Sex and arthritis

Moving a joint affected by arthritis can be painful. Because sex can be physically demanding it may cause discomfort, especially if your hips or back are affected. However, sex itself won’t make your arthritis worse. 

Reactive arthritis can be triggered by sexually transmitted infections (STIs) such as chlamydia. If you’ve had this type of arthritis before, you should take special care to avoid getting such an infection (by using a condom, for example) because it could cause the arthritis to return.

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A knee or hip replacement operation may improve your sex life, although it will take some time to recover and for the wound to heal. Most people feel able to start having sex again about 6 weeks after the operation. Following a hip replacement, you need to take care with certain movements because there’s a risk of dislocating the new joint.

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If joint pain is making sex uncomfortable:

• experiment with different positions or other forms of sexual stimulation
• take painkillers before having sex
• ask your partner for a massage or suggest you share a bath
• make the most of days when your joints are less painful.

If fatigue is affecting sexual desire or enjoyment of other shared activities:

• plan out your day so that it contains periods of activity and rest to improve your energy level
• think about new activities to replace those that are becoming difficult.

If loss of self-confidence is affecting your sex life:

• explain to your partner that you feel self-conscious about swollen joints or other signs of arthritis – your partner may not be aware of how you feel
• some reassurance will probably be appreciated if your partner is self-conscious about the appearance of their joints.

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With a little experimentation and open discussion, you and your partner will be able to find positions that are comfortable and enjoyable for both of you.

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