Dr Adriaan Liebenberg My Spine Explained | Page 108

My Spine Explained To help reduce the tension, it is important that your partner understands your condition. Together you can experiment with different positions and try to work out which position is most comfortable and satisfactory. The endorphins that are released during intercourse help block pain signals and promote the feeling of well-being. There are many different positions to experiment with, but the basic rule is that the partner in pain should be in the most comfortable position. The partner in pain should adopt the most favourable position with regards to comfort. Try a position in which the natural curve of the back is maintained. Avoid excessive arching of the lower back. Avoid bending forward. Avoid vigorous thrusting. You may find that the less active role may be the most comfortable, but not necessarily less enjoyable and satisfying. A firm mattress is vitally important. A pillow can be used for extra support. You may find that analgesics taken 30–40 minutes prior to sexual activity or taking a warm bath may be beneficial in lessening pain and alleviating the fear of pain. If sexual intercourse causes increased pain, non-penetrative sexual activity can be just as satisfying. For further advice or to discuss specific problems with regards to back pain and sexual activity, a health professional or sex therapist should be consult- ed. 107