Sexual Health |
Sexual Health |
Many young adults find that keeping an active sexual relationship with a partner during breast cancer treatment is very important. However, treatments may affect your sexuality. The issues that come up may be temporary or lasting, but most are manageable. Returning to "normal" may take some time. Be patient with yourself.
Hormonal changes
It's common to experience some form of sexual difficulty during or after breast cancer treatment, especially with chemotherapy. Chemo can make the ovaries function irregularly, and lead to changes in hormone levels. These changes can cause symptoms like vaginal thinning or dryness, which may make intercourse uncomfortable or painful. You may also experience changes in libido (desire), arousal, and breast sensitivity, but there are things you can do to make intimacy pleasurable and exciting again. Sex during treatment Physically, it's usually OK to have sex during treatment. If sex is an important part of your emotional relationship with your partner, be sure to set time aside for it. Also, try some of these strategies:
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Losing the desire for sex is a common experience for young adults during or after breast cancer treatment. Although it can be very distressing, you can get your groove back!
Remember that help is available for you, your partner, or both of you. Don't be afraid to talk with your doctor or a counselor about sexual issues. A person's libido doesn't typically come back on its own; you have to nurture it. Take it slowly, and make time for intimacy. Start by getting to know your new body, and focusing on pleasure rather than sex. Explore non-sexual sensations that feel good. Notice your whole body, and introduce small pleasures like non-sexual touch into your daily life. |
On your own: Many people find it helps to "practice" on their own before becoming sexual with a partner. Among other things, this can shift your attention from the things you're not feeling to the things you are feeling, and which ones are pleasurable. Many people also use a vibrator to jumpstart their libido. It gets blood flowing to the vaginal tissue and can help you identify pleasure spots. Whether you're exploring on your own or with a partner, always be sure to use proper lubrication for comfort. Water-based, unscented lubricants like Astroglide, Liquid Silk, and Sliquid Organics don’t contain perfumes or other irritants and are less likely to cause infections.
With a partner: Once you feel more comfortable with yourself, gradually return to intimacy with a partner. Be sure to share what you've learned about your new body, especially what feels good. This is also a great time to "expand your repertoire." Consider relaxation exercises, extending foreplay, and using fantasy. Move! Feeling sexy is closely connected to an overall sense of vitality and well-being. So, get moving! Simple, regular activity increases your overall energy, and can boost your sexual vitality. Simple activities include walking, dancing, or gentle yoga. Mind over matter: As you re-explore your sexuality, notice negative thoughts or critical "self-talk." Both can take you out of the moment and intrude on intimacy. Be aware of these thoughts, but try not to dwell on them. If you take anti-depressants or other medications that can affect libido, talk with your doctor to see if other options are available. |
Pain and discomfort
Pain during sex can distract you from enjoying the experience. To reduce your pain, try to:
Read a Dana-Farber teaching sheet about vaginal dryness and pain during intercourse. |
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