If a woman has had a satisfying sexual relationship before breast cancer, this should continue with a few changes. It is important to note that sexual desire can be affected by emotions such as anxiety, sadness, fear, denial, depression and anger. Sexual desire can also be affected by treatment side effects such as skin changes, fatigue, weakness, weight changes and menopausal symptoms.
Chemotherapy often causes dryness in the vagina. This can lead to painful intercourse. A water-based lubricant such as KY jelly or a moisturizer like Replens may be helpful.
Women who have had a lumpectomy or mastectomy are faced with a major change in their breasts or the loss of one or both breasts. In our society, breasts are strongly related to sexuality. For many women, breasts are an important part of body image and sexual intimacy. These factors may influence a woman to question her sexual attractiveness.
New ways of relating sexually can be developed over time. Be kind and patient with yourself and try to be open to new things. Effective communication with your partner is very important in helping to adjust to physical changes.
Single women are faced with special challenges. For example, women who are dating often wonder if and when they should talk about their health issues with a new partner. Women who have had a lumpectomy or a mastectomy often wonder how a new sexual partner will react to the surgery site or the absence of a breast. Every woman develops her own way of dealing with these situations in a way that feels as comfortable as possible. Women often find that they are able to manage these concerns.
Sexual intimacy is an important part of identity and life. Many people find this subject difficult to talk about with a partner or a health professional. While many women find ways of dealing with sexuality issues related to breast cancer on their own, there are also trained health care professionals who can help.
Professionals are trained to deal with sexual issues and are very helpful in answering questions and concerns. Some sexuality issues that a professional can help with are body image, self-esteem, communication and physical discomfort or pain. Often it helps to know that your experiences and thoughts are normal. Talk with your oncologist, nurse or social worker.
If you are living in Northeastern Ontario, call the Supportive Care Program of the Regional Cancer Program at1-877-228-1822 or locally at (705) 522-6237 Ext. 2175.