Sexual health can be a difficult topic to talk about for a lot of people, but it can be particularly hard if you are an adult with CP who has mobility, personal care or communication challenges. Factors such as self-esteem can have an impact on romantic relationships, while some physical symptoms of CP such as mobility issues can impact sexual experiences.

Getting involved in social group activities, both disability-specific and general, will create opportunities to connect with your peers, help you develop strong relationships and can improve your self-esteem, which in turn supports good sexual health.

If you feel you would like some help and support to improve your sexual health and romantic connections, talk to your healthcare team. It is important to have members of the team who you trust and can feel comfortable talking with about your sexual health. Having the right healthcare team will help guide you with your sexual health as your needs change.

To support your sexual health:

• Your GP can provide advice about contraception and disease prevention.
• A social worker or psychologist can provide information about consent, safety, protective behaviours, relationships, sexual wellbeing and self-esteem.
• An occupational therapist can help you with modifications or equipment to support a healthy sexual life.
• A physiotherapist, and to some extent, a speech pathologist, may also be able to support you with the physical aspects of having a fulfilling and active sex life.

If you are thinking about having a child, it can be a good idea to talk to your healthcare team beforehand, so you are informed and prepared. They will be able to tell you about the services and support available to you, and refer you to other healthcare professionals, such as a fertility expert, gynaecologist or obstetrician.

Have caring people around you who support your decision and are willing to help out when you become a parent.

Sex can be challenging when you’re ageing with CP. Many things, such as chronic pain, mobility issues, weakness, medication and fatigue, can affect your ability to be sexually active – both physically and emotionally.

Common sexual health problems for women ageing with CP can include:

• vaginal dryness (which can frequently occur after menopause)
• less interest in sex or difficulty becoming aroused
• difficulty reaching orgasm
• pain or discomfort during sex
• fatigue or tiredness
• bladder or bowel problems.

Common sexual health problems for men ageing with CP can include:

• less interest in sex
• difficulty getting and keeping an erection
• trouble with ejaculation
• fatigue or tiredness
• bladder or bowel problems.

If you’re experiencing any of these issues, your healthcare team may be able to suggest changes or provide solutions to improve your sexual health, or they can refer you to other healthcare professionals with expertise in this area.