Does ankylosing spondylitis affect sexual function?

In general, whether ankylosing spondylitis affects sexual function depends on the control status of the condition. If the disease remains stable over the long term without severe joint deformities or pain, it typically does not impact sexual function. However, if the condition is severe, with significant pain, spinal or hip joint deformities, or accompanied by psychological stress, it may affect sexual performance. A detailed analysis is as follows:

If patients with ankylosing spondylitis have well-controlled disease, without obvious daily pain or movement limitations, and if spinal and hip joint functions are normal without psychological burdens, sexual function typically remains unaffected. In such cases, the patient's physical condition is stable, allowing for normal sexual activity.

If the condition is not effectively controlled and patients experience persistent and severe low back or hip joint pain, or if spinal deformities or limited hip joint mobility restrict body positions, this can directly impact the comfort and feasibility of sexual intercourse. Additionally, some medications used for treatment may have side effects that influence libido, potentially causing indirect effects on sexual function.

To minimize the impact of the disease on sexual function, patients should actively manage their condition, follow medical advice for standardized treatment, and undergo regular follow-up visits to adjust treatment plans as needed. It is also important to incorporate appropriate exercise into daily life to relieve pain and maintain joint mobility.