“…For example, engaging in sexual activity is one of the few ways in which they feel 'normal' (McInnes, 2003). These studies also identify how the biomedical effects of chronic conditions, changes in body image, psychological responses to living with a chronic illness, gender roles and caregiving duties, and future fears and confusion around sexual activity affected the formation and maintenance of intimate relationships (Kralik, Koch, & Telford, 2001;McInnes, 2003;Mercer, 2008;Pangman & Sequire, 2000;Samelson & Hannon, 1999). These studies, as with some relating directly to hepatitis C, recommend psychological and medical interventions to assist people to adapt to changes in their sexuality, and to treat 'reduced libido'.…”