Today I thought I would do a post on chronic fatigue syndrome and sexual functioning. An area with little research and conversation- which needs needs to drastically change. Over the years I have seen many clients presenting with CFS (in couples and as individuals) struggling with issues around sex. In case you don't know; chronic fatigue syndrome (CFS) is a disorder characterized by extreme fatigue or tiredness that doesn’t go away with rest and can’t be explained by an underlying medical condition. CFS can also be referred to as myalgic encephalomyelitis (ME) which many people refer to it as.
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Research has shown that those with CFS have a higher level of avoidance of sex/sexual activity than those without, and all considering....for good reason. 85% of women with CFS reporting sex as negative experience leading to exhaustion. This is mainly due to the adrenaline increase that occurs during sex, creating exhaustion that may last up to 48 hours. Women experiencing chronic fatigue may report sexual pain and dryness and erectile dysfunction is more prevalent for men with CFS. Alongside this, depression and anxiety are also common for those diagnosed with CFS. With that in mind medications such as a low dose of antidepressants may be administered for not only mood disorders but for pain management too, as many people with CFS struggle with joint pains, sensitive lymph nodes and headaches. So some of these medications mean that side-effects can impact sexual functioning. This may all sound overwhelming but research trials that have occurred show that one of the best forms of support to assist people struggling with CFS and sexual functioning is psychosexual therapy, with couple therapy being the best option for those in a relationship. •
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Our sex lives are full of twists and turns as it evolves and changes across our life span. Chronic fatigue should be looked at the same way as any other issue that arises. Getting support from a therapist is a great way to assist in adapting and integrating changes so that those with CFS can have a happy, healthy sex life.