Individuals and couples can best cope with the sexual limitations of illness or disability by accepting those limitations and developing the options that remain. For example, couples can minimize the effects of pain by planning sexual activity at optimal times of the day, using methods of pain control such as moist heat or pain medication, finding comfortable positions, and focusing on genital pleasure or arousing erotic images to distract from pain (Schover & Jensen, 1988). As we emphasize in the "Basics of Sexual Enhancement and Sex Therapy" section of this chapter, expanding the definition of sexuality beyond genital arousal and intercourse to include dimensions such as erotic thoughts and sensual touch, and developing flexibility in sexual roles and innovation in sexual technique can be helpful.
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