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Guide to Intimacy

Guide to Intimacy with Arthritis

Question
"Intercourse itself has become painful and I don't know what's causing it.”

Answer
If you’re a woman and you have rheumatoid arthritis, lupus, scleroderma or another autoimmune disease, you may also have Sjögren’s syndrome, a condition that can occur simultaneously. Symptoms, in addition to dry eyes and mouth, can include reduced vaginal lubrication, which can cause sexual intimacy to be painful.

Several antidepressant medications can also lead to vaginal dryness. Menopause, too, may be playing a role. In that case discuss the benefits of estrogen replacement therapy, which can restore natural lubrication, with your doctor.

No matter what the cause of dryness, try one of the new over-the-counter lubricants like Astroglide, Replens or Slip. They can work wonders, according to Seifer.

Vaginal yeast or bacterial infections – a problem for some women on prednisone – can also cause irritation. See your doctor to be sure you’re getting the appropriate treatment.


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