People with disabilities still find themselves excluded from conversations surrounding sexual and reproductive health, causing barriers to access adequate care and support.
This page is here to provide inclusive information for people with disabilities. Reminding us all that they have the same rights to pleasure, intimacy and relationships as those who do not have a disability, including the right to consent or refuse.
This page is here to help you understand sexual health, relationships, and your rights in a clear and simple way. Everyone is welcome here, and you have the right to information that is easy to understand and support that meets your needs. If anything is unclear or you need extra help, support is available.
Everyone has the right to understand sexual health, relationships, and their own body in a way that works for them. People with learning disabilities have the same rights as anyone else to access clear information, make choices, and receive respectful sexual health care and support.
Sexual health includes relationships, consent, contraception, STI prevention, and emotional wellbeing. With the right information and support, people can make informed choices about their sexual health and relationships.
Help and Support:
STIs:
Contraception:
Long Acting Reversible Contraception (LARC)
Sex and Relationships:
Easy-Read leaflets are still in development, and this page is regularly being updated. Please check back if you cannot find an easy ready you are looking for straight away.
Please get in touch if you have any suggestions or requests for easy read using the form at the bottom of the page.
Talking with a partner about sex and sexual health can support comfort, confidence, and safety. This can include conversations about contraception, STI testing, boundaries, and what you do or do not want or like.
If you have communication needs or feel anxious about these conversations, it may help to:
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plan what you want to say in advance
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choose a time when you feel relaxed and not under pressure. It is suggested you do this at home or another private location to avoid being overheard
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use communication methods that work best for you (for example, speaking, writing, or using communication aids)
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ensure your partner is fully informed as consent works both ways
A partner should respect your choices and boundaries. You should never feel pressured into anything you are not comfortable with. Always ensure to outline any adaptations you may require before or during your encounters to always ensure your safety and comfort. Remember: healthy relationships are based on respect, trust and communication.
Contraception
Some methods of contraception may be more difficult to use depending on mobility and dexterity. For example, inserting the vaginal ring or diaphragm or using condoms may require more coordination than taking a pill or putting on a patch. Long-Acting Reversible Contraception (LARC) is available to ensure access to the same level of protection that does not require regular action.
A healthcare professional can talk you through your options and help find a method that suits you, book an appointment or visit SHL for more information.
Using condoms and barrier methods with dexterity challenges
Barrier methods, such as condoms, may be more difficult to use if you have limited hand movement, dexterity, or coordination. Tasks like opening the packaging, placing the condom correctly, and using it during sex can require fine motor skills.
Some people find it helpful to:
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practise using condoms in advance, when you are not under pressure
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use condoms with easy-open packaging or larger tabs
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keep condoms somewhere easy to reach
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ask a partner to help, if you feel comfortable and it is safe to do so
If you find barrier methods difficult to use, there are other contraceptive options that may be easier to manage. A healthcare professional can also offer advice on techniques or adjustments to support you.
Condoms are the only method that also help protect against sexually transmitted infections (STIs), so it’s important to discuss any difficulties and possible solutions with a healthcare professional.
STI Testing
At-home testing kits require you to take your own samples (urine, swab and blood) this may be difficult if you have limited movement, coordination or find it uncomfortable to move your body in certain positions. If you wish, you can ask a trusted person or carer to assist you with taking some tests (such as the finger-prick blood sample).
If you would like to order a home testing kit, please visit SHL. The website is compatible with screen-reading devices. Alternatively, the same level of testing is available in all sexual health clinics if you would prefer the assistance of a medical professional. You can discuss your needs in advance to ensure reasonable adjustments are made.
Positioning aids and adaptations
Positioning aids and adaptations can support comfort, safety, and independence in different aspects of sexual health, including intimacy, using contraception, and STI testing.
If you have limited mobility, pain, fatigue, or reduced strength, you may find it helpful to:
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use pillows, cushions, or supportive equipment to improve positioning and reduce strain
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take your time and adjust positions to suit your comfort
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plan ahead so that any items you need are easy to reach
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adapt your environment to feel safe, private, and comfortable
What works best will be different for everyone. You can talk to a healthcare professional about your needs and ask for advice on adjustments or support.
Remember, you should always feel comfortable and in control of your body and choices. All adaptations and adjustments should include your consent, preferences and agreed boundaries.
Sensory sensitivities
Sensory sensitivities can affect comfort, enjoyment, and ease when managing different aspects of sexual health, including intimacy, contraception, and STI testing. You may find certain textures, smells, or sensations uncomfortable or overwhelming.
You may find it helpful to:
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try different types or brands of products (such as condoms or lubricants) to find a more comfortable option. The C-Card offers a variety to choose from.
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choose products with fewer or no added scents
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speak with your partner(s) about your concerns and take things at your own pace
What feels comfortable will be different for everyone. You can talk to a healthcare professional about your preferences or concerns and ask for advice or support.
Medications
Some medications may have an impact on libido (sex drive). It is important that you do not stop or adjust the dosage of any medication without discussing it with a medical professional. There may be options for treating this without compromising your ongoing medical care. If you have any concerns, you can book an appointment to visit your local sexual health clinic to discuss with a doctor or nurse.
Certain medications and treatments can contradict the effects of hormonal contraception methods. If you wish to start a new method of contraception, please discuss this with a doctor or nurse to ensure it’s safe to take for you.
Being neurodivergent can affect how you experience different aspects of sexual health, including communication, sensory preferences, routines, and decision-making. You may have specific preferences or needs when it comes to intimacy, using contraception, or accessing services.
Focusing:
You may find it difficult to remain focused in the moment which may lead to feelings of frustration between both partners. Being sexually active or intimate with your partner isn't about a perfect performance, it involves experimenting with different forms of intimacy that works for you and your partner.
On the other hand, hyper focusing, in the moment, can enhance sexual experiences and bring you closer to your partner. However, this may result in sudden disengagement or distraction which can cause disconnect or upset. It’s important to communicate openly about how your neurodivergence affects your connection and to find ways to build intimacy even outside of those periods of intense focus.
Impulsiveness and Communication:
Impulsive decisions may impact important aspects of physical and emotional intimacy, leading to difficulty in expressing your emotions in the moment. Intentional communication along with grounding exercises can maintain the excitement whilst maintaining the safety and intimacy of all parties involved.
Sensory overload:
If you experience heightened sensitivity to sensory activities or certain environments, this may also impact your sex life. This sensitivity can manifest as discomfort with certain physical sensations, finding it difficult to focus due to external stimuli, or even feeling overwhelmed by intense emotional or physical closeness. When this happens, it can be hard to stay engaged, and partners may feel confused by the sudden shift.
Understanding and communicating your sensory needs can help manage overwhelming moments. It’s encouraged that you tell your partner when you're feeling overwhelmed or overstimulated. It is always best to be open and honest about your feelings at all times.
Clinics and appointments:
It can help to find approaches that suit you. Take your time and ask for information in a way that is easy for you to understand. A healthcare professional can offer support and discuss options with you. You can bring a trusted person with you to appointments or request virtual (telephone) appointments where appropriate.
Always ask as many questions as you need to ensure you have all the information you need and enough time to process before deciding, and remember, you have the right to say no or change your mind at any time.
Are people with disabilities sexually active?
It is a myth that people living with disabilities are not sexually active, or asexual. Sex is a personal choice for ALL people. Some people live very active sex lives whilst some prefer not to, and that’s okay.
I’m taking medications that affect my libido, what can I do?
We understand some medications can affect your sexual experiences. It is always best to speak to your doctor or prescribing clinician before stopping or altering your medication.
Some side effects can be navigated alone or with the help of a partner. For example; nausea can be managed by taking small sips of clear fluids, eating bland foods or foods containing ginger, getting some fresh air and avoiding rigorous activity.
Managing stress through techniques such as mindfulness meditation, deep breathing exercises, and yoga can help improve your overall well-being and sexual function.
Am I suitable for contraception if I have a disability?
Some forms of contraception may be difficult to navigate if you have a physical disability, sensory issues or any other disability that may cause some methods to be uncomfortable. It is best to speak to a doctor or nurse as they can help find the best choice for you.
In the meantime, you can use Brook’s contraception tool to get an idea of what you may feel comfortable with.
I have a physical disability; how can I have a safe experience?
Finding ways to have safe pleasurable experiences is key, here are some suggestions:
Gaining consent from all parties involved is the number one way to have safer sex. If you or your partner are unable to consent for any reason, please do not engage in sexual activity.
Communicate with your partner(s) before and during about any discomfort you are feeling. Taking things at a slower pace, using certain positions or taking breaks may help.
You may want to look into using sex aids such as wedges, chairs, hoists or adapted sex toys for masturbation. Click here to learn more about accessible sex aids and where to purchase them. You can also try online stores such as The Pleasure Garden, Quest (by Enhance the UK) and Love Honey, and physical stores such as Ann Summers.
I have a partner who doesn't have a disability, can we still be intimate?
Many people who are living with disabilities have partners who are not. It is a myth that people living with disabilities either have no sex, or partner with other who also live with disabilities. Sexual experiences may be different than people without a disability, but they should still be just as safe and pleasurable.
Intimacy doesn't have to include penetration or any other physical activity that you are uncomfortable with. You may choose to engage in oral sex, mutual masturbation or other forms of sexual contact. Emotional and romantic intimacy may also play a part in your relationship. Spending quality time together, developing a strong emotional bond or discussing intimate interests can help you stay connected and close.
Being as open with your partner as you feel comfortable with is best practice. Disability Horizons has some great advice on how to navigate difficult conversations with your partner and getting into dating whilst living with a disability.
Are sexual health clinics accessible?
Yes! All services listed on our clinics page have accessibility information listed at the bottom. Although we try to be as up to date as possible, it is always best to contact the clinic before you attend to avoid disappointment.
Pathways
OneBexley is a partnership of eight local charities coming together to deliver social care assessments and annual reviews on behalf of the London Borough of Bexley. They have created a project called Pathways to support residents in living their best lives.
If you are over 18, live in Bexley and have a learning disability or care for somebody who does, then Pathways could help you. If you would like to find out more or request an assessment, please call 020 8303 6336.
Additionally, you can use the referrals form found here
Bexley Mencap (Part of Pathways)
Mencap is a local charity supporting people with learning disabilities and the people who care for them in Bexley. They run a range of groups and services including: sports clubs, social clubs, self-advocacy support groups, independent living support and family support.
Carers Support Bexley (Part of Pathways)
Carers Support is a charity providing a range of support, information and respite services to carers living in Bexley and Greenwich. This includes providing support worker services for a small charge.
For Bexley respite care services, please contact 020 8302 6579
For more information, visit their website, call 020 8302 8011 or email info
Inspire Community Trust (Part of Pathways)
Inspire provides services for Bexley residents such as Wheelchair and equipment services, sensory support services, Blue Badge and Freedom Pass application and assessments.
For more information visit their website, call 01322 520 560 or email enquiry@inspiremedicare.org
Further Support
Please visit our Support Page for further help and support surrounding sexual health and relationships.