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- $Unique_ID{BRK00073}
- $Pretitle{}
- $Title{Cancer and Love Life}
- $Subject{sex impotence cancer cancers carcinoma neoplasm neoplasms
- chemotherapy Genitourinary System intimate intimacy sexual dysfunctions
- dysfunction vagina vaginal atrophy coital chemotherapies menopause erectile
- impotence prostatectomy pudendal penile orgasm orgasmic Intrapenile inflatable
- implants implant libido}
- $Volume{J-15, B-15}
- $Log{
- Total Hysterectomy*0008601.scf
- Partial Hysterectomy*0008602.scf
- Cancer of the Prostate*0007601.scf}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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- Cancer and Love Life
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-
- QUESTION: After being treated for cancer, I'm afraid my love life will
- change. Will it?
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-
- ANSWER: Chances are, it will. During a medical crisis such as the one you've
- been through, there are bound to be all sorts of adjustments to be made--both
- physical and emotional. However, with good communication between intimate
- partners, many of the sexual dysfunctions that result from cancer and its
- treatment can be overcome.
- For women, gynecologic cancer surgery can cause a reduction in the depth
- and width of the vagina, and common problems following chemotherapy can
- include vaginal atrophy and loss of vaginal lubrication. Commercial
- lubricants can restore the lubrication, and it is recommended that partners
- use coital positions that allow the woman to regulate the degree of
- penetration. To prevent vaginal atrophy, early resumption of sexual activity
- is strongly advised, particularly since it may also help to relieve a
- patient's anxiety which can cause sexual problems in itself.
- Loss of sexual drive can also occur after cancer treatment. This can
- have a biological basis since chemotherapy can cause menstrual abnormalities
- and the onset of an early menopause. However, psychological factors such as
- cancer-related depression or a difficult adjustment to the changes in one's
- body image can certainly reduce one's sexual desire as well. Therefore, the
- quality of your interpersonal relationship has a strong bearing on your
- adjustment. Nonsexual expressions of love such as touching and prolonged skin
- contact can frequently rekindle sexual desire and a healthy, fulfilling love
- life can usually be achieved.
- For men, erectile impotence is the major type of sexual dysfunction
- resulting from prostate cancer. In radical prostatectomy, severed nerves are
- responsible for the problem, and until recently, this was a constant
- complication. Now, however, there is a nerve-sparing procedure and the
- pudendal nerve, which carries penile sensations, lies outside the operative
- area. The patient remains unable to gain an erection, but orgasmic function
- is retained. For such patients and their partners, mutual intimate touching
- is recommended for a continued satisfactory love life.
- There are, however, other alternatives for dealing with erectile
- impotence. There are a number of drugs that can be taken orally which will
- enable a patient to gain an erection, but as a rule, they are only effective
- for a few months and only work for a modest number of patients. Intrapenile
- injections are successful for a large number of patients and can be easily
- administered. However, repeated use may cause penile fibrosis (scarring)
- which eliminates the option for a penile implant. Rigid, semirigid, and
- inflatable implants are popular alternatives for couples for find penile
- injections unacceptable. The inflatable ones are usually the preferred type
- since they closely reproduce a physiologic erection.
- Male patients, like female ones, often experience a decreased libido, and
- frequently for the same reasons. Self-image and psychologic reactions to
- cancer and its treatment play a major role in one's sexual image. Explore
- new and alternative ways of expressing your affection for each other if the
- old ones no longer work. Seek counsel with your doctor. And be assured that
- you can still have a fulfilling love life.
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- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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