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There may be a frustration and sexual inadequacy in intimate relationships or a more pervasive loss of self-esteem.
While some couples easily accept limitations or cessation of sexual activity caused by chronic illness, others alteration of sexual functioning can cause a significant emotional crisis.
It is important to remember that sexual functioning is only one dimension of sexuality and intimacy.
Sexuality and intimacy can be a time of gentle relaxation for patients, when sharing and touching can improve their sense of well-being.
Depression is a very important contributing factor for the subjective sense of dissatisfaction with sexuality. Similarly, sexually dissatisfied patients are usually found to be more depressed than sexually satisfied patients, especially men.