Treatment FAQ

why might cancer treatment interfere with sexual functioning

by Dr. Clinton Strosin III Published 2 years ago Updated 2 years ago

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.

How can cancer affect my sexuality?

The most common cancer treatments are surgery, radiotherapy, chemotherapy and hormone therapy. These treatments, as well as the cancer itself, can have temporary or permanent effects on your sexuality by changing: your feelings (they may cause fear, anger, anxiety, sadness, relief and joy)

Can I still have sex during cancer treatment?

First, while it depends on the type of cancer you have, it is likely that you can continue having sex during treatment. However, some men find that they have low sex drive during this time. For men getting radiation to the pelvis, some may find it difficult to get or keep an erection.

How does chemotherapy affect my sex life?

Chemotherapy may lower your testosterone levels and libido during the treatment period. You may be advised to use a condom, because semen may contain traces of chemotherapy for a period of time after treatment.

How does radiation therapy affect a man’s sexual function?

External-beam radiation therapy to the pelvis (such as to the anus, bladder, penis, or prostate) and brachytherapy (also called internal radiation therapy) can affect a man’s sexual function. If blood vessels or nerves are damaged, it may be difficult to get or keep an erection; this is called erectile dysfunction.

Which cancer treatment causes sexual 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.

Does chemotherapy affect sexual function?

Chemotherapy may lower your testosterone levels and libido during the treatment period. You may be advised to use a condom, because semen may contain traces of chemotherapy for a period of time after treatment. Chemotherapy does not usually affect your ability to have an erection.

Can cancer treatment cause erectile dysfunction?

Some prostate cancer treatments are designed to lower how much of the hormone testosterone that your body makes. This is done to fight the cancer, but it can cause low sex drive, ED, and problems having an orgasm. You might still be able to get an erection if you are a younger man, with or without taking ED medicines.

Can chemotherapy cause low testosterone?

Your hormones Chemotherapy can affect your hormone levels. In men, low testosterone is one of the most common hormonal issues you may experience when undergoing chemotherapy.

Why does a man get erect in the morning?

Hormone shifts Your testosterone level is at its highest in the morning after you wake up. It is highest immediately after waking up from the rapid eye movement (REM) sleep stage. The increase in this hormone alone may be enough to cause an erection, even in the absence of any physical stimulation.

What are the causes of sexual drive?

Medicines used to treat pain, some drugs used for depression, as well as medicines that affect the nerves and blood vessels may all affect your sex drive. Health problems, such as heart disease, high blood pressure, diabetes, and smoking, can also contribute to changes in your sexual health.

How to stay close to your partner?

You may be very tired, worried, or in pain from the treatment. There are many steps you can take to stay close with your partner, other than having intercourse. You can figure out together what kind of touching feels good, such as holding, hugging, and cuddling. You can also stay close without being physical.

Can radiation therapy affect a man's sexual function?

External-beam radiation therapy to the pelvis (such as to the anus, bladder, penis, or prostate) and brachytherapy (also called internal radiation therapy) can affect a man’s sexual function. If blood vessels or nerves are damaged, it may be difficult to get or keep an erection; this is called erectile dysfunction.

Does chemotherapy affect libido?

Chemotherapy may lower your testosterone levels and libido during the treatment period. You may be advised to use a condom, because semen may contain traces of chemotherapy for a period of time after treatment. Chemotherapy does not usually affect your ability to have an erection. External-beam radiation therapy to the pelvis (such as to the anus, ...

Does hormone therapy help with prostate cancer?

Hormone therapy can lower testosterone levels and decrease a man’s sexual drive. It may be difficult to get or keep an erection. Learn more about side effects of Hormone Therapy for Prostate Cancer. Surgery for penile, rectal, prostate, testicular, and other pelvic cancers (such as the bladder, colon, and rectum) may affect the nerves, ...

Can you have sex after radiation?

Many men don't have problems having sex after radiation therapy. For other men, radiation therapy can make it more difficult to get or keep an erection. These changes can happen slowly, after completing radiation therapy. Talk with your doctor or nurse to learn what you should expect.

Can a man be sexually active during treatment?

You may also want to talk with a sexual health expert to get answers to any questions or concerns. Most men can be sexually active during treatment, but you’ll want to confirm this with your doctor .

How does cancer affect your sexual health?

Your cancer treatment may also affect you emotionally and make you feel stressed, anxious, or depressed. This can affect your interest in sex and lessen your enjoyment and pleasure in sexual activities. For information about maintaining sexual health and intimacy during cancer treatment, read our resource Sexual Health and Intimacy.

How does cancer affect sex?

About Sex and Your Cancer Treatment. How your cancer treatment affects your sex life depends on the type of cancer you have, the type of treatment you’re getting, and your personal situation. You may experience side effects from cancer treatment that may make it harder for you to have sex, such as trouble getting or keeping an erection ...

Can you get pregnant while on cancer treatment?

Being pregnant can also affect the tests and treatments you’re able to have during your cancer treatment so it’s best to avoid pregnancy until your healthcare provider tells you it’s safe to get pregnant. If you or your partner can become pregnant, use birth control (contraception) throughout your cancer treatment.

Can cancer cause yeast infection?

Some cancer treatments may weaken your immune system and make you more likely to get yeast infections. This is also more likely if you’re taking steroids or antibiotics. Symptoms of a yeast infection includes vaginal discharge and itching or itching and irritation under the foreskin of the penis.

Can a cancer patient discuss their treatment with you?

They may not discuss this with you unless you bring up your questions and concerns. While you may feel uncomfortable, remember that most people in cancer treatment have similar questions. Your healthcare provider may be able to suggest ways to help improve any problems you’re having.

Does cancer affect fertility?

Some cancer treatments, such as pelvic radiation and certain chemotherapy medications, may affect your fertility (your ability to have a biological child). If you have questions about this, ask your healthcare provider. Here’s a list of resources for more information: Sperm Banking.

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.

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.

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 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).

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 to talk to your cancer care team about?

It’s very important to talk with your cancer care team about what to expect, and tocontinue to talk about what's changing or has changed in your sexual life as you gothrough procedures, treatments, and follow-up care. This includes letting them knowany over-the-counter and prescription medications, vitamins, or supplements you maybe taking because they might interfere with treatments.

Can you talk about sexuality before surgery?

You may have concerns about intimacy and sexual activity during treatment, or maynotice changes. It's important to keep talking to your health care team as you move intothe treatment phase. Or, if you didn't talk about sexuality before surgery or treatment,you can start talking about it during treatment-related visits, even if your doctor or nursedon't bring it up. Include your partner, if you're comfortable doing so. Remember, if yourhealth care team doesn't know about a problem you're having, they can't help youmanage it.

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