As you might expect, being in pain all the time is exhausting. It has a debilitating effect on the libido, as do pain medications. Chronic pain often causes depression, frustration and anger, which adds strain to the relationship on a number of levels, including sex. And while sex helps with relaxation, it's hard to drum up desire when you're already stressed and tired.
Even if a partner wants to engage physically, an extremely sensitive neurological system can inhibit the pleasure response. A touch that feels ticklish or mildly tender on most people might be excruciating to a person with fibromyalgia.
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