Sex Cf
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Sex Cf
Written by: Jessica Johns Pool | Last reviewed: September 2019
Sex and intimacy are two of the great pleasures of adult life. However, many people with cystic fibrosis (CF) often must leap extra hurdles when they become old enough and physically mature enough to consider having a sexual relationship.
Establishing a new intimate relationship can be intimidating for anyone but may present special challenges for someone with CF. Issues to be discussed with a prospective partner can range from when to reveal your diagnosis to fertility to which positions make it difficult to breathe during sex. Explaining your daily regimen to stay healthy may also seem daunting but as with any new relationship, open and honest communication is best.
Body image and self-esteem can take a beating among people with CF, especially teens. Low self-esteem, excessive self-consciousness, and poor body image can delay or inhibit sexual relationships.
Frequent concerns about body image include:
The good news is that adhering to your treatment plan can decrease many of these issues.
While 98% of men with CF are infertile, and women with CF are more likely to have a hard time getting pregnant, sexual desire and performance is the same as the rest of the population. That’s why, like the rest of the population, people with CF should protect themselves from sexually transmitted diseases (STDs) by using condoms. Other forms of contraception help prevent pregnancy without protecting against STDs. 2
Unless pregnancy is desired, everyone with CF should use contraception just like anyone else. Having CF is not a reliable form of birth control.
There are some special considerations women with cystic fibrosis should consider when choosing a contraceptive method. These are:
None of these methods of contraception protect against STDs.
There are a few steps you can take to make it easier to breathe and make sex more enjoyable if you have cystic fibrosis. These tips include:
Finally, a simple rule of thumb: If you can climb two flights of stairs and feel fine, you are fit enough to have sex without worrying about shortness of breath. 1,4
Like anyone with a serious chronic illness, people with CF often report a lack of desire or low sex drive when feeling especially ill or weak. Depression, anxiety and low self-esteem , which are more common in people with CF than the general population, may also contribute to a lack of desire for intimacy. 5
Finally, worries about passing the CFTR gene to offspring and not being able to care for their children sometimes contribute to a lack of desire for sex or intimacy. 4
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