Sexual Health

Todd W Franzen

May 25, 2023

What You Need to Know During Cancer Treatment

An Van Gogh digital oil painting of "intimate health" withe the text Sexual Health: What You Need to Know During Cancer Treatment

As someone who has experienced cancer treatment, I know firsthand how challenging it can be to navigate the physical and emotional changes that come with it. One aspect that is often overlooked is the impact on sexual health.

Cancer treatment can have a significant impact on sexual function, desire, and intimacy, which can be distressing for both patients and their partners.

It’s important to recognize that changes in sexual health are a common side effect of cancer treatment and that there are ways to address these issues. Patients should feel empowered to speak openly with their healthcare providers about any concerns they may have regarding their sexual health.

There are also resources available, such as support groups and educational materials, to help patients and their partners navigate these changes.

It’s important to approach sexual health with compassion and understanding and to recognize that each individual’s experience is unique. By being proactive and seeking out support, patients can take steps to regain their sexual health and improve their overall quality of life.

The Impact of Cancer Treatment on Sexual Health

Physical Side Effects

Cancer treatment can have physical side effects that impact sexual health. Chemotherapy, radiation, and surgery can cause pain, numbness, and vaginal dryness in women. Men may experience erectile dysfunction or difficulty achieving orgasm. These side effects can be distressing and affect sexual function and quality of life.

Emotional Changes

Cancer treatment can also cause emotional changes that affect sexual health. Stress, depression, and anxiety are common during cancer treatment and can reduce interest in sex. It is important to address emotional changes and seek support to improve sexual health and overall well-being.

Medications

Certain medications used to treat cancer can also impact sexual health. Hormone therapies for breast or prostate cancer can cause vaginal dryness or erectile dysfunction. It is important to discuss medication side effects with healthcare providers and explore solutions, such as lubricants or exercises, to improve sexual function. It is important to remember that sexual health is an important aspect of overall health and well-being. Cancer treatment can impact sexual function, but there are solutions available. It is important to communicate openly with healthcare providers and seek support to improve sexual health during and after cancer treatment.

Managing Sexual Side Effects of Cancer Treatment

Dealing with the sexual side effects of cancer treatment can be challenging, but it’s important to know that you’re not alone. As someone who has gone through cancer treatment, I know firsthand the impact it can have on your sexual health. However, there are steps you can take to manage these side effects and maintain your sexual health and intimacy during this difficult time.

Vaginal Health

For women, cancer treatment can cause vaginal dryness, itching, and pain during intercourse. Using vaginal moisturizers and lubricants can help alleviate these symptoms. Your healthcare team can recommend specific products that are safe to use during cancer treatment. Dilators can also be helpful in maintaining vaginal tissue elasticity and preventing discomfort during intercourse.

Male Sexual Health

Men may experience erectile dysfunction or a decreased sex drive as a result of cancer treatment. Your healthcare team can discuss medication options or refer you to the Male Sexual and Reproductive Medicine Program, which specializes in helping men deal with cancer-related sexual health challenges.

Fertility

If you’re concerned about fertility after cancer treatment, talk to your healthcare team about your options. Depending on your situation, they may recommend sperm or egg banking before treatment or other fertility preservation methods.

Intimacy During Cancer Treatment

It’s important to communicate with your partner about your sexual health and any discomfort you may be experiencing. Your healthcare team can also provide support and resources for intimacy during cancer treatment, such as counseling or support groups. It’s important to remember that intimacy doesn’t always have to involve sexual activity and that there are other ways to maintain emotional and physical closeness with your partner.

Final Thoughts…

As someone who has personally experienced the challenges of regaining sexual health after cancer treatment, I understand how difficult and overwhelming it can be. It’s important to remember that you are not alone, and there are resources available to help you navigate this journey.

If you are experiencing sexual health problems after cancer treatment, it’s important to talk to your healthcare provider. They can provide guidance on potential solutions, such as hormone therapy or counseling.

It’s also important to prioritize self-care, both physically and emotionally. This can include engaging in regular exercise, eating a healthy diet, and finding ways to reduce stress.

Finally, it’s important to remember that there is no one-size-fits-all solution when it comes to regaining sexual health after cancer treatment. It may take time and patience to find what works best for you, but with the right support and resources, it is possible to regain a fulfilling and satisfying sex life. -T

FAQs

As someone who has gone through cancer treatment, you may have questions about how it will affect your sexual health. Here are some common questions and answers to help address your concerns:

Q: Will cancer treatment affect my ability to have sex?

A: Cancer treatment can cause physical and emotional changes that may affect your sex life. For example, surgery or radiation therapy in the pelvic area may cause pain or discomfort during sex. Hormonal changes brought on by treatment may also affect your ability to have sex. However, there are ways to manage these changes and regain your sexual health. Talk to your healthcare provider about your concerns and they can help you find solutions.

Q: Will I be able to have children after cancer treatment?

A: Some cancer treatments, such as chemotherapy and radiation therapy, can affect your fertility. However, there are options available to help preserve your fertility before treatment. For example, women may be able to freeze their eggs or embryos, while men can freeze their sperm. Talk to your healthcare provider about your options.

Q: Will cancer treatment affect my sex drive?

A: Cancer treatment can affect your sex drive, but it’s important to remember that everyone’s experience is different. Some people may experience an increase in sex drive, while others may experience a decrease. Emotional changes, such as anxiety or depression, can also affect your sex drive. Talk to your healthcare provider about your concerns and they can help you find ways to manage these changes.

Q: Can I still have sex during cancer treatment?

A: It’s important to talk to your healthcare provider about when it’s safe to resume sexual activity after treatment. You may need to wait until your body has fully healed from surgery or radiation therapy. Your healthcare provider can also provide guidance on how to manage any pain or discomfort you may experience during sex.

Q: Will I be able to enjoy sex after cancer treatment?

A: Yes, it’s possible to regain your sexual health after cancer treatment. It may take time and patience, but there are ways to manage physical and emotional changes and enjoy a fulfilling sex life. Talk to your healthcare provider about your concerns and they can help you find solutions.

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Todd W Franzen


I am a two-time Hodgkin's lymphoma survivor with 17 years of documented cancer survivorship experience that spans multiple treatment eras. My journey began in November 2009 with a Stage 4B diagnosis at age 33, and continued through recurrence and treatment in 2019-2021. This rare longitudinal perspective—living through two complete treatment cycles a decade apart—gives me comparative insight into cancer care evolution that no single medical professional can replicate.

MY TREATMENT EXPERIENCE

First Treatment Cycle (2009-2010)
• 12 infusions of ABVD Chemotherapy over 6 months
• 2 infusions of ICE Chemotherapy (4-day infusions)
• 1 infusion of BEAM Chemotherapy
• 1 Autologous Stem-Cell Transplant
• 8 PET Scans
• 6 CT Scans

Second Treatment Cycle (2019-2021)
• 2 infusions of Brentuximab and Bendamustine
(Severe allergic reaction to Brentuximab — hives)
• 25 rounds of Radiation to Mediastinum (46RAD combined)
• 4 infusions of Keytruda Immunotherapy
• 2 infusions of IGEV Chemotherapy (5-day infusions)
• 1 Total Body Radiation (2RAD)
• 1 Sibling Allogeneic Stem-Cell Transplant
• 6 PET Scans
• 6 CT Scans

COMPARATIVE EXPERTISE

Surviving two stem-cell transplants—one autologous, one sibling allogeneic—across different decades of cancer treatment has given me firsthand experience with nearly every major modality in lymphoma care: combination chemotherapy, salvage chemotherapy, immunotherapy, radiation protocols, and both types of stem-cell transplantation. I've experienced treatment side effects from the "standard" ABVD era through the modern immunotherapy period.

This comparative expertise matters for survivors. Treatment protocols in 2009 looked very different from 2019, and the long-term survivorship implications are still emerging. Doctors treat; survivors live with the aftermath. I've done both—twice.

CREDENTIALS & PROJECTS

• Founder: Strap In For Life 501(c)(3) nonprofit
• Author: Internal Architect: A Cancer Survivor's Memoir
• Licensed Insurance Agent (practical healthcare system navigation)
• 17-year cancer survivor documenting the journey since 2008

WHAT I WRITE ABOUT

Cancer survivorship doesn't end when treatment stops—it's when the real reconstruction begins. My blog covers:
• Practical survivorship (relationships, careers, identity)
• Treatment experience insights (what they don't tell you)
• Long-term effects and secondary health considerations
• Mental health and emotional reconstruction
• Healthcare system navigation

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