Sexual Health and Rheumatic Conditions : What You Deserve to Know

Living with a rheumatic disease like rheumatoid arthritis (RA), lupus, or fibromyalgia involves more than managing joint pain or medication. One of the most overlooked aspects of living with a chronic condition is how it impacts your sexual health and intimacy.

You’re not imagining it — many patients report:

• Pain and stiffness that make physical closeness difficult or uncomfortable
• Fatigue and low energy, which affect libido and mood
• Hormonal changes caused by inflammation that influence sexual desire

• Emotional effects like low self-esteem, anxiety, or body image issues

At Rheumatology Plus, we want to emphasize something very important

Your sexual wellness is part of your whole-person health — and deserves attention, not shame or silence

Why does this happen?

Chronic inflammation and the medications used to manage rheumatic diseases can alter hormone levels. These shifts can lower estrogen or testosterone, which are directly related to desire and sexual function. Additionally, pain during movement, fatigue, or even depression related to chronic illness can create physical and emotional barriers to intimacy.

Why does this happen?

While there’s no one-size-fits-all solution, some strategies can make a big difference:

• Talk openly with your rheumatologist — they are here to support every aspect of your health
• Schedule intimacy at times of the day when your symptoms are better
• Use aids like pillows, lubricants, or warm baths to reduce discomfort
• Rethink intimacy — physical connection doesn’t have to mean sex; affection, massage, touch, and closeness also count
• Explore counseling if emotional or relational challenges arise