Would you ask your rheumatologist about sex? This question might cause a look of surprise on your face. Why would anyone do that? After all, rheumatologists deal with joint pain, swelling and such. But there’s one instance when you should.
As it turns out, certain rheumatic diseases such as lupus are connected with a higher risk of erectile dysfunction. Talking to your physician about bedroom issues could help you enjoy sex again.
What is lupus?
Lupus is an autoimmune disease. It means our own immune system, designed to protect our bodies, turns against us and attacks healthy tissues. Symptoms include swelling, joint pain, rashes, and fatigue.
Lupus is rare in men
All over the world, 5 million people are affected by lupus. Statistics show women of childbearing age are most at risk. Overall it is estimated women are 4-12 times more likely to have lupus than men.
How does lupus affect sexuality?
Lupus affects intimacy in many ways, depending on the symptoms you have. If you feel tired and in pain, chances are you won’t be in a sexy mood. For some women, lupus is linked with vaginal dryness. For men, ED and lower libido are common.
Physical symptoms, combined with problems at work and illness-related stress may also lead to mental health issues. Depression, anxiety or low self-esteem can also lead to sexual problems.
Few studies about lupus and ED in men
Since lupus is predominantly a women’s illness, researchers have focused on its impact on female sexual functioning. We don’t have many studies on how lupus affects male sexuality. One report revealed sexual dysfunction affected 53.7% of men with lupus.
Another study, conducted in Mexico, showed 69% of men with lupus also had ED. Most of these men were young, in their mid-30s.
Rheumatologists don’t discuss sex with lupus patients
Men suffering from ED may not realize their condition has something to do with lupus. Rheumatologists don’t discuss sexuality with their patients. According to a 2009 study of big rheumatological practices only 12% of doctors actually addressed their patients’ sexual functioning.
Lupus patients want to discuss sex problems with doctors
It’s hard to say why physicians avoid intimate questions when treating their lupus patients. One of the reasons could be time constraints. It’s also possible rheumatologists are not comfortable talking about sexuality.
This is a real disappointment for patients who clearly wish to have these conversations. According to research, 72% of patients with lupus would like their rheumatologist to discuss sexual issues at every visit. 82% would like to be informed about how the disease may affect their intimate life.
Can you take Viagra if you have lupus?
Most drugs used to treat lupus don’t affect sexual life in a negative way. There have been, however, some cases of ED in lupus patients using methrotrexate.
Depending on your treatment, it may be possible to use medication to manage your erectile dysfunction. If you have never asked your rheumatologist about your ED, now is a good time to do it.
Your physician will know if your current lupus medication is affecting your sexual function. If yes, a treatment modification might help solve the problem.
If lupus drugs are not the cause, your doctor will decide if you can safely take Viagra or similar pills to manage your ED and enjoy intimacy again. There is a range of safe medication on the market today to help you deal with erectile dysfunction. To learn about your options, click here.
Anka Grzywacz is a sexologist, reproductive health expert and Certified Sex Coach™. In her online practice she helps busy women and couples solve their intimate problems.