog](/resources-support/blog) ## Breadcrumb - [Home](/) - [Resources & Support](/resources-support) - [Parkinson's Today Blog](/resources-support/blog) Raise Awareness # Taboo Parkinson’s Topics and How to Address Them Sep 04, 2020 ![Couple laying in bed together](/sites/default/files/styles/no_sizing/public/images/Taboo-topics.jpg?itok=gFUpSv5c) For many, it is embarrassing to bring up taboo topics with your doctor ― from [sexual dysfunction](/library/fact-sheets/intimacy "Intimacy and PD") to [incontinence](/understanding-parkinsons/non-movement-symptoms/incontinence "Bladder Issues & Incontinence"). However, when it comes to living with Parkinson’s disease (PD), sometimes these topics can be connected to the disease itself or side effects to PD medications. No topic should be considered off limits to discuss with your healthcare team. The more we normalize and bring awareness to these issues, the less taboo they become. View some of these topics and their connection to Parkinson's. ## Sexual Dysfunction Sexual dysfunction is common in men and women with PD. The issue often goes unaddressed as patients, spouses and healthcare providers may not be comfortable discussing sex. Parkinson’s itself may cause sexual dysfunction due to the loss of dopamine. Medications, such as anti-depressants, can also contribute to sexual dysfunction. To note, most PD drugs are not associated with impotency or loss of libido. Hypersexuality can also be linked to certain dopamine agonists. There are many ways to address PD-related sexual dysfunction, and it all starts with speaking to your doctor. Try writing your symptoms down before your next appointment and telling your doctor you have a sensitive issue you want to discuss. **Learn more** - [Sexual Health and Parkinson’s](/living-with-parkinsons/management/sexual-health "Sexual Health") - [Navigating Sexuality and Intimacy with PD](/library/podcast/63 "Episode 63: Navigating Sexuality and Intimacy with PD") - [Intimacy Issues and Parkinson’s Disease 101](/blog/research/intimacy "Intimacy Issues and Parkinson’s Disease 101") ## Impulse Control Disorders Dopamine medications have improved life for millions of people, but researchers believe that some people with PD on dopamine agonists or monoamine oxidase (MAO) inhibitors can develop impulse control disorders: unhealthy levels of gambling, shopping, eating or sexual activity. If you believe that you or a loved one has an impulse control disorder, try to identify a trend in unhealthy behaviors and discuss it with your doctor. These disorders usually respond to medication changes. Your doctor can often work with you to reduce your dosage or switch to another medication. **Learn more** - [Impulse Control](/library/fact-sheets/impulse-control "Impulse Control") - [New Study Examines Impulse Control, REM sleep and Dopamine](/blog/science-news/impulse-control "New Study Examines Impulse Control, REM Sleep and Dopamine") ## Caregiver Burnout For many, stress can be a part of life when caring for someone with a chronic illness such as PD. However, some [care partners](/resources-support/carepartners "For Care Partners") may have a tough time coping with the fact that they need help. Care partners and their loved ones should address caregiver burnout as soon as you notice warning signs: feelings of anxiety, anger followed by guilt, bitterness towards family members and depression. In general, 40 to 70 percent of caregivers are significantly stressed, and about half of these meet the criteria for clinical depression. While a challenge in itself, learn your limits as a care partner and find a support network that works for you. Many times, you can work with your loved one’s care team or a social worker to find additional help and resources that work best for you. **Learn more** - [Balancing Life and Caregiving](/resources-support/carepartners/caring-for-self "Caring for the Care Partner") - [What to Expect Emotionally](/resources-support/carepartners/pointers/support "Supporting Your Loved One’s General Health") ## Palliative Care For many, the term palliative care is associated with fear. Think of palliative care as supportive care, defined as helping people with Parkinson’s and care partners plan for the future, address non-motor symptoms and provide an extra level of support. Palliative care can help people with PD and their families at any stage. **Palliative care is not the same as hospice care.** It does include hospice, which is end-of-life palliative care, but also provides support for patients and families from the time of diagnosis. **Learn more** - [Launching A Modern Supportive Care Program Across U.S. Centers of Excellence](/blog/launching-modern-supportive-care-program-across-us-centers-excellence "Launching A Modern Supportive Care Program Across U.S. Centers of Excellence") - [Advanced PD and Palliative Care in the 21st Century](/blog/research/pallliative-care "Advanced PD and Palliative Care in the 21st Century") - [Palliative and Hospice Care](/library/fact-sheets/hospice "Understanding Hospice Care in Parkinson’s") ## End of Life Planning Many adults avoid the subject altogether. However, all adults, even if their health is excellent, [should document their wishes and preferences](/resources-support/carepartners/planning-ahead "Planning Ahead") should a health emergency occur. If you have a spouse, partner, children or others you care about, as your disease progresses estate planning can help you ensure that they are provided for and cared for, if necessary. Get organized. Consider creating a binder with the following main document categories: Medical, Family, Insurance/Property and Finance. Make sure that a close family member or friend knows where to find them in case they are needed. Taking the time to make advance preparations for this inevitability is practical and necessary. Honest conversations about end-of-life planning and care may not be comfortable or easy, but they are important so you can ensure that your wishes are honored. **Learn more** - [End of Life](/resources-support/carepartners/advanced/end-life "Planning for End of Life") - [The Role of Hospice](/library/fact-sheets/hospice "Understanding Hospice Care in Parkinson’s") - [Getting Organized](/resources-support/carepartners/pointers "Practical Pointers") - [Caregiving: Preparing for Changes](/resources-support/carepartners/advanced "Advanced Parkinson’s") - [Planned Giving](http://plannedgiving.parkinson.org/) ## Addressing Uncomfortable Topics with Your Doctor Doctors usually wait until the end of an appointment to ask, “anything else?” How do you transition into your potentially uncomfortable topic? 1. Remember that your doctor has heard it all. She/he wants to help you increase your quality of life. 2. Give yourself a quick pep talk. Your symptom or issue has been impeding on your quality of life. The conversation will only last a few minutes and may have a simple solution. 3. Write it down. Give yourself a natural transition in the conversation to bring up your topic. Try something like, “I wrote down some symptoms and/or issues I want to discuss, and they are sensitive in nature.” 4. Add details. Try to remember when the issue began, how long it has been a problem, when it occurs and all your symptoms. Your doctor will work with you to address the issue and can often provide guidance or a recommendation. **For more information visit our [non-movement symptoms](/understanding-parkinsons/non-movement-symptoms "Non-Movement Symptoms") page. You can also discuss any topic with our [Helpline](/resources-support/helpline "Helpline") at 1-800-4PD-INFO (473-4636).** ## Related Blog Posts ![Group of senior friends laughing together outside](/sites/default/files/styles/500x360/public/images/english-spa-community-grantees-blog-hero.jpg?h=ed9ce7df&itok=QozxMYAZ) Raise Awareness ### [ How 5 Community Leaders Are Reaching Hispanic and Latino Communities ](/blog/awareness/community-grants-hispanic-latino) READ NOW ![DNA double helix](/sites/default/files/styles/500x360/public/images/lrrk2-blog-0826-hero.jpg?h=ed9ce7df&itok=ar_y6okl) Raise Awareness ### [ Parkinson’s Genes Explained: 5 Facts about LRRK2 ](/blog/awareness/5-facts-about-lrrk2) READ NOW ![Elderly couple enjoying coffee together at home](/sites/default/files/styles/500x360/public/images/practical-pointers-blog-hero.jpg?h=ed9ce7df&itok=w7X3P7DS) Raise Awareness ### [ Six Tips for Managing Daily Life with Advancing Parkinson’s ](/blog/awareness/managing-daily-life) READ NOW [VIEW ALL BLOGS](/resources-support/blog) ### Subscribe for the latest news - Share on Facebook - Share on X - Share on LinkedIn