top of page

Navigating Intimacy: Chronic Pain and It’s Impact on Sex

By Tahiyya  Alnisaa

Living with chronic pain can be a challenging and isolating experience, impacting various aspects of one's life, including intimacy. As one who suffers from endometriosis I can attest that it is not fun and it is very isolating. For three to four days a month I suffer from intense pain, fatigue, irritability, anxiety, and sometimes depressed mood. I often feel undesirable and body image issues appear because of the endo bloat. Days before the pain and a few days after sex can be painful.

This is just my experience with chronic pain. I want to delve into the intersection of chronic pain and sex, shedding light on the physical and emotional complexities that individuals may face. As women we are often forgotten when it comes to our sexual health and wellness and therefore don’t get a lot of insights, tips, and support on navigating this often overlooked aspect of chronic pain. Luckily with sex medication becoming popular my hope that this will change because no matter our situation we all deserve to experience some type of pleasure.

What is chronic pain

Chronic pain is more than just a physical sensation; it is a complex condition that can affect mental health, relationships, and daily activities. Conditions like fibromyalgia, endometriosis, arthritis, migraines, lupus, and back pain are common culprits, contributing to persistent discomfort. Acknowledging the holistic impact of chronic pain is crucial when addressing its effects on sexual intimacy.

What are the physical challenges

One of the primary challenges I experience as someone with chronic pain is that it does impact physical intimacy. The pain I experience can be so intense that I can barely allow my partner to touch me or I’m so tired that I’m not able to stay awake for physical contact of any sorts. For others the pain can affect mobility, flexibility, and overall comfort during sexual activity. Yes, sex can be uncomfortable. Understanding one's own body and limitations is essential, as is open communication with a partner.

Communication is Key

Open and honest communication between you and your partner is the cornerstone of a healthy intimate relationship, especially when chronic pain is involved. Discussing boundaries, preferences, and concerns can foster a deeper understanding and empathy. This dialogue creates a safe space for both of you to express your needs and find mutually satisfying solutions. If this feels like an uncomfortable space for you to be in you can definitely reach out to a sex counselor, sex therapist, a sexual health provider (Like me :-)) or a sexual medicine provider such as pelvic floor therapist or a medical doctor that specializes in sexual medicine.

Exploring Alternatives


Traditional concepts of sex may need to be redefined for individuals dealing with chronic pain. In other words you may need to get creative in the bedroom. Exploring alternative forms of intimacy, such as sensual massage, cuddling, or emotional connection, can provide fulfillment without exacerbating physical discomfort. You can also introduce different positions, use props such as pillows to lift the butt to alleviate the pain or lie on your stomach or side. This could also be a great time to introduce role play, kink, and/or sensate focus into the bedroom to build another level of intimacy.

Being open to trying new things and adapting to the unique needs of each partner is essential.

Emotional Impact

Chronic pain can take a toll on mental health, contributing to anxiety, depression, and decreased self-esteem. These emotional factors can further complicate matters in the realm of intimacy. Seeking professional support, such as therapy or counseling, can help individuals and couples navigate the emotional aspects of chronic pain and maintain a healthy connection.

Self-Care Strategies

Prioritizing self-care is crucial for individuals managing chronic pain. This includes not only physical self-care but also emotional and mental well-being. Engaging in relaxation techniques, mindfulness, and stress-reducing activities can contribute to an overall improved quality of life, positively influencing intimate relationships. Take a yoga class, start meditation rituals, or warm baths can help increase relaxation and manage the stress and anxiety one may experience with chronic pain and intimacy.


Navigating intimacy while living with chronic pain requires a combination of understanding, communication, and adaptation. By acknowledging the challenges and exploring alternative forms of connection, you and your partner can foster intimacy that is both satisfying and respectful of the unique needs associated with chronic pain. Ultimately, building a supportive and communicative relationship is key to maintaining a fulfilling intimate life despite the challenges posed by chronic pain.

Remember everyone deserves pleasure.

Tahiyya  Alnisaa’xo

12 views0 comments

Recent Posts

See All

The Holidays Stress Me! : Stress and The Immune System

The holiday season is often portrayed as a time of joy, love, and celebration. However, for many people, it can also be a time of stress and anxiety. From shopping for gifts to attending social gather


bottom of page