{"id":403984,"date":"2021-05-10T13:32:36","date_gmt":"2021-05-10T17:32:36","guid":{"rendered":"https:\/\/nortonhealthcare.com\/?page_id=403984"},"modified":"2022-06-01T17:13:46","modified_gmt":"2022-06-01T21:13:46","slug":"cancer-side-effects","status":"publish","type":"service","link":"https:\/\/nortonhealthcare.com\/services-and-conditions\/cancer-care\/patient-resources\/sexual-health\/cancer-side-effects\/","title":{"rendered":"Sexual Side Effects of Cancer Treatment"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">How Will Cancer and Cancer Treatment Affect Your Sexual Health?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Talking about sex can be a sensitive topic. It is important, however, to discuss how cancer and cancer treatment can affect sexuality and how to treat issues that may develop. It may help to write down your questions before you see your doctor. Here are some questions to get you started.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Will I be able to have children after this cancer treatment?<\/li><li>Are there steps I can take to preserve my fertility?<\/li><li>Is it safe to have sex while I am going through chemotherapy? What precautions do we need to take?<\/li><li>Can chemo be passed through bodily fluid during sex?<\/li><li>Is it possible to get pregnant while on this treatment? Would there be any increased risks or negative effects on the baby?<\/li><li>Should I stop my birth control or continue it?<\/li><li>What method to prevent pregnancy would be right for me?<\/li><li>Will this treatment have effects on sexual function?<\/li><li>What can I do to treat vaginal dryness?<\/li><li>Can anything be done about low interest in sex?<\/li><li>Are any of my medications impacting my libido?<\/li><li>Can I have help for my body image?<\/li><li>Sex has become painful. Is there anything that can help?<\/li><li>What is pelvic floor physical therapy, and would it be helpful for me?<\/li><li>Can I see a specialist to help me with my sexual health?<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">More cancer patients in Louisville and Southern Indiana choose Norton Cancer Institute, where they find sophisticated expertise, including access to innovative clinical trials, and a commitment to treating the whole person \u2014 not just the cancer.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cancer and cancer treatments can bring on sexual health changes, many of which can be treated.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Cancer Treatment and Early Menopause<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Surgery, chemotherapy, radiation or hormone-blocking treatments can trigger <a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/obstetrics-and-gynecology\/services\/womens-health\/menopause\/\">menopause<\/a> in cancer patients. This can cause <a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/obstetrics-and-gynecology\/services\/womens-health\/gynecology\/infertility-reproduction\/\">infertility<\/a> and also cause symptoms that can affect sexual health.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Many symptoms of menopause can affect sexual health, such as:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Hot flashes<\/li><li>Night sweats<\/li><li>Fatigue<\/li><li>Vaginal dryness<\/li><li>Pain with sex \u2014 this needs to be evaluated by a medical professional<\/li><li>Decreased libido or desire<\/li><li>Joint aches<\/li><li>Mood changes<\/li><li>Insomnia<\/li><li>Anxiety or depression<\/li><li>Foggy thinking<\/li><li>Urinary tract infections<\/li><li>Infertility<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Cancer and Sex Drive<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Reduced sex drive is a very common concern after cancer treatment. Contributing factors can include biological, psychological, social and cultural causes.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>If sex is painful, then desire likely will decrease. The first step is to address the cause of painful sex.<\/li><li>Chronic nonpelvic pain can increase stress, contribute to depression and decrease libido.<\/li><li>Cancer surgery can alter sexual identity and body image.<\/li><li>Cancer survivors who have experienced sexual trauma in the past may have increased challenges.<\/li><li>Depression, anxiety, medication side effects and chronic fatigue from cancer treatments can all reduce desire for sex.<\/li><li>Your partner may have their own sexual health concerns.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Improving Your Libido<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Mindfulness and meditation can help reduce stress and connect you to the present.<\/li><li>Regular exercise may help improve libido.<\/li><li>Spending 15 to 20 minutes in foreplay may help improve interest in sex.<\/li><li>Familiarizing yourself with your body and what you like, exploring your own body and using sex toys may help libido.<\/li><li>Connecting with your partner emotionally can improve desire and interest in sex. Plan ahead for a time for just the two of you, and put stressful topics off limits for that time.<\/li><li>Pick a time for intimacy when you have more energy and plan ahead.<\/li><li>Share your feelings and listen to your partner.<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Treatments for low desire include:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Treatment of underlying physical issues<\/li><li>Psychosocial counseling<\/li><li>Sex therapy<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Two medications, flibanserin and bremelanotide are approved to improve sexual desire in women, although they have not been studied in cancer patients.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Painful Intercourse<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Painful intercourse after cancer treatment is a common issue and can be treated. There are several reasons a person may have pain with sex after cancer treatment.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Vaginal dryness<\/strong>. Use of vaginal moisturizers and lubricants can relieve vaginal dryness. In some cases, your cancer care provider may recommend topical estrogen.<\/li><li><strong>Pelvic pain syndrome<\/strong>. Pain can occur around the outside of the vagina or on the inside with penetration. The <a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/obstetrics-and-gynecology\/services\/womens-health\/pelvic-health-center\/\">muscles of the pelvic floor<\/a> can be overactive, and this can cause pain with sex and other issues. A pelvic floor physical therapist can work with patients to relieve pelvic floor pain.<\/li><li><strong>Vaginal stenosis<\/strong>. Shrinking and shortening of the vagina can result after some types of cancer treatment. Using progressive vaginal dilators and working with a pelvic floor physical therapist can treat this condition.<\/li><li><strong>Vaginismus<\/strong>. An involuntary contraction of vaginal muscles that makes vaginal penetration difficult. This can interfere not only with sexual activity, but with medical exams or the use of a tampon. Pelvic floor physical therapy or working with a sex therapist can help improve this issue.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Body Image<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Body image involves your perception, thoughts, behaviors and emotions related to your body. It is more than just physical appearance. Cancer and cancer treatment can cause physical changes such as loss of a body part, hair loss, weight changes and scarring that affect body image. Many of these changes may be linked to how one views sexuality.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Body image concerns are common after cancer treatment and can come up at different times.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ways to address <a href=\"https:\/\/www.cancer.net\/coping-with-cancer\/managing-emotions\/self-image-and-cancer\">body image concerns<\/a>:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Talk about body image concerns with family and friends. Ask them to listen, not to give you advice.<\/li><li>Wigs, scarves and hats can help you cope with hair loss. A wig can be prescribed by your medical provider and may be covered by insurance. <a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/cancer-care\/patient-resources\/cancer-resource-centers\/\">Norton Cancer Institute Resource Centers<\/a> have resources for wigs as well.<\/li><li>Breast prostheses and specialized bras can be prescribed by your medical provider after breast surgery and may be covered by insurance.<\/li><li>Counseling can be very helpful in restoring a <a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/cancer-care\/patient-resources\/behavioral-oncolology\/\">positive body image.<\/a><\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Vaginal Dryness<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">If vaginal moisturizers and lubricants don\u2019t work for you, or you have more severe vaginal dryness or pain, talk to your cancer care provider. Vaginal moisturizers and lubricants serve different purposes.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Moisturizers help treat dryness and improve vaginal tissue. They should be used regularly \u2014 at least three times a week at bedtime. Moisturizers often are oil-based.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Lubricants work to reduce friction or pain caused by rubbing against dry and thin vaginal tissue. Lubricants can be oil-based, water-based or silicone-based.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Moisturizers and lubricants do not protect against pregnancy and sexually transmitted infections.<\/li><li>Water- and silicone-based lubricants can be used with condoms.<\/li><li>Oil-based lubricants can make condoms less effective. Do not use petroleum jelly or baby oil as lubricants.<\/li><li>Oil- and silicone-based lubricants can stain sheets. If you are concerned about staining, place a towel over the sheets.<\/li><li>Silicone-based lubricants can damage silicone sex toys.<\/li><li>Lubricants that are flavored, tingling\/warming or contain glycerin can cause vaginal irritation.<\/li><\/ul>\n\n\n\n\n<div class=\"card card-callout    \">\n\t<div class=\"card-body\">\n\t\t\n\n<h2 class=\"wp-block-heading has-text-align-center\" id=\"h-norton-cancer-institute\">Norton Cancer Institute<\/h2>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-regional-leader-in-cancer-care\">Regional Leader in Cancer Care<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Norton Healthcare is recognized by U.S News &amp; World Report on its \u201cBest Hospitals\u201d list as No. 1 in the Louisville area, with \u201chigh performing\u201d ratings in gynecologic cancer surgery and prostate cancer surgery through Norton Cancer Institute.<\/li>\n\n\n\n<li><strong>First in the world<\/strong>\u00a0to treat a patient with a novel combination therapy for newly diagnosed acute leukemia<\/li>\n\n\n\n<li><strong>First in the world<\/strong>\u00a0to treat a solid tumor patient with ONC-841, a novel immunotherapy drug targeting the SIGLEC-10 immune checkpoint molecule<\/li>\n\n\n\n<li>Recognized for\u00a0<strong>adult oncology<\/strong>\u00a0by\u00a0<strong>Becker\u2019s Hospital Review<\/strong>\u00a0in its \u201c100 Hospitals and Health Systems with Great Oncology Programs\u201d list for 2025<\/li>\n\n\n\n<li><strong>Access to over\u00a0<\/strong><a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/cancer-care\/services\/current-cancer-clinical-trials\/\"><strong>170 clinical trials<\/strong><\/a>, offering local patients the\u00a0<strong>same leading-edge options<\/strong>\u00a0available at top national centers<\/li>\n\n\n\n<li><strong>Nationally recognized<\/strong>\u00a0center for early phase research, with\u00a0<strong>23 active Phase 1 clinical trials<\/strong>\u00a0underway<\/li>\n\n\n\n<li><strong>Patients from ore than 20 U.S. states and two foreign countries<\/strong>\u00a0have chosen Norton Cancer Institute for innovative cancer care<\/li>\n\n\n\n<li><strong>Only in Kentucky<\/strong>: Home to the state-of-the-art\u00a0<a href=\"https:\/\/nortonhealthcare.com\/news\/on-site-genomic-testing-at-norton-cancer-institute-allows-fast-and-precise-treatment\/\">Norton Cancer Institute Genomics Lab<\/a>, with support from the Norton Healthcare Foundation and Steven Vanover Foundation, enabling highly precise, genetically targeted cancer therapies<\/li>\n\n\n\n<li><strong>Gamma Tile Center of Excellence,<\/strong>\u00a0as well as a\u00a0<strong>two-time Novalis certification<\/strong>\u00a0for setting the standard for stereotactic radiation<\/li>\n\n\n\n<li><strong>Subspecialized, board-certified\u00a0<\/strong><a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/cancer-care\/specialists\/\"><strong>oncologists<\/strong><\/a>\u00a0leading cancer research and treatment advancements<\/li>\n\n\n\n<li><strong>Same-day or next-day appointments<\/strong>\u00a0for newly diagnosed patients, plus\u00a0<a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/cancer-care\/locations\/\"><strong>multiple locations<\/strong><\/a>\u00a0and\u00a0<strong>valet parking<\/strong>\u00a0to facilitate access to care<\/li>\n\n\n\n<li><strong>Multidisciplinary clinics<\/strong>\u00a0to provide same-day, same-location access to multiple specialists for more\u00a0<strong>convenient, coordinated care<\/strong><\/li>\n\n\n\n<li><strong>Fully accredited<\/strong>\u00a0by the American College of Surgeons Commission on Cancer, the National Accreditation Program for Breast Centers and the American College of Radiology<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-care-designed-with-you-in-mind\">Care Designed With You in Mind<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Comprehensive patient support,\u00a0<\/strong>with five Norton Cancer Institute Resource Center locations throughout Louisville and Southern Indiana, a patient navigator program,\u00a0Norton Cancer Institute\u00a0<a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/cancer-care\/patient-resources\/behavioral-oncolology\/\">Behavioral Oncology Program<\/a>, Norton\u00a0<a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/palliative-care\/\">Palliative Care Program<\/a>, classes and events, art and music therapy, genetic counseling, nutrition services, financial counseling,\u00a0<a href=\"https:\/\/nortonhealthcare.com\/patient-resources\/pastoral-care\/\">pastoral care<\/a> and more<\/li>\n\n\n\n<li><strong>Medicare, Medicaid and most major insurances accepted<\/strong>, ensuring broad access to care<\/li>\n\n\n\n<li><a href=\"https:\/\/nortonhealthcare.com\/locations\/specialty-pharmacy\/\"><strong>Specialty pharmacy services<\/strong><\/a>\u00a0offer timely, accurate prescriptions with direct pharmacist-to-provider collaboration<\/li>\n\n\n\n<li><strong>24\/7 access to care tools<\/strong>\u00a0via\u00a0<a href=\"https:\/\/nortonhealthcare.com\/patient-resources\/mynortonchart\/\">Norton MyChart<\/a>\u00a0\u2014 message providers, manage appointments, refill prescriptions and more<\/li>\n\n\n\n<li><strong>The\u00a0<\/strong><a href=\"https:\/\/nortonhealthcare.com\/ways-to-help\/norton-healthcare-foundation\/\"><strong>Norton Healthcare Foundation<\/strong><\/a>, the philanthropic arm of Norton Healthcare\u2019s not-for-profit adult-care services, continuously supporting the purchase of new equipment, programs, education and funding of research to ensure our patients stay up to date with medical advances and technology<\/li>\n<\/ul>\n\n\n\t<\/div>\n<\/div>\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading mt-5\" id=\"h-awards-and-accreditations\">Awards and Accreditations<\/h2>\n\n\n<div class=\"wp-bootstrap-blocks-row row my-5 justify-content-center align-items-center\">\n\t\n\n<div class=\"col-6 col-lg-2 offset-lg-1\">\n\t\t\t\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"200\" height=\"200\" src=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2022\/05\/radonc-gold-seal-print.png?wsr\" alt=\"\" class=\"wp-image-1164325\" srcset=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2022\/05\/radonc-gold-seal-print.png 200w, https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2022\/05\/radonc-gold-seal-print-150x150.png 150w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/figure>\n<\/div>\n\t<\/div>\n\n\n\n<div class=\"col-6 col-lg-2\">\n\t\t\t\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img decoding=\"async\" src=\"https:\/\/urldefense.com\/v3\/__https:\/\/nortonhealthcare.com\/wp-content\/uploads\/qp_commisiononcancer_accredprog.png__;!!JJ2OXQNEuZvuoA!oRYu1UmvlNYp_ZzGYhCahGF_87oWxc7MJV4ajPeTUvAUSARZB7JjSYA1Jlg5KEkXA0AlcZvHqzOPywLd2vKdptT0Eb2NrvUsviWg$\" alt=\"\"\/><\/figure>\n<\/div>\n\t<\/div>\n\n\n\n<div class=\"col-6 col-lg-2\">\n\t\t\t\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img decoding=\"async\" src=\"https:\/\/urldefense.com\/v3\/__https:\/\/nortonhealthcare.com\/wp-content\/uploads\/napbc.png__;!!JJ2OXQNEuZvuoA!oRYu1UmvlNYp_ZzGYhCahGF_87oWxc7MJV4ajPeTUvAUSARZB7JjSYA1Jlg5KEkXA0AlcZvHqzOPywLd2vKdptT0Eb2NruoHIzb2$\" alt=\"\"\/><\/figure>\n<\/div>\n\t<\/div>\n\n\n\n<div class=\"col-6 col-lg-2\">\n\t\t\t\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img decoding=\"async\" src=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/GO2-Care-Continuum-Logo.png\" alt=\"\"\/><\/figure>\n<\/div>\n\t<\/div>\n\n\n\n<div class=\"col-6 col-lg-2\">\n\t\t\t\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img decoding=\"async\" src=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/GO2-Screening-Logo.png\" alt=\"\"\/><\/figure>\n<\/div>\n\t<\/div>\n\n\n\n<div class=\"col-6 col-lg-2\">\n\t\t\t\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"200\" height=\"210\" src=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2022\/05\/usnwr-gyn-cancer-badge-2025-26.png?wsr\" alt=\"\" class=\"wp-image-1169635\" srcset=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2022\/05\/usnwr-gyn-cancer-badge-2025-26.png 200w, https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2022\/05\/usnwr-gyn-cancer-badge-2025-26-143x150.png 143w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/figure>\n<\/div>\n\t<\/div>\n\n\n\n<div class=\"col-6 col-lg-2\">\n\t\t\t\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"200\" height=\"208\" src=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2022\/05\/usnwr-prostate-cancer-badge-2025-26.png?wsr\" alt=\"\" class=\"wp-image-1169636\" srcset=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2022\/05\/usnwr-prostate-cancer-badge-2025-26.png 200w, https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2022\/05\/usnwr-prostate-cancer-badge-2025-26-144x150.png 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/figure>\n<\/div>\n\t<\/div>\n\n<\/div>\n<\/div><\/div>\n","protected":false},"featured_media":321295,"parent":344133,"menu_order":16,"template":"","class_list":["post-403984","service","type-service","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.9 (Yoast SEO v27.9) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Sex and Cancer Treatment 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