Dealing with multiple chronic illnesses really takes its toll on feeling attractive. Yes, there are the direct effects of how long-term medical conditions affect your appearance.
Multiple aspects of your appearance also change in response to the side effects of medications that have been prescribed. In addition, the psychological impact of being chronically ill can result in decreased motivation to take better care of ourselves.
Everyone desires to feel attractive. Personally, I have found it very difficult to adjust to how significantly my appearance has changed in response to being chronically ill.