effects of Physical and psychological interventions on sexual function in MS patients

INTERVENTION: Added at 2017‐10‐09: In Group 4 (control) receive no specific intervention Behavior In Group 1 pelvic exercise program presented As a group to research units And they will be asked during an 8‐week, two times a day to do exercise, so that way every time exercises should be 10 contraction 5 to 10 seconds in a state lying, sitting and standing and subsequent 10 seconds of rest is recommended. In Group 2, during 8 weeks, once a week, every 90 minutes for group runs mindfulness program. In Group 3 during the 8‐week Both pelvic floor muscle exercises and mindfulness will be implemented. Intervention 1: In Group 1 pelvic exercise program presented As a group to research units And they will be asked during an 8‐week, two times a day to do exercise, so that way every time exercises should be 10 contraction 5 to 10 seconds in a state lying, sitting and standing and subsequent 10 seconds of rest is recommended. Intervention 2: In Group 2, during 8 weeks, once a week, every 90 minutes for group runs mindfulness program. Intervention 3: In Group 3 during the 8‐week Both pelvic floor muscle exercises and mindfulness will be implemented. Intervention 4: Added at 2017‐10‐09: In Group 4 (control) receive no specific intervention. CONDITION: Multiple Sclerosis Multiple Sclerosis. ; Multiple Sclerosis PRIMARY OUTCOME: Sexual function. Timepoint: Before the intervention, at the end of the eighth week and one month after end of intervention. Method of measurement: Female Sexual Function Index. INCLUSION CRITERIA: INCLUSION CRITERIA: diagnosis of multiple sclerosis by a physician, at least in the last 6 months; female; informed consent, patient willingness to participate in the study, sexual activity during the past six months, married, monogamous husband, not far from wife; no risk of acute or chronic disease other than multiple sclerosis; no exposure to severe crisis as the death of someone close in the last six months; age range above 18 years; Lack of menopause; at least read and write; nulliparity in the last 6 month, no known risk of mental disorders; scores below 28 on sexual function questionnaire. Exclusion criteria: lack of patient motivation to continue working; relapses during the intervention; the absence of samples in more than one session, having tired too so that the patient is not able to do the exercises, the separation wife; pregnancy; the migration of disease and death.