Multiple sclerosis (MS) can look different from person to person—especially in men. Early MS symptoms in men are often more subtle or unexpected, which can make them easy to miss or dismiss. And since MS isn’t as commonly diagnosed in men, it’s not always the first thing doctors consider when symptoms start to appear.
Early signs can be brushed off or misread, and when that’s combined with the common practice of waiting to seek care, it can take longer to get a diagnosis than it should. But the sooner MS is identified, the better your chances are of managing symptoms and slowing progression. That’s why paying attention to your body and speaking up when something feels off is so important.
By the way, have we met? I’m Dr. Gretchen Hawley, a physical therapist and MS-certified specialist. I founded The MSing Link, an online program and book designed to help people with MS improve their mobility, strength, and confidence through movement and strategies that fit into everyday life. One of my biggest passions is helping you feel more in control of your symptoms, and that starts with knowing what to look for.
Today, we’ll cover the early signs of MS in men, why it can take longer to get diagnosed, and how you can advocate for your health if something doesn’t feel right. Let’s dive in.
Why MS Is Harder to Diagnose in Men
Because MS is more common in women, the healthcare system isn’t always looking for it in men. This can lead to delays in diagnosis or even misdiagnosis. Some men are told their symptoms are due to stress, aging, or something orthopedic. Others downplay their symptoms or wait until things get worse before speaking up.
But here’s what the research shows: men with MS are more likely to experience symptoms like loss of coordination, poor balance, and cognitive impairments such as issues with memory, concentration, or decision-making.
These symptoms can impact daily life—long before a formal diagnosis. Being aware of these differences can help you and your care team spot the signs sooner and take action.
Common Early MS Symptoms in Men to Watch For
The early signs of MS in men can range from physical changes to mental and emotional shifts. Because they often come and go, they’re easy to overlook. But if you’re consistently noticing any of the following symptoms or they’re interfering with your life, it’s worth bringing up.
Here are some of the most common early MS symptoms in men:
- Fatigue
- Muscle stiffness and weakness
- Vision problems
- Sexual dysfunction
- Cognitive changes
- Bladder and bowel issues
Fatigue
MS fatigue isn’t the kind that improves with a nap. It’s deep, ongoing exhaustion that can make it hard to get through the day. It might show up as a sudden (and steep) drop in energy or feeling like your limbs are heavier than usual.
Muscle Stiffness and Weakness
You might feel tightness in your legs or arms, or notice that things like walking, climbing stairs, and lifting things are more difficult. Weakness may also affect one side of your body more than the other.
Vision Problems
Blurry or double vision, eye pain when moving your eyes, or sudden changes in how clearly you see could be early MS symptoms. These can happen if inflammation affects the optic nerve.
Sexual Dysfunction
Men with early MS may notice decreased libido, difficulty achieving or maintaining an erection, or trouble reaching orgasm. These issues can happen due to nerve damage or changes in blood flow.
Cognitive Changes
Brain fog, forgetfulness, or trouble concentrating can be early indicators of MS. These cognitive shifts may feel frustrating or subtle, like frequently struggling to find the right word or zoning out during conversations.
Bladder and Bowel Issues
You may experience a sense of urgency, increased frequency, or difficulty fully emptying your bladder. It’s also not uncommon to experience constipation or changes in your bowel habits.
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