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But that may not be not necessary for every woman with lupus.“A lot of lupus patients and doctors feel that birth control pills can't be used by lupus patients, but it's a subset of patients who have had blood clots,” Jolly says.If actual sex isn't in the cards due to a flare-up, sometimes my husband and I take a bubble bath.Massages can also be very intimate, and they've helped soothe my muscle and joint pain.” Extra foreplay works wonders for many lupus patients.“In general, women need foreplay in order to lubricate, so with lupus they may need a bit more,” Jones says. Having an orgasm may reduce stress, pain, and fatigue, and it reminds women that sex can be fun and pleasurable.” Steroids can cause unwanted weight gain. Other medications may cause different problems, including vaginal dryness or a tendency toward yeast infections.If troublesome side effects are affecting your ability to become intimate, tell your doctor at your next appointment.

Many lupus patients, for example, need ample sleep to function properly, but getting enough rest can interfere with quality time or intimate moments together.

For instance, having sex in the missionary position gives some women with lupus hip pain.

Others have vaginal dryness or very sensitive skin.

The chronic pain and fatigue associated with lupus can affect more than your health; many patients find that their condition interferes with their sexual relationships, as well.

Reasons for that include lupus flare-ups, pain, fatigue, side effects from medication, and self-image issues.

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