Perimenopause and Chronic Illness

This guest post comes to us from Cathy Kramer of The Life and Adventures of Cateepoo.

Photo courtesy of Health Central

For many of us, our diagnosis came way too soon. Before our time we felt old, worn out, and tied to medications. Our bodies experienced changes due to our disease that we weren’t emotionally ready to handle. And just when we feel our bodies have experienced the worst, along comes perimenopause. According to Dr. Christine Northrup, perimenopause is the five to ten years leading up to menopause. For some women, it may even last 13 years.  (Please, no!!!) For me, perimenipausal symptoms started at around 45 years old with a few hot flashes in the morning. Three years later, I’m adding to the list of never-ending symptoms.

Talking to a few women my age, it appears the symptoms vary depending on who you are. One friend is several years older than me and hasn’t experienced any symptoms whatsoever. Another friend sees me at school fanning myself at 9:00 in the morning in an air conditioned building, laughs, and says, “You are where I was several years back.” With her, I want to ask every question I can because, to be honest, perimenopause feels a little lonely. Apparently, a lot of women feel uncomfortable talking about it. Not me. I have always prided myself on knowing my body well and right now, I have no clue how to help it or what it plans to do next.

Before I complain too much about perimenopause or scare young women away, I do want to confirm that there are amazing benefits to this phase of your life. 

Often times your relationships are solid or you have realized it is time to move on and are making new relationships, you are aware of your individual strengths as a person, professionally you are established, you might have finally found that spiritual balance you have been searching for, and if you don’t look in the mirror or see photos of yourself, you feel pretty darn proud of your accomplishments. It’s those photos that really weigh me down. Combined with medications for rheumatoid arthritis, I’ve gained a lot of weight and despite trying to lose it, it’s not going anywhere. I had many years where I limped everywhere I went due to a swollen knee and I thought that was bad. The difference is when someone sees you limping with a swollen knee due to an autoimmune system, it’s accepted. Sympathy even comes with it. Being overweight due to hormonal issues often just leaves people thinking you have “given up” on yourself.  I haven’t!

Body image in the bedroom has definitely been worse for me than my worst rheumatoid arthritis days. I am not ashamed to admit that I like sex, so even on days with extreme joint pain, it was worth a little more pain to move stiff joints around for the thrill that comes with an orgasm. Perimenopause is so different. Despite wanting the lights off now, you can’t because you have to see where you have put the lube. (If you have hit perimenopause, you know what I am talking about.)

Besides body image and sex issues, when you are part of the chronic illness world you have to also consider whether or not the supplements you experiment with will interfere with the medications you are on. I remember telling my young female rheumatologist that I was taking chasteberry to help my symptoms. She had no clue what I was talking about.

Again, you feel like this is a journey you are taking alone.

I don’t want to feel alone on this journey. For many of us, perimenopause, just like our chronic illness, is not going to be easy. We need to know there is support out there.

So, I am curious, how do you handle body image and sexual issues mixed with chronic illness?

Let’s unite and share.  For many of us, we are now in a new phase of life that is very different from other women because we have already faced so many hurdles with our individual diseases and many times the needs we have overlap and/or conflict.

Chat Questions 5-26-2016

We have some exciting updates to share!

Chronic Sex now has its own Twitter and Instagram accounts! You can find both under @chronicsexchat. All of the chat questions will now come from the CS Twitter account instead of a personal account.

We’re also always looking for guest posts or anyone who may regularly want to blog – anonymously or publicly – here. We’re also looking for guests for our upcoming podcast! Make sure to email kirsten -at- chronicsex -dot- org if you’re interested.

YAY!

Without further ado, here are this week’s chat questions:

Our questions for tonight center around sex:

Q1: Please introduce yourself in a way you’re comfortable sharing

Q2: Do your HCPs (health care providers – nurses, docs, etc) ever ask questions about your sex life?

Q3: Do you feel that your HCPs could answer any sexy questions you may have?

Q4: What questions about sex and illness/disability would you like to see addressed?

Q5: If you could give advice to a college student with your condition (or your younger self) RE sex, what would it be?

Q6: Here in the US, it’s just about Memorial Day weekend. Do you have any fun long-weekend plans?

And please don’t forget to support our upcoming podcast! This is my last week in my day job because I’m working on taking CS full time. A little support would definitely go a long way!

 

 

Guest Post: Maintaining Intimacy Despite Chronic Illness

I am a firm believer that intimacy and desire are actually fueled by what can be found in a person’s heart — their goodness as well as their sex appeal, their overall compassion and strength as well as their physical attributes.

But when my chronic illnesses are whipping me about like an untethered sail, I tend to feel like I’ve lost every aspect of who I once was, and that often includes my normal desire for intimacy. I feel unattractive and, at times, unlovable. I don’t want to be touched. I want to hide myself from everyone, including me.

I am in pain, unable to sleep, and I’m the first to admit that these things don’t exactly spur romantic inclinations. Intimacy can feel like just one more obstacle course I must navigate when it hurts to move.

Dealing with chronic illness can eat away at my inner resolve, bringing about a feeling of isolation (because nobody truly understands what I am feeling) and fueling my fear that I am no longer a sexual being.

When you are feeling well, it is fairly easy to accentuate the positive and feel attractive for your spouse or partner. But when you suffer with chronic illnesses your appearance can evolve into that of someone you don’t recognize.

With dark circles under my eyes and a frightening amount of hair loss, I feel as though I look like some sort of deranged Muppet. I find myself avoiding mirrors and I wonder how on earth my husband could stand to look at me.

But I have to say, for the most part, these feelings of being unattractive because of my chronic illness are my issue and mine alone. My husband does not see me the way I see myself when I look in the mirror.

I realized this when I caught him staring at me one evening as we sat watching television. “Oh no,” I thought. “He sees me… all raw and withered from this horrible illness.”

Did I look extra tired? Did I look fat, because exercise is so difficult when I am always in pain? Did I look unattractive because my hair is so thin now? I pondered every possible thing wrong with me that he could be looking at, imagining what he was thinking.

Then he said something amazing.

“Do you know how beautiful you are?”

Time stood still for a moment. I blinked and shook my head in disagreement. Didn’t he see the dry, thin hair and bald spots on my head?  Didn’t he see the bags under my eyes or the new creases on my face?  He couldn’t miss the look of endless fatigue in my eyes… or could he?

The truth is, I wish I could see myself the way he sees me. In that moment I felt unlovable for many reasons beyond my appearance. I felt he deserved so much more than the woman sitting before him, struggling for survival from the pain. I felt I might be losing every battle I was fighting. I felt like I was not the wife I wanted to be, either on the inside or in my outwardly appearance. I felt unworthy of any compliment.

But here is the lesson in all of this: some of the intimacy problems those of us with chronic illness experience are caused by our own self-loathing. Yes, there is pain, and that has a legitimate effect on how open we feel to intimacy, but often much of what squelches our desire is how we see ourselves.

Do you see yourself as a sexy partner or as a complaining burden?

Yes, you may be in pain and feel like you’re not the person you once were, but you are still you. Sometimes feeling sexy takes effort. It takes seeing yourself as a sexual, desirable being and being kind to yourself.

Here are a few tips to change your outlook and improve your intimacy:

  • Remember that feelings aren’t facts. You may feel less attractive because of your illness, but it is not always as visible on the outside as we think it is.
  • Remember that you are loveable and you deserve praise and compliments just as much as anyone else. People who love you see beyond the illness. They see the beauty in your heart and how you live your life. They see that facing each day and pushing through is proof of your strength and that is sexy.
  • Take your time. You have the right to feel every emotion and process the experience of being a chronic illness warrior at your own speed. If you are newly diagnosed with a chronic illness it may be difficult to move beyond the emotions you initially feel. This is natural, but do not allow them to set up housekeeping within you. Eventually, you need to focus on all that you still can do and all that you are. You are more than your illness.
  • Take the time to take care of you. Do something for yourself that makes you feel good about your appearance, accomplishments, or simply feel more relaxed. Get a massage if that helps to ease pain or get your hair done if that makes you feel better about your reflection in the mirror. Try and take care of yourself as you did before you got sick.
  • Focus on two things you love about yourself. Think of them at least once a day and compliment yourself on them, so that this positive voice is the one in your head — not the negative one that tells you all that is wrong with you.
  • Keep communication with your partner open. If certain positions, movements, or specific activity hurts you or is just too difficult when you are not feeling well, discuss alternatives with your partner. Openly talking about your desires and feelings can actually increase intimacy between partners and improve their understanding of how you feel… which is knock-dead sexy.

You may need to practice these supportive, complimentary affirmations to overcome the negativity that goes hand-in-hand with any chronic illness.  Those who battle pain each day, or illness that impacts multiple aspects of their life, often have difficulty feeling their normal, typical levels of desire.

But remember, desire often begins by feeling good about yourself as well as being connected to your partner, so don’t let your struggle get the upper hand in how you feel about yourself or your relationship.

Offer loving care to yourself first, and remember you are more than your illness.

Barbara Leech is a mother of four who has battled lupus for more than 30 years. Also diagnosed with fibromyalgia and Hashimoto’s thyroiditis, she considers herself a survivor of all things: chronic illness, divorce, starting over. She is passionate about family, faith and small victories. You can find more of her writing on NewLifeOutlook. 

Chat Questions 5-12-2016

Our questions for tonight are all about representation of sex and sexuality for the chronically ill/disability community:

Q1: Please introduce yourself in a way you’re comfortable sharing

Q2: How do you feel about sex as portrayed in the media? Positively, negatively, or mixed?

Q3: Do you have examples of positive chronic illness or disability-related sexuality in media?

Q4: Are there any people in the media (actors, singers, etc) with illnesses you’d like to see more about?

Q5: What would you like to see from the media in regards to sexuality and illness?

Q6: If you could have any movie star play your love interest, who would you pick & why?

Don’t forget to support our upcoming podcast!

 

 

Chronic Sex Podcast

Happy May friends!

I am currently leaving my job to take some time off to deal with some self-care issues.

Go figure, right?

The coolest part about this is that it allows me to work on a number of additional projects and ideas that have recently fallen to the side.

Like the Chronic Sex podcast.

That’s right! If you are addicted to podcasts like I am, you can soon get your fill of self-love, self-care, relationship, and sexuality issues relating to chronic illnesses and disabilities through your phone!

This will be a podcast that comes out every other week. The topics will alternate between Chronic Sex one week to general chronic illness and disability issues with our friend Kristin Coppens the next session for a segment we’ll call The Chronic Ks.

Would you like to assist in getting this project off the ground? Come check out our Kickstarter!

 

 

Questions for 4-28-2016

Hi all!

Due to illness, I didn’t do a great job this past week of writing up the questions ahead of time. Oops!

In order to be more accessible, I’m listing the questions in text-form below as well. 

Since this is post-chat, though, I have included some pieces of discussions from the Twitter chat or the private/secret Facebook group. If you would like to join that group, click here to friend me. Then send me a message about joining. You don’t have to stay friends with me, but it would sure be fun!

Q1: Please introduce yourself in a way you’re comfortable sharing.

Q2: What do you find the most frustrating about your illnesses and relationships?

People tend to protect themselves, reducing the serious of their relationships because of the need to be more flexible regarding needs, timing, etc. Other cited the emotional and mental toll pain takes on us all. Family – especially in-laws – tend to put unneeded pressure on our relationships.

Analogies can help us explain or relate to others. This is a part of why The Spoon Theory is popular.

Q3: What are some ways your loved ones (partners, family, etc) help with your pain?

Understanding. Helping us get to/from appointments and errands. Staying with us or hanging out, especially during flare-ups.

Q4: What are some things you wish loved ones would do to help? Is there a way to be more helpful? 

Calling when someone is at a store or running errands to see if we need/want anything. Bringing by take-out and spending time with us when we’re unwell is a huge help. Cook! Pick up prescriptions.

Q5: If you could help your loved ones understand only ONE of your symptoms, which would you pick & why? 

Fatigue/exhaustion was definitely the top answer. Unpredictability of illness issues was another high one. It would be nice if others could understand a little more what it is like to have to adopt certain mentalities/ways of thinking because of our illnesses.

Q6: What are you doing with loved ones over the next week to have fun?

What are some of your answers to these questions? Do you agree with fatigue/exhaustion being the top answer for question five?

Have a great week!

 

 

Milwaukee SHARE

Last week, I was honored to be able to attend some of the Milwaukee SHARE sessions. If you’re unfamiliar with SHARE, it stands for Sexual Health and Relationship Education. It is run by Tool Shed Toys, one of the most progressive and educational sex shops in the nation.

On Monday, April 4, I was able to attend their Health Care Providers Day.

The first session was “Talking About Senior Sex with Joan Price.” Joan is AMAZING.

One of the biggest takeaways from her session that I had was how sexual dysfunction can be related to non-sexual medical issues such as heart disease. Your physician should give you a full body exam when you present with sexual dysfunction symptoms instead of telling you to just use more lube.

Lube is always great, though.

Joan suggested sharing with your physician the following if you present with a sexual issue: “My sexuality is important to me.” Discuss how these issues affect your quality of life.

She also suggested creating an Advanced Sexual Directive. Many nursing homes and other assisted-living facilities have rules against sex and sexuality. Making sure that you have such a directive in place can help you to enjoy life should you need to live in such a place.

The second session Making Your Practice Transgender Friendly with Ashley Altadonna and Hudson P. of Tool Shed Toys.

This was a very useful session. I learned a lot about my own sexuality. Gender expression, for instance, was not a term I had heard of. It simply means the outward appearance a person chooses to give off and how that may tie into their gender identity.

I also learned some heavy statistics – 41% of transgender people are likely to have suicidality. Transgender patients are outed at doctor appointments, denied treatments, and treated horribly by physicians who don’t agree with their patients’ lives.

So much for the Hippocratic oath.

The third session Compassionate Care for Kinky People with Sophia Chase. Sophia is a dominatrix and rents out dungeon room for safe play. She’s also a sex educator and super cool human being.

I would like to be her best friend honestly.

She discussed the need for physicians to understand the difference between BDSM (bondage and discipline, dominance and submission, sadism and masochism) and abuse.

Sophia has lupus and also discussed how many people with chronic illness or pain get involved in BDSM at some level. There is an attractiveness to controlling some pain we receive.

I definitely see it after that session.

There are great communication and negotiation techniques utilized in BDSM that I think we can all learn from as well. More to come on that in the next few months.

The fourth session Ready, Sexy, Able: Sex and Disability with Robin Mandell (whom I credited in our chat questions last week as Robin Marshall – oops!).

We are not that far removed from asylums and other demeaning institutions. Some of the worst ones only closed in the mid-1990s.

Many of the group homes we have today aren’t great either.

Women with disabilities especially have low sexual/self-esteem and are more likely to be abused.

I really enjoyed some of the definitions Robin included in her presentation. The one I enjoyed the most was the definition of intimacy: caring, sharing, loving, vulnerability, trust, self-disclosure, risk-taking.

She also shared the following resources (which will go up on our resources page shortly):

  • Through the Looking Glass
  • Rocking the Cradle
  • Disabled Parenting Project
  • How I Became A Human Being
  • The Sexual Respect Toolkit
  • Sexuality & Access Project

To check out more information from the week-long set of sessions, visit Milwaukee SHARE’s Twitter page or their hashtags from the events:

  • #sharekickoff
  • #sharehcp
  • #sharesexgeek
  • #sharesrsex
  • #shareupdate
  • #sharesecrets
  • #shareplay
  • #sharethelove
  • #shareporn

 

 

Chat Questions for April 7, 2016

On Monday, I attended the Health Care Providers’ one-day conference on What Aren’t They Talking About? Sex and Identity in Clinical Practice with Milwaukee Share. It was an amazing day and I really learned a lot.
Tonight’s questions are based on what I learned from Joan Price, Robin Marshall, Ashley Altadonna, and Lady Sophia. There will be a full blog post on this coming soon, but for now enjoy tonight’s questions.

I hope you can join us tonight!

Chat Questions for March 31, 2016

 

Here are this week’s questions all about sleep!

Some resources and more on sleep: