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Thanks, Jodi, for approaching a topic that is often avoided but of significant importance to many of us. There was an article recently in Forum and it mentioned adapting to what your situation requires. My wife is a lot younger than I but was diagnosed 14 years ago with Chronic Fatigue and Sjogrens Disease; Chronic causes tiredness just like MG and Sjogrens causes joint pains and often dry eyes, mouth and other areas, so many of the problems we MG people live with both of us now have from time to time but not at the same time. With some good communication and stowing away embarrassment for discussing intimate details of what works “for me” and what works “for her” and some imagination, you can have a satisfying intimate relationship. There are many alternatives to intercourse when that is not feasible, and many positions to experiment with for non-weight bearing intercourse when feasible. If one partner is fatigued but still interested in intimacy at that moment, other options can prevail to bring pleasure, orgasm, or just an intimate embrace: digital, oral, just friction from two body parts rubbing, making up fantasy stories to share, and recounting some memorable sexual times you had together in the past or fantasies to work on in the future. And both partners can agree to have solo time when not physically possible for one or another to participate. But most important is to understand and communicate when you feel capable physically and mentally to engage in intimacy and when not and accept this without question. Without getting to detailed about ‘how to’, I hope this might help someone. And not offend anyone as being too explicit. Communicate, Communicate, Communicate with your partner!
If this is too explicit, feel free to not authorize posting…won`t hurt my feelings!