‘Intimacy’ isn’t just about sexual feelings and sexual activity – although that’s one important part we’ll talk about later. Intimacy is about effective communication, trust and respect, shared values and expectations, and a balanced give-and take. Maintaining intimacy can be difficult in any relationship, but the stresses of MS – its unpredictability, progressive nature, complex symptoms, and financial impact – can challenge any couple. Feelings of loss, anxiety, anger, and guilt can interfere with communication, connection, and effective problem-solving; physical changes can interfere with everyday activities and sexual intimacy. So where to begin?

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