{"id":29715,"date":"2023-05-17T11:00:19","date_gmt":"2023-05-17T11:00:19","guid":{"rendered":"https:\/\/news.cancerresearchuk.org\/?p=25676"},"modified":"2024-11-03T15:12:46","modified_gmt":"2024-11-03T15:12:46","slug":"5-ways-cancer-can-impact-sexual-wellbeing","status":"publish","type":"post","link":"https:\/\/ogkologos.com\/en\/5-ways-cancer-can-impact-sexual-wellbeing\/","title":{"rendered":"5 ways cancer can impact sexual wellbeing"},"content":{"rendered":"
<\/div>\n

Difficulties in sexual wellbeing can be experienced by anyone, including those with and beyond cancer. Not everyone with cancer will have or notice changes that affect their sex life. But there are cancers and cancer treatments which can cause changes to a person\u2019s body and make having <\/span>sex<\/span> difficult.<\/span> <\/span> <\/span><\/p>\n

How cancer affects sexual wellbeing can look different from person to person, and for some people they can already be experiencing sexual difficulties before diagnosis.<\/span><\/p>\n

While individual experiences may be different, there are some common ways<\/span> cancer and cancer treatments can <\/span>impact<\/span> sexual wellbeing for those with and beyond cancer.<\/span><\/span> <\/span><\/p>\n

From physical changes to emotional responses, here are 5 ways cancer can impact sexual wellbeing, and how they can be managed.<\/span> <\/span><\/p>\n

1. Fatigue<\/span><\/span> <\/span><\/h2>\n

A common side effect of cancer or cancer treatment is <\/span><\/span>cancer fatigue<\/span><\/span><\/a>. <\/span>It\u2019s<\/span> different from tiredness, which is usually short term and can be improved by resting.<\/span><\/span><\/p>\n

C<\/span><\/span>ancer fatigue <\/span>can<\/span> look d<\/span>ifferent for<\/span> each individua<\/span>l<\/span>, with some experiencing it for several weeks and others for years. <\/span>Having l<\/span>ow energy and exhaustion can make everyday tasks incredibly tough, like cooking, going for a walk or taking a bath. <\/span>And when feeling constantly exhausted, sex can be the last thing on someone\u2019s mind. <\/span>It restricts sexual activity <\/span>and also<\/span> tends to reduce desire and arousal too<\/span>.<\/span><\/span><\/p>\n

Fatigue can be overlooked at times<\/span>. Others may assume <\/span>it\u2019s<\/span> just being tired or lazy<\/span>. <\/span>But <\/span>it\u2019s<\/span> more than that. It can be physically troubling and emotionally frustrating. Partners and loved ones may not understand the toll it takes,<\/span><\/span> and that can create emotional distance and make expressing intimacy difficult.<\/span><\/span><\/p>\n

2. Body confidence and self-esteem<\/span><\/span><\/h2>\n

Impacts<\/span> to body confidence and self-esteem <\/span>isn\u2019t<\/span> unique to those with and beyond cancer. We have all experienced negative feelings about our bodies at some point. But when diagnosed you can become more aware of your body and the changes that come with <\/span><\/span>illness and treatment.<\/span><\/span><\/p>\n

Cancer can cause physical changes to the body and a <\/span><\/span>change in appearance.<\/span><\/span><\/a> The<\/span>se<\/span> may be temporary or permanent. But no matter how small the change is<\/span>,<\/span> it can have <\/span>a <\/span>significant <\/span>impact<\/span> on confidence<\/span>, which<\/span> play<\/span>s<\/span> a big part in our sexuality.<\/span><\/span><\/p>\n

\u201cWhen we feel self-conscious, or dislike aspects of our body, <\/span>we find it more difficult to \u2018be in the moment\u2019 and focus on what we are feeling and experiencing with our partner<\/span>,\u201d says Dr Isabel White, a cancer nurse and psychosexual therapist<\/span>.<\/span> <\/span><\/p>\n

\u201c<\/span>This internal conversation\/spectating acts as a distraction and this can lead to difficulties feeling sexual desire<\/span> and being able to reach climax or orgas<\/span>m<\/span>\u201d<\/span><\/span><\/p>\n

3. Altered function of sexual organs<\/span><\/span><\/h2>\n

When thinking about the impacts to sex and intimacy, your <\/span><\/span>first thought is<\/span><\/span> probably of<\/span> cancers that affect<\/span> <\/span>the<\/span><\/span> sexual organs. This includes pelvic cancers like prostate, ovarian<\/span>, <\/span><\/span>womb<\/span><\/span><\/a> and cervical<\/span> cancer<\/span>. Treatments can<\/span> impac<\/span>t<\/span> their<\/span> pelvic organ<\/span> function and can make sexual activity <\/span>tough<\/span>.<\/span><\/span><\/p>\n

S<\/span>urgery and radiotherapy <\/span>for <\/span><\/span>vaginal cancer<\/span><\/span><\/a> can cause<\/span> changes<\/span> like<\/span> <\/span>vaginal shortening<\/span><\/span><\/a> and these treatments, as well as chemotherapy, can reduce the vagina\u2019s ability to naturally lubricate. <\/span>So<\/span> it can<\/span> make having sex<\/span> incredibly<\/span> painful.<\/span> <\/span>And<\/span> <\/span>for<\/span> those with<\/span> <\/span>prostat<\/span>e cancer<\/span><\/span><\/a> s<\/span>ome<\/span> types of surgery <\/span>cause nerve and vascular damage <\/span>and<\/span> alter<\/span> the ability to get and keep an erection.<\/span><\/span><\/p>\n

However, while <\/span>it<\/span>\u2019<\/span>s<\/span> clear to see how cancers affecting sexual organs can have an impact on sex, <\/span>it\u2019s<\/span> important to stress that <\/span><\/span>all<\/span><\/span> types of cancer and their treatment can lead to changes in sexual wellbeing.<\/span><\/span><\/p>\n

4. Anxiety and depression<\/span><\/span><\/h2>\n

A cancer diagnosis can be an overwhelming experience. While cancer can change you physically, it can also <\/span><\/span>cause mental health problems such as<\/span><\/span> anxiety and depression. <\/span><\/span>Experiencing<\/span> emotions<\/span><\/span><\/a> such as fear, anger and sadness can <\/span>impact<\/span> how someone may feel about sex and themselves. <\/span><\/span><\/p>\n

There can be a sense of worry or guilt for those with and beyond cancer, when interacting with a partner. <\/span><\/span>This<\/span> can<\/span><\/span> lower<\/span> sex drive and hinders the ability to orgasm. <\/span>Even though it pushes away the want for intimacy, <\/span><\/span>in some cases <\/span><\/span>simply touching can help those feel cared for and reduce any anxiety and depression that may be there.<\/span><\/span><\/span><\/p>\n

5. Hormone changes<\/span><\/span><\/h2>\n

Hormones like oestrogen and progesterone (the main sex hormone<\/span>s<\/span> for women) and testosterone (the main sex hormone for men) all affect sexual desire and arousal. <\/span><\/span>Sex hormone<\/span><\/span><\/a> levels can be altered by some cancers or cancer treatments. Usually, they become lowered after cancer treatment either by blocking the actions of the hormones or reducing the level of hormones produced.<\/span><\/span><\/p>\n

Prostate cancer radiotherapy lowers testosterone levels and can lead to long-term effects like erectile dysfunction. Treatments for prostate cancer and breast cancer are most likely to affect hormone levels in the body. But treatment for other types of cancer<\/span>s<\/span> can affect them too.<\/span><\/p>\n

So<\/span><\/span>me chemotherapy drugs can affect how the ovaries work. This can lower the amount of oestrogen or stop the production of oestrogen<\/span><\/span> entirely<\/span><\/span>. In some cases, treatments<\/span><\/span> like chemotherapy or radiotherapy<\/span><\/span> can<\/span> <\/span>damage the ovaries, leading to<\/span><\/span> treatment induced menopause.<\/span> Side effects include experiencing vaginal dryness, low sex drive and pain during sex.<\/span><\/span><\/p>\n

Taking steps to help<\/span><\/span><\/h2>\n

While some of the changes described above can seem scary and overwhelming, there are resources out there that can help.<\/span><\/span><\/p>\n

For some people <\/span>it\u2019s<\/span> important to connect with their sexuality straight after treatment and for others it may be a while before they wish to explore the effects of treatment on their sexual expression and <\/span>possible solutions<\/span>. There are alternatives to penetrative sex which can be mutually enjoyable and help people to improve sexual wellbeing, like kissing, <\/span>touching<\/span> and talking.<\/span><\/p>\n

But no matter at what stage a person with or beyond cancer is at with their sexual wellbeing, it is always a conversation you can have with your health professional.<\/span><\/span> <\/span><\/p>\n

\u201cResearch into sexual difficulties after cancer suggests that being proactive in talking about the sexual challenges we may be facing, and actively seeking strategies to help us is more likely to result in improved sexual and relationship wellbeing,\u201d Dr White continues.<\/span> <\/span><\/p>\n

<\/span>\u201cTalking about the struggles we may be facing with partners and health professionals<\/span> can<\/span> help <\/span>us<\/span> understand where we are emotionally and physically in our sexual adjustment. It reduces assumptions <\/span>or <\/span>misunderstandin<\/span>g<\/span>s and en<\/span>courages work<\/span>ing<\/span> in partnership to seek <\/span>specialist information,<\/span> counsellin<\/span>g<\/span> and products<\/span>,<\/span> so we can explore and regain sexual pleasure after cancer.\u201d<\/span><\/span><\/p>\n

But raising this issue can be uncomfortable for some. To help overcome the awkward feeling there is a recommended <\/span>communication <\/span>tactic called the S.E.A model. The acronym stands for being <\/span><\/span>specific<\/span><\/span><\/strong> about the problem, <\/span><\/span>explain<\/span><\/span><\/strong> why it is important, and <\/span><\/span>ask<\/span><\/span><\/strong> what can be done to help. It helps to make the conversation feel more focussed finding the solution than <\/span>trying to <\/span>go around the probl<\/span>em<\/span>.<\/span><\/span><\/p>\n

Talking may not be the key for everyone<\/span> but it can often help. Any diagnosis, regardless of <\/span>the <\/span>cancer type, can have an impact on a person\u2019s sexual wellbeing and take away the enjoyment that they want to experience. <\/span>I<\/span>t<\/span>\u2019s<\/span> important<\/span> to <\/span>have<\/span> support<\/span> to <\/span>help <\/span>individuals feel<\/span> <\/span>m<\/span>ore comfortable in<\/span> their<\/span> bodie<\/span>s and<\/span> more <\/span>confident<\/span> exploring <\/span>pleasure<\/span> beyond cancer<\/span>.<\/span><\/p>\n

If you would like to read more information about sexual wellbeing and cancer you can visit <\/span>our<\/span> <\/span>About Cancer pages<\/span><\/span><\/a><\/em>.<\/em> <\/span><\/span> <\/span><\/p>\n

\n

Listen to our podcast for more<\/h2>\n

Our episode of That Cancer Conversation, \u2018Sex, intimacy and cancer\u2019, covers how cancer can impact sexual wellbeing and how we can have better conversations about it.<\/p>\n

We talk to Dr Isabel White, a cancer nurse and psychosexual therapist who has worked in the field for over 20 years. Tara, who shares her personal experience on how cervical cancer impacted her sex life. And Brian Lobel, co-founder of Sex with Cancer, an online initiative for those with and beyond cancer.<\/p>\n

Listen to it here!<\/a><\/p>\n<\/div>\n

More on this topic<\/h3>\n<\/p>\n

Source<\/a><\/p>","protected":false},"excerpt":{"rendered":"

Difficulties in sexual wellbeing can be experienced by anyone, including those with and beyond cancer. Not everyone with cancer will have or notice changes that affect their sex life. But there are cancers and cancer treatments which can cause changes to a person\u2019s body and make having sex difficult. How cancer affects sexual wellbeing can […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"footnotes":""},"categories":[5137],"tags":[],"class_list":["post-29715","post","type-post","status-publish","format-standard","hentry","category-world-news"],"_links":{"self":[{"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/posts\/29715","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/comments?post=29715"}],"version-history":[{"count":1,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/posts\/29715\/revisions"}],"predecessor-version":[{"id":42952,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/posts\/29715\/revisions\/42952"}],"wp:attachment":[{"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/media?parent=29715"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/categories?post=29715"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/tags?post=29715"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}