Donna: Dating and relationships are an emotional minefield for anybody, for those with neuromuscular conditions, it has an added layer of trepidation. The progressive nature of the disease is a difficult subject to bring up at any time, especially when embarking on a new relationship. If the condition is not immediately apparent, at what point do you bring it up? You don’t want to scare anybody off at the outset, nor do you want to start a relationship with a false impression of what the future might hold. For those already in a relationship, the patient’s changing body may reduce self-esteem, which can lead to loss of libido. For some, the condition’s physical effects can lead to sexual dysfunction, which can put a strain on a previously sexually fulfilling relationship. As with, all the aspects of neuromuscular conditions, there is no miracle remedy for this, but being open and communicating effectively, can only help to resolve these difficulties.