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Daily Living > Relationships > Intimacy and Marriage > Keeping Your Marriage Strong
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Keeping Your Marriage Strong

By Dorothy Foltz-Gray

No matter how good your marriage, chronic illness can cause strains between you and your spouse. But there are practical steps both spouses can take to help ensure that illness doesn’t become a wedge between them. Health professionals offer these tips for keeping marriage strong:

Share information. The person with arthritis needs to inform her spouse, to get him accurate information about her illness and to find support groups that he can join or that they can join together, says Kathy Robinson, PhD, an associate professor of nursing at the University of North Florida, Jacksonville. And the well spouse owes it to himself and to the marriage to empathize. Like so many with arthritis, Meredith Boyd of Atlanta knows getting on the same page is worth the work: “After all, my husband brings me the freedom of independence.”

Be sympathetic, not overly helpful. “If spouses are over-solicitous, the ill spouse can feel demeaned or powerless,” says Robinson, who works with families dealing with chronic illness. “She may be trying to recover from knee surgery, and her husband may simply be worried that she’s going to fall. Their goals clash.” In that case, it may be helpful to see a therapist or join a support group – sources that can help them get on the same page.

Prioritize intimacy. “Set up dates for sex, so that the person with arthritis can prepare by taking pain medication, by not taking on too much during the day and by building a sense of desire,” says Afton Hassett, an Arthritis Foundation-funded researcher who studies the psychology of rheumatological conditions at the Robert Wood Johnson Medical School in New Brunswick, N.J. “You need to make sex a priority and to talk about it.” Therapeutic lotions that reduce joint pain may also help someone with arthritis relax for an intimate date, especially if his or her spouse offers a massage with a loving touch.

Make caring mutual. “It takes ongoing communication and imagination to find ways to have as much give and take as possible, to acknowledge what each individual can do,” says clinical psychologist Barry Jacobs, at Crozer-Keystone Family Medicine Residency Program in Springfield, Pa. “Sometimes it may be mainly symbolic, but it’s a way to try to balance the scales.” To avoid silent resentment, make direct requests when you need something.

Take a break. If the spouse with arthritis needs a great deal of care, it’s important to acknowledge that and find ways the well spouse can get some respite, says Scott R. Beach, PhD, director of the Survey Research Program at the University of Pittsburgh and lead author of a 2005 study on caregiver behavior. “Use all the available service providers, if possible. Or if you have any family members who can help out for a few hours a day, use them, so the well spouse can get away. Don’t try to do it all yourself.”

KBee
13 Dec 2011, 18:30
I was diagnosed 13 months ago and since then, the pain is SO bad that I can hardly go to work. I only work part time, but this has become almost too much. I feel so isolated and depressed. I still have 3 teenagers at home and my husband, who is now back to work is so concerned about our finances. He tries to understand. The pressures of life in this economy seen so enormous!
Mary Woiak
05 Oct 2011, 14:19
Hi my name is Mary. And was diagnosed back in 2006 with Fibromyglia and I was suffering with it way before then. Every Dr told me it was to much stress or to much work or just nothing at all. I even had one Dr say to me and my husband that all this pain was in my head along with being tired all the time. I finally in 2006 found a Dr who listened to me and gave my the proper diagnis. Since then I have been seeing many drs and physical therapists along with psychologist. Im on many medications. Without out them I have a hard time functioning at all. It is so sad that people without any problems at all always say to me or my husband who she looks great she doesnt look sick at all. Well they dont know the daily struggles I have or the constant pain Im in or the being so tired. Its so frustrating. It is hard for my husband and family to understand how I feel on my very very worst days. I try to explain to them the best I can. I have a very loving and supportive husband and my children are very helpful as well. I dont really know how they can stand me on some days. Im Looking for a support group that is close to me or on the internet. I do belong to one but I want one that is close by or a group that meets or talks about everday issues or help for people like me. Sincerely Mary L Woiak
Steve
23 Oct 2010, 19:24
I have RA, OA, and Fibro, in all the different posts and blogs on the different web sites about arthritis, the stories are simular. My spouse/friends don't understand the pain, called lazy and faking it. Why does it hurt, when will it stop? What medicines are good and others not? Sex is not happening since the arthritis started.

First I want to say I hope a cure is found one day for all of you. I have found a web site that is one of the best. Karenandarthritis.com. Karen Ager is an Author of a recent book released called Enemy Within. If you have time to visit her site, read some of the excerpts from her biography and book.

A person in her teens who got RA and in a wheel chair in her 20's.
Grew up in Australia with a dream of coming to Hollywood and instead had a real set back with her disease and growing up years. Karen lives in New York and is an Advocate for arthritis. Go to Meetup.com or info@meetup.com and check out the postings of people with auto immune diseases. Her book is on Amazon.com under Karen Ager since there are a few books with the same title "Enemy Within". I bought and read this book and found that the courage and inspiration that Karen fought back to get out of a wheel chair and become an advocate for others motivated me as it did other people who left comments on Amazon about her book.

All of us have different levels of arthritis. I have been through the doctors office and currently on biologic medicine. If some of us has a marriage that is not as good as it was before your illness, this book is for the caretaker as well as the patient. My wife read this book and I enjoy writing back and forth to some of the meetup group of people and my marriage is right on track.

I am not a salesman nor a doctor, just another person at 56 with severe RA and has put me out of the work force. It was hard for my wife to understand in the beginning but now she is part of my support team thanks to Karen's web site and book. I still have flare ups and pain but now I know how to deal with it.

There is no post or blog I have read that is as moving as Karen's story. Imagine having RA most of your life and losing a dream to come to Hollywood. Karen is also a school teacher in New York and was very near the twin towers teaching at that horrible moment in time.

Sorry if I took a lot of space here but it helps when you get into chat groups with people who have and understand what you have.
Sharing and Caring.

Hope your dreams come true. Blessings
Sel
10 Oct 2010, 13:58
i Have had Fibro for many years, but it has worsened over the last 3 years. I married for 6 and my husband keeps accusing me of doing nothing all the time. I have grown so unhappy in my marriage with his lack of understanding or even acknowlegement of my disease. I think what keeps me here is my inability to care for my 2 sons on my own and to run the buiness we have but I manage on a daily basis.This will be my sole income and with the ups and downs of Fibro, I just cannot risk my children's future. I have no where to turn, no family where I live and no solid friends I can rely on. Am I doomed to this stressful and turmoiled life with my husband? I have no idea what to do.
Mary
01 Sep 2010, 15:39
I am the spouse of an arthritis sufferer so please excuse me if you think my comments are inappropriate since I do not myself have this disease. I just wanted to tell all of you that nothing has changed between my husband and me and nothing will- we got married with the expectation that things would happen to one or both of us in the course of our lifetimes and we are prepared for that. For all of you who may doubt your viability as suitable partners, please don't. You are well worth loving just as you are, or as you may become. Though I can't hope to understand what you go through, please know that anyone who would cause you difficulty or not want to be with you because of arthritis is a person not much worth having and certainly not deserving of you.

Feel better and take care of yourselves.
Teri
24 Aug 2010, 04:13
I've been living with arthritis now since Nov. of 2008 but was diagnosed with it March of 2009 and later diagnosed by a pain specialist with Spinal Stenosis and ever since the first diagnosis my husband still thinks that I'm not in as much pain as I let on or that I should have no problem doing some of the things I used to like cleaning the house even though now when I try to make an effort to clean I can do as much as I used too like clean the entire house in one day and the issue of physical relations with my husband is hard to broach with him because his idea is taking care of him regardless some times of how I feel either physically or emotionally so very seldom do I broach it and when I do it doesn't usually involve much touching or carressing which would tell me that he cares about what I'm sacrificing to take care of his needs without feeling like all he cares about is being relieved. I hope we can make an appointment to meet with someone at the Arthritis Foundation who can tell him what I'm going through both physically and emotionally so he understands that I need him to show me more compassion and care about how I feel when I say I'm in pain rather than saying I'm tired of hearing you're in pain or yeh well I worked all day and you don't see me complaining about being in pain so shut up.
ken roncin
23 Aug 2010, 18:28
I have r/a, osteoathritis and fibromialgia, I have a great marriage and a great wife, however for the past 3 yrs. there has been no sex on my part. Some how I just lost all urges and we have tried setting dates, using our hot tub to ease the pain but nothing seems to help. I'm on oxycontin and oxycocet for pain but I try to take as little as possible to get by, I hardly sleep anymore. Whe I was 20yrs old I was told I would probably be in a wheelchair by the time i'm 50 but sofar I'm 59 and still moving on my own, I don't qualify for replacement joints so I just suffer. My wife doesn't seem to understand why I don't have the urge for sex anymore and you know neither do I. What am I doing wrong?
Jolene
22 Aug 2010, 12:32
I am 27 years old, been diagnosed with RA for 6 months, and married for 4 months. It is already coming in the middle of my marriage and causing a problem. It feels hopeless most days.
Angie
12 Aug 2010, 13:05
I was diagnosed with osteoarthritis, RA, and fibromyalgia in 1999. Shortly after my husband and I quit communicating and he started drinking heavily. Our marriage has gone down hill since and this week we decided that maybe it would be best if we split up. Intamacy went out the door shortly after I was diagnosed and he started drinking, that was 12 years ago.

Seven months ago I started doing Brainwave Entertainment and it was like night and day. My pain subsided so much that I was able to walk my dog for 1 mile and mow the yard with the riding mower until I broke it and then I finished it with the push mower, all in one day! That had never happened before the BWE's. My recovery time on that day and since is usually on that afternoon and night. The next day when I wake up it's as if I hadn't done any stenous work at all. But unfortunatly it was too late. My husband had given up on living and sex was now out of the question with him.

Last night after we had decided to write up our property division papers, we sat down for the first time in months and talked. We found out that neither of us wants the divorce, and agreed that we have to talk to each other no matter what and put aside our anger and guilt. Intamacy is still not an option at this point but who knows about the future.
Suzi
29 Jul 2010, 04:03
I am 36 years old and am facing symptops of fibro since last 6-7 months. I am fine till the time I take medicines like Triptomer. I am regular in doing yoga and also walk for about 1 km daily. I am fine till the time I am not doing heavy physical activity. Recently we had to move to a new place which means lifting some heavy bags etc. I could just not do that .. Even If I did I felt like death with 20-30 min. Is this a very severe condition? I was very serious about marriage and I got sudden attack of fibro.Now I have lost confidence. Should I plan for marriage or not? My problem is just 6 months old but I am afraid.. Can I go for marriage and live happy marriage life?
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Louise
13 Feb 2010, 07:39
As I was looking through me e-mails looking for issues with intamicy amoung people with RA/Fibro. It was so nice to read that someone seems to have the same problem as myself and at the same age group. So Thank-you. So I look forward to trying this method. I just find it very frustrating when I plan to having an intamite evening and when it comes to the time, most of the time I'm too tired. So I hoping that making it an open decission I will follow through. Let's hope, wish me luck.
DRay
11 Feb 2010, 14:11
Thank you all for sharing your thoughts. As a single gal with RA (having JRA since age 7), I am ofter fearful of how my disease will affect my future relationships/partners. This is such a sensitive issue and caretakers/partners are so important to our survivng and thriving in spite of this insidious disease. In April, Arthritis Introspective will hold the annual National Gathering in Tempe, AZ. There will be sessions specifically for caregivers/spouses to share in a safe, understanding environment, meeting others who share your experiences and learing how to keep yourself healthy both mentally & physically. Please visit www.arthritisintrospective.org for more info and join our discussion forums to chat and find support.
Edie
02 Feb 2010, 09:43
I am lucky to have a very understanding husband, and we have talked about how to adjust for the pain I have in my hip and shoulder. We have found that a relaxing soak in our spa helps reduce the pain that can get in the way of intimacy. Doing without bathing suits doesn't hurt either!
Carol
26 Jan 2010, 20:01
My JRA started when I was 14 and I am now almost 50. I had my first joint replacement at age 24. I have done fairly well, I have a graduate degree, I work part time and volunteer. But lately I have been getting worse. My husband married me knowing about my limitations and he's done his best to accommodate and care for me. It's lucky that he has a lot of energy! He has many interests outside of me, and is frequently involved in them. Mostly I see this as a good thing; I would never want him to feel bored or trapped. He usually tries to include me in his activities, but many times I either am feeling yucky or it's something that I'm not interested in. So I let him go. Sometimes, though, I wish he would want to have a time with me, just doing nothing. Sex has become uncomfortable (at times) for me, and I have little desire. When I am able, I accommodate him and just enjoy the intimacy and closeness this brings. I am trying to be a good wife and life partner, and trying to keep from being discouraged. I'm not sure he understands but he is also trying.
Crystal
13 Jan 2010, 13:18
We go through everything this article states. My husband has RA and I am in pretty good health. Sometimes I feel that his condition has taken over our life. We've been together for 15 years and are still very much in love, but when I or my son needs him and he is not available it sometimes gives me doubts about everything. We live by your suggestions, but sometimes I just get tired of it all. Lately I've even had thoughts of going away by myself and starting over alone, but it's just fantasy. I need to find a support group to help me stay strong and not loose sight of the big picture.
Gary
18 Nov 2009, 00:18
Birds of a feather?

My spouse and I are both in our early 40's. She is a wonderful person who has had RA for the past 20 years and has had multiple joint replacements and fusions. We talk about everything, which is makes our relationship strong, so my posting here is no secret.

Its only been the last 5-8 years where all my spouse's energy is in survival and not in intimacy. We have tried many ways to bring the spark back and one suggestion from our counselor was to consider an open marriage (for me at least).

We think we are mature enough to make this a viable solution, and would like your non-judgmental thoughts (and maybe ideas on where to begin!)

Thanks!

Gary and Lisa
Sherri
23 Oct 2009, 13:05
I have O A & my husband R A It is difficult to make (sex) dates. I'm usually the one doing all the massaging, by the time I'm done pampering him, my hands hurt so bad & my body hurting so bad I'm not in the mood! I feel like he should know to help me too, I'm too hard headed to "ASK" I would rather go without!
It hurts that he doesn't really "Give" into the relationship the effort that I do!
jodi
02 Sep 2009, 21:24
it's nice to finally get to talk about this issue which is a very big one. having fibromyalgia the libido has left the building. no desire and that in it self is a real stressor on my marrige, thank god i have a understanding husband to a point. i feel guilty being only 46 and feeling 70.thanks for the tips
jason
28 Jun 2009, 19:49
yea i am in agreement with Jeannette....sickness last forever now.... i am in pain so much that i take it out on my wife and she doesnt deserve that

Jeannette
15 Jun 2009, 08:38
I came upon your site doing a bit of research about the effects of chronic illness on marriage. Great suggestions for dealing with it!!

My chronic illness/chronic pain has adversely affected my marriage and it takes much more work to maintain a good relationship. It is really tough when "In sickness and in health" tuns into just SICKNESS.

Thanks again for the great tips,
Jeannette
http://missingmythyroid.blogspot.com/

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