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Arthritis Care ‘ Kama Sutra’ for Valentine’s Day

Everything you ever wanted to know about sex, but were too scared to ask – that’s the Valentine’s Day freebie for people with arthritis, for their partners, and their doctors.

Some nine million Britons of all ages live with arthritis, the UK ’s biggest single form of physical disability.    And they don’t stop having sex, forming relationships, or having families just because they have the condition, in one of its 200-odd forms.

People with arthritis are players in the dating and mating game just like anyone else – but they often have to work harder at making and sustaining relationships because they must also cope 24/7 with serious pain, fatigue, and loss of mobility.

Sometimes, saying it with flowers isn’t enough. That’s why Arthritis Care has picked St Valentine’s Day (14th Feb) to offer a free booklet on sex, relationships, intimacy and arthritis,   downloadable from   the website   at:

http://www.arthritiscare.org.uk/PublicationsandResources/Booklets/Livingwitharthritis/main_content/Relationshipsbookletmain.pdf

 

“One of the reasons we produced the guide is to address issues people felt awkward discussing.   It may be embarrassing to talk to your consultant rheumatologist, nurse or GP about emotional and sexual things, or matters of self-image and self-esteem – and they may be embarrassed to be asked. So where do you turn?’ said Kate Llewelyn (CORRECT) head of publications at Arthritis Care, who was diagnosed with rheumatoid arthritis at the age of thirteen.  

The booklet provides a valuable insight for healthcare professionals and for the partners and families of people with arthritis, highlighting issues of concern to them, and suggesting practical and achievable solutions.

For people with arthritis, or other disabilities,   the ‘problems’ can start before any relationship, pre-dating any date.   

Managing pain and other symptoms is exhausting, and it stops many people getting out and socializing.   As a result, arthritis can be isolating, keeping you from making friends or seeing family, let alone dating and finding a partner.    And maybe you are not very mobile, so can’t dance, or play sport, or can’t drink because of your medications. What’s more, although anti-discrimination law means venues must now offer better access for disabled people, you still may find it harder to do things people without arthritis take for granted’, said Kate Llewelyn.  

Once a relationship has been formed, the challenges continue; the couple must work out ways of ensuring their personal and sexual relationship is sustained and developed, overcoming and working round the incurable and debilitating condition.

Pain can be a real passion killer but so can drugs for its relief. The Arthritis Care booklet explains how some people with arthritis find their sex drive is diminished by their painkillers and medications.  

Other factors can be psychological – with gender stereotyping,   men may feel emasculated if they cannot perform their ‘traditional’ roles like playing sport, carrying heavy objects, doing DIY. Equally, women may feel unfeminine if they put on weight with steroids, cannot do the housework or lift their children as a result of having arthritis.          Others, with limited joint movement, or severe pain may be put off sex altogether, or find some of the traditional sex positions too uncomfortable.

‘The book has got diagrams of lovemaking positions which people of differing physical abilities and limited movement have found useful. If you’ve got problems with your spine, or hips, or knees, it makes sense to experiment   with positions that place least weight or strain on the rogue joints.   Of course, after joint surgery or replacement, you may be advised to take a temporary break from sex, but, relationships are more than sex, and, with this guide, abstinence may make the heart grow fonder’, said Kate Llewelyn.    

Some drugs may cause weight gain whilst pain or lack of mobility mean the person may not be able to do much exercise; this can cause stress and anxiety about body image and lower self-esteem, especially for anyone shy.   

‘It is easy to forget that very young people have arthritis. There are some 12,000 children with it.   Adolescence is a time of utter vulnerability and having to explain to someone you fancy that you’ve got arthritis is a real ordeal for many. Starting out socialising and dating can be tough – it’s all a bit of a ‘cattle market’, but if you have got anything that sets you apart from the crowd and stops you participating, love’s young dream can soon become a bit of a nightmare’,    

As well as the booklet, Arthritis Care runs free, confidential helplines staffed by trained counsellors, all with personal experience of arthritis, and callers can request to speak to a counsellor of either gender.

 (13/2/07)

 

 

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