Impact of rheumatoid arthritis on sexual function

Table 1 Factors associated to sexual dysfunction in rheumatoid arthritis and recommendations for specific symptoms

Sexual dysfunction	Factors implicated	Recommendations
Sexual disability	Limited mobility	Change position
	Pain, fatigue	Analgesic, heat, and muscle
	Morning stiffness	Relaxation before activity
		surgery
Dyspareunia	Vaginal dryness	Vaginal lubrication, estrogen cream
Diminished desire	Anxiety, depression	Counseling, antidepressive
Diminished satisfaction	Altered body image	Drugs1
Impotence	Hormonal imbalance	Sidenafil, sex therapy

¹Could decrease libido (Modified from Ref[33]).