Spasticity in the legs can make finding a comfortable position for intercourse difficult, or cause pain that interferes with enjoyment. Active symptomatic management typically includes physical therapy exercises and antispasticity medication, such as Lioresal® (baclofen) or Zanaflex® (tizanidine). Administering antispasticity medication prior to anticipated sexual activity can be helpful. Be sure, however, to discuss any medication changes with your physician.

Another approach for coping with spasticity is to explore alternative sexual positions for intercourse. Women with spasticity of the adductor muscles [muscles controlling the ability to spread apart the legs] may find lying on their side with the partner approaching from behind more comfortable. A man who has difficulty straightening his legs may find that sitting upright in an armless chair allows his partner to mount his erect penis. However, everyone's body is different, and the key to finding alternative sexual positions is open exploration and communication between partners. To reduce anxiety about trying more comfortable positions during sexual activities, practice new positions prior to engaging in sexual activities.