3. Hip pain: Moving the hips sideways and outwards may be restricted by pain or joint destruction. In those cases, it may be best that the male approach from behind with the female bending forward. An alternative position would be the male again approaching the female from behind, but this time both male and female would be lying on their sides.

4. Knee pain: Maintaining the knees in a straight position is best, and can be achieved with the woman leaning forward over the bed, allowing for the male to approach from behind; but a sideways approach, or a passive position with the partner on top might be better.

As with all things for all people, the state of mind must be in the best state possible. This applies to anything we human beings undertake in life, including making love. Of course, for the rheumatoid arthritis patient, the state of body is best optimized also.

Discuss the lovemaking with your lover. Work with your rheumatologist to treat the body.