Treatment FAQ

cancer and its treatment can interfere with sexual functioning in which of the following ways

by Calista Muller Published 2 years ago Updated 2 years ago

Sexuality issues for men with cancer. Chemotherapy may interfere with testosterone production in the testicle, which may impact sexual functioning. Hormone therapy for prostate cancer may decrease a man’s hormone levels, reducing the ability to achieve an erection or orgasm.

The side effects of cancer treatments can lower your libido. Radiotherapy to the pelvic area can affect sexual function and fertility by damaging blood vessels and nerves in, or near, the sexual organs. Chemotherapy can have a permanent effect on your hormones and your fertility.

Full Answer

How does cancer affect sexuality?

How a person shows sexuality can also be affected. Sexual problems often develop because of physical and psychological side effects of cancer and cancer treatments. Some surgeries and treatments might have very little effect on a person's sexuality, sexual desire, and sexual function.

What are the sexual side effects of vulvar cancer?

Treatment for vulvar cancer may involve removing part of the vulva (partial vulvectomy) or the entire vulva (radical vulvectomy). Cancer treatments that are more likely to cause sexual side effects include the following. Many women experience a loss of libido during and after chemotherapy.

Can I have sex after cancer treatment?

But many people feel better once their treatment is over, or their symptoms are better controlled. If you have a lot of pain because of your cancer it can help to plan for any sexual activity. For example, you could take painkillers 30 to 60 minutes beforehand. This might last for some time after your cancer treatment has finished.

How does cancer affect ejaculation?

How cancer treatment can affect ejaculation. A mild decrease in the intensity of orgasm is normal with aging, but it can be more severe in men whose cancer treatments interfere with ejaculation. See Treating Sexual Problems for Men With Cancer.

Which cancer treatments cause sexual dysfunction?

The following treatments may cause sexual problems.Surgery. Surgery involving the prostate, testicles, bladder, colon, and/or rectum can damage the nerves that control erections. ... Radiation therapy. ... Chemotherapy. ... Hormone therapy. ... Supportive care/other drugs. ... ED medicines. ... Pelvic floor exercises. ... Penile injections.More items...

Can cancer cause sexual problems?

Sexual problems are common among cancer patients Sexual problems are, unfortunately, a very common side effect of cancer treatment. Sexual problems affect at least half of patients who've had prostate, breast or a gynecologic cancer; they also can occur after chemotherapy or radiation to the pelvic area or brain.

What factors affect sexual function?

These conditions include diabetes, heart and vascular (blood vessel) disease, neurological disorders, hormonal imbalances, chronic diseases such as kidney or liver failure, and alcoholism and drug abuse. In addition, the side effects of some medications, including some antidepressant drugs, can affect sexual function.

Can chemo affect sexual partner?

Are you feeling up to it? During chemotherapy, fatigue or other side effects, including effects on hormonal levels, may decrease your interest in sex. If you're not interested in intercourse, remember that there's more to an intimate relationship than sex.

Can cancer treatment cause erectile dysfunction?

Prostate, bladder, colon, and rectal cancer are sometimes treated with radiation to the pelvis. This can cause problems with erections. The higher the total dose of radiation and the wider the section of the pelvis treated, the greater the chance of erection problems later.

How does radiation treatment cause erectile dysfunction?

Nerve graft and tissue engineering RT can cause ED via radiation-induced nerve damage. In the penis, a decrease in the number of erection-inducing nerves has been shown in response to radiation exposure.

What side effects does chemotherapy have?

Here's a list of many of the common side effects, but it's unlikely you'll have all of these.Tiredness. Tiredness (fatigue) is one of the most common side effects of chemotherapy. ... Feeling and being sick. ... Hair loss. ... Infections. ... Anaemia. ... Bruising and bleeding. ... Sore mouth. ... Loss of appetite.More items...

What are the side effects of cancer treatment?

The most commonly reported side effects among women include: Difficulty reaching climax. Less energy for sexual activity. Loss of desire for sex. Pain during penetration.

How to get close to your partner after cancer?

Intercourse isn't the only option for closeness with your partner. Consider spending more time together talking, cuddling or caressing. Connecting in other ways might help make you feel more comfortable and less anxious about the sexual side effects you're experiencing. Talk with other cancer survivors.

What are the side effects of radiation therapy?

Sexual side effects related to radiation therapy are most common in women receiving treatment to the pelvic area. Radiation to the pelvis causes: Damage to the ovaries. The amount of damage and whether it's permanent depends on the strength and site of your radiation treatments. Damaged ovaries don't produce estrogen.

How to feel comfortable after cancer treatment?

But as you start to feel more comfortable during cancer treatment and afterward, you'll want to get back to a "normal" life as much as you can. For many women , this includes resuming sexual intimacy. An intimate connection with a partner can make you feel loved and supported as you go through your cancer treatment.

Can AP resection cause premature menopause?

Some women who have an AP resection also have their ovaries removed. If you're premenopausal, this will cause premature menopause. Vulvectomy. You may undergo vulvectomy if you have cancer of the vulva. Your surgeon removes the entire vulva, including the inner and outer lips, as well as the clitoris.

Can chemotherapy cause vaginal bleeding?

Chemotherapy can also damage tissues in your body, including the vagina. This damage can cause sores and may increase your risk of infection. It can also cause fatigue or increased bleeding. During this time, your doctor may advise you to avoid sexual intercourse, or you may not feel the desire for sex.

Can hormones be used for ovarian cancer?

Many of these conditions may respond to treatments that do not use hormones. Chemotherapy can also damage tissues in your body, including the vagina.

Why do men not produce semen after cystectomy?

After radical prostatectomy (removal of the prostate) or cystectomy (removal of the bladder), a man will no longer produce any semen because the prostate and seminal vesicles have been removed. The testicles still make sperm cells, but then the body simply reabsorbs them. This is not harmful.

How does surgery affect ejaculation?

Surgery effect on ejaculation. Surgery can affect ejaculation in different ways. For example, if surgery removes the prostate and seminal vesicles, a man can no longer make semen. Surgery might also damage the nerves that come from the spine and control emission (when sperm and fluid mix to make semen). Note that these are not the same nerve ...

What is the term for the leakage of urine during ejaculation?

Urine leakage during ejaculation. Climacturia is the term used to describe the leakage of urine during orgasm. This is fairly common after prostate surgery, but it might not even be noticed. The amount of urine varies widely – anywhere from a few drops to more than an ounce.

Why does semen shoot backwards?

This is because the valve between the bladder and urethra stays open after some surgical procedures. This valve normally shuts tightly during ejaculation.

What is the procedure to remove the rectum?

Total mesorectal excision (TME), which removes the rectum as well as the mesorectum for treatment for rectal cancer. Retroperitoneal lymph node dissection (RPLND), which removes lymph nodes in the back of the abdomen (belly), usually in men who have testicular cancer.

Is retrograde ejaculation better for a father?

Retrograde ejaculation is better for would-be fathers because sperm cells may be collected from a man’s urine and purified in a lab to be used make a woman pregnant. Sometimes the nerves that control emission recover from the damage caused by RPLND.

Can lymph node dissection cause retrograde ejaculation?

The effects of these operations are probably very much alike, but more is known about sexual function after RPLND. Sometimes this surgery only causes retrograde ejaculation.

What is the treatment for cancer?

Chemotherapy uses drugs to kill or slow the growth of cancer cells. The drugs are called cytotoxics and they particularly affect fast-growing cells such as cancer cells. Other cells that grow quickly, such as the cells involved in hair growth, can also be damaged.

What is painful intercourse?

painful intercourse. changed body image, e.g. due to scarring, loss of a body part, hair loss from any part of the body, changes in weight. loss of a body part, such as a reproductive organ. incontinence. fertility problems (temporary or permanent) strain on, or changes to, your relationship (s).

Why do cancers grow?

Hormones that are naturally produced in the body can cause some cancers to grow. The aim of hormone therapy (also called endocrine therapy) is to reduce the amount of hormones the tumour receives. This can help reduce the size and slow down the spread of the cancer.

How does radiation kill cancer cells?

Radiotherapy (also called radiation therapy) uses x-rays to kill cancer cells or injure them so they cannot grow and multiply. It can be delivered by an external radiation beam or given internally (brachytherapy or radioisotope therapy). If you are having internal radiation, you may need to take some precautions, such as avoiding sexual contact or using barrier contraception (such as condoms), while the treatment is active. Your doctor will discuss any precautions with you.

What are the problems with cancer?

Common sexual problems for men and women include: tiredness and fatigue. depression and anxiety. loss of interest in sex.

How long does it take to recover from a cancerous tumor?

After any surgery, you will have a period of recovery. This will vary depending on the type of surgery, but it is often around 4–8 weeks and even longer for some people.

What emotions do you feel when you have cancer?

You may feel angry about having cancer and about the ways it has affected your life, including your sexuality or your ability to have children (fertility). Anxiety. The thought of having sex again after treatment can cause anxiety.

What are the causes of sexual dysfunction?

Any of these issues can form barriers to intimacy. The causes of sexual dysfunction are often both physical and psychological. Cancer and its treatments, particularly those involving the genital or reproductive organs, may directly affect sexual functioning and desire.

How does cancer affect intimacy?

How cancer affects intimacy. Cancer can put a strain on intimate relationships. Treatments for cancer and the disease itself may cause changes in sexual desire and function. If your physical appearance has changed, you may feel less attractive or desirable. At the same time, your partner may feel helpless, fearful or unsure of how to support you.

How to build intimacy after cancer treatment?

Communicate with your partner. An important tool for building intimacy is communication. You may be anxious about resuming sexual activity after cancer treatment, fearing that sex will hurt, you won’t be able to perform, or your partner will no longer find you attractive.

What are the symptoms of cancer?

Fatigue. Concerns about sexual performance. Some treatments for men with cancer may interfere with the ability to have an erection, ejaculate or reach orgasm.

What does intimacy mean in cancer?

Intimacy means different things to each of us and can be expressed in various ways. When cancer impact s your life, roles and relationships change. For many, an intimate connection with a partner is an important part of feeling alive and whole during cancer treatment. And while it may take persistence and teamwork to maintain intimacy in your relationship, it can be done.

How to be more secure with your partner after cancer?

During cancer treatment, it is especially important to work together with your partner. The closeness and companionship that comes from teamwork may help you feel more secure and in control. By communicating effectively and making an effort to maintain intimacy, your relationship can flourish in the face of cancer.

How to deal with cancer and its effects?

Give yourself time. You and your partner will need time to adjust to the physical and emotional changes cancer causes. Be patient with yourself if certain side effects, such as stress, pain, depression or fatigue lower your desire for sexual activity. Also, give yourself time to come to terms with changes to your body.

Why is sexual health important?

Sexual health is an important contributor to quality of life for many patients. A study of 3515 adults in the United States found that 62% of men and 43% of women reported that sexual health is highly important to their quality of life. 1 Patients in better health reported greater sexual satisfaction than patients in poor health.

What is sexual dysfunction?

Among patients with cancer, sexual dysfunction can include disorders of desire or response for both men and women, regardless of sexual orientation. 3 These disorders occur as a direct result of cancer treatment or due to psychosocial factors associated with diagnosis and/or treatment. 2.

What is the long term sexual health issue?

For patients diagnosed with cancer, a major long-term survivorship issue is sexual health. 2 It is estimated that between 40% and 100% of patients with cancer — depending on the type of cancer and its treatment — experience sexual dysfunction. 3. Among patients with cancer, sexual dysfunction can include disorders of desire or response ...

Can cancer affect sexual function?

For both men and women, cancer treatment can result in disfigurement and/or anatomical changes that can impair sexual functioning; physiological changes such as changes in hormone levels that can decrease desire or sexual functioning; and psychosocial changes such as poor body image, feelings of distress, anxiety, or depression, and changes in intimacy. 3,4

Can radiation damage the vagina?

Some procedures, such as removal of vulvar or vaginal tumors, can damage nerves that are important for sexual arousal and orgasm. Radiation therapy can also cause nerve damage, as well as changes to the pelvic organs such as vaginal atrophy or fibrosis.

Can breast cancer cause vaginal dryness?

Chemotherapy and some hormonal therapies used to treat breast cancer can induce postmenopausal-like symptoms including vaginal dryness, itching, and pain during sex.

Does chemotherapy affect prostate cancer?

In addition, a common treatment for prostate cancer is androgen deprivation therapy, which lowers testosterone to castration levels.

What are the laws against prostitution?

laws against prostitution violate their constitutional rights to privacy, free speech, and earn a living. Rudy and Elaine are involved in a relationship and both are seniors in high school. They engage in kissing, petting, oral sex, and mutual masturbation.

Does coprophilia violate federal laws?

Difficulties in obtaining satisfactory legal judgments in cases of same-gender sexual harassment include all of the following EXCEPT: although same-gender sexual harassment has been recognized by the research community, it does not violate any state or federal laws.

What to do if your cancer doctor is uncomfortable talking about sex?

If not, or if you feel that your cancer doctor or nurse is uncomfortable talking about sex, then you can ask about finding a counsellor or therapist.

What to do if you don't feel like having sex?

Even if you do not feel like having sex, a partner might still be able to arouse you and help you enjoy sexual activity. It is important to agree on what is acceptable to each of you. Talk to each other about your worries and fears. Do not be afraid to tell each other what you like, and don't like.

How does cancer affect you?

Emotional and psychological changes. Cancer can change you physically and cause many emotions such as fear, depression and anger. These intense feelings might also affect how you feel about sex and about yourself. You might find that you look at the world differently after having cancer.

Why is it so hard to be intimate with your partner?

It can be hard to find energy or desire to be intimate with a partner if practical issues are worrying you. It might all just feel too overwhelming to try to relax and enjoy sexual activity. But it is very important to try and talk to your partner about your concerns and find ways to sort through any problems.

How long should I take painkillers before sex?

If you have a lot of pain because of your cancer it can help to plan for any sexual activity. For example, you could take painkillers 30 to 60 minutes beforehand.

Does cancer affect sex?

Cancer treatment can also change how you see yourself in more obvious ways. Changes in how you feel about your body may not directly affect your ability to have sex. But they can definitely make you feel less sexual.

Can you be in a loving relationship with cancer?

If you are in a loving relationship your concerns may be different from someone who is single. If your feelings about your body and having sex change during your cancer treatment, it doesn't mean that it will last forever. If you are able to talk to your partner, doctor or nurses about your worries it can ease them.

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