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Sex and Arthritis.

Last updated Thursday, February 10, 2005

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More information

Pregnancy

Having children is a personal decision for every couple. Before becoming pregnant, talk to your doctor about how pregnancy may affect your arthritis, how arthritis and your medications may affect your pregnancy, and how to prepare to care for the new baby.

Birth control

If you are sexually active and do not want to have a baby, use an effective birth control method. Birth control information is available from your doctor and family planning clinics in your area. Effective methods of birth control include:

  • Condom ("rubber") worn by the man and contraceptive foam or jelly used by the woman. This is a reliable method when these are used together. They are available at drugstores without a prescription.
  • Birth control pills, intrauterine devices (IUD), and diaphragms, must be prescribed by your doctor. Diaphragms are most effective when used in combination with contraceptive foam or jelly. Discuss these methods with your doctor, because there may be special considerations for people who have arthritis: for example, whether to use an IUD if you are prone to infections, or the effect of birth control pills on your arthritis.
  • Surgical sterilization--vasectomy for the man, or tubal ligation for the woman--is completely effective. In a vasectomy, a very small section of the tubes that deliver sperm is removed. The testicles, penis, and hormones are not changed. In a tubal ligation, the fallopian tubes that deliver eggs from the ovaries to the uterus are tied shut. There are no changes in hormones or in the appearance of the genitals. This is not the same as a hysterectomy, which is a more complete and complicated procedure. Both vasectomy and tubal ligation can be done through tiny incisions that heal quickly. Generally, these procedures cannot be reversed.
  • The rhythm method, douches, and K-Y Jelly are not birth control devices.

Emotional complications

Your attitude about your sexual relationship is important. Some individuals regard sex as a duty, others as a gift. The truth is probably somewhere in between for most of us. Should emotional complications arise between you and your partner, such as resentment, guilt, or any other strongly negative feelings related to your physical relationship, you might consider talking to a counselor. Also talk to your doctor about the effects of your arthritis and its treatment on your sexual relations.

Credits

Some of this material may also be available in an Arthritis Foundation brochure. Contact the Washington/Alaska Chapter Helpline: (800) 542-0295. If dialing from outside of WA and AK, contact the National Helpline: (800) 283-7800.

Adapted from the pamphlet originally prepared for the Arthritis Foundation by Graciela Alarcon, MD, MPH, JoAn Boggs, MSW, Sandra L. Curry, PhD, Stephen B. Levine, MD, and Lewis Neemme, PhD. This material is protected by copyright.

Disclaimer

This resource has been provided by the University of Washington Department of Orthopaedics and Sports Medicine as general information only. This information may not apply to a specific patient. Additional information may be found at http://www.orthop.washington.edu or by contacting the UW Department of Orthopaedics and Sports Medicine.


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