Sexuality and Cancer

Sexuality is individual and unique. A cancer diagnosis and treatment may change sexual feelings, desire, and functioning. After diagnosis and during treatment, sexual response may be different from what you are used to experiencing. Changes in appearance and negative thoughts may influence enjoyment of sex. Sexuality is an important part of the quality of everyday life. Changes in sexuality can affect self-image and relationships with others. You may find that intimacy takes on new meaning. Hugging, touching, holding and cuddling may become more important, and sexual intercourse may become less important. There is no "right" way to express your sexuality. It is up to you and your partner to decide together what is pleasurable and satisfying to both of you. This information sheet offers some facts about cancer and sexuality.

Facts, not myths

• Engaging in sexual activity does not make cancer grow or spread.
• Cancer is not a punishment for past sins or past sexual behavior.
• Refraining from sex will not cure cancer

Safer sex

• Use latex condoms during oral sex and intercourse while undergoing chemotherapy treatment.
• Use contraceptives once chemotherapy begins and continue for three months after the last treatment or as advised by your healthcare provider.
• Wash hands thoroughly before and after caressing the genital area.
• Use water-based lubrication (e.g., K-Y Jelly [Johnson & Johnson Medical Inc, New Brunswick, NJ], Surgilube [E. Fougera & Co, Melville, NY]. Do not use petroleum jelly or other oil-based lubricants.

Helpful hints to cope with symptoms that may interfere with your enjoyment of sex

• Emotional Distress: Let your nurse or doctor know if you have been feeling anxious, worried distressed, or depressed. Many ways to manage these symptoms exist, and your healthcare team will help you decide which method is best for you.
• Fatigue: Some patients have found it helpful to nap before sexual activities or engage in sexual activities in the morning when well rested. Others have found it helpful to avoid heavy meals. Try several positions that require minimal effort, such as side-lying positions.
• Pain: Relaxation, warm baths, and massages may be helpful. Use cushions and pillows to position for comfort.
• Nausea: A light meal or crackers and antinausea medications may be helpful before engaging in sexual activity.

Being comfortable with your sexuality to maximize sexual function and quality of life is important. Sexuality can enhance self-esteem, improve overall comfort, and make coping with cancer easier. For more information regarding support groups, books and organizations, please speak with your healthcare team.

Gregory Sutton, MD
St.Vincent Gynecologic Oncology
8301 Harcourt Road, Suite 202
Indianapolis, IN 46260

Phone: 317-415-6740
Toll-free 1-888-488-1145