Relationships and Sexuality

Todd Franzen

May 18, 2023

Long-Term Treatment Effects on Cancer Survivorship

When it comes to cancer, the focus is often on the physical aspects of the disease and its treatment. However, cancer can also have a significant impact on relationships and sexuality. As cancer survivors, we may experience changes in our sexual functioning and intimate relationships as a result of the physiological changes and psychosocial issues that arise during and after treatment.

An impressionistic digital oil painting of "Sexuality" with the text Relationships and Sexuality: Long-Term Treatment Effects on Cancer Survivorship

Breast cancer, in particular, can have a profound impact on sexual health. Its pharmacological treatment often induces impairment in women’s sexual functioning and couple relationships.

Survivors may face long-term effects such as treatment-induced menopause, altered gonadal function, and significant surgical disfigurement. These changes can lead to sexual dysfunction, which has been shown to have a significant negative effect on quality of life and mental health.

It’s important for survivors to recognize the impact of cancer on their sexual health and seek support to address these issues. Survivorship care guidelines recommend that healthcare providers address sexual health and provide recommendations for managing sexual dysfunction.

Psychosexual support should go beyond physical sexual functioning and focus on aspects such as sexual distress, relationship issues, and depression. By addressing these issues, survivors can improve their quality of life and regain intimacy in their relationships.

The Impact of Cancer Treatment on Relationships and Sexuality

As cancer survivors, we understand the toll that cancer treatment can have on our physical, emotional, and psychological well-being. One area that is often impacted is our relationships and sexuality. It’s important to recognize that these effects can be long-term and may require ongoing care.

Emotional and Psychological Effects

Cancer treatment can bring about a range of emotional and psychological effects, such as stress, anxiety, depression, and fear of recurrence. These effects can impact our relationships with our partners, family, and friends. Communicating openly with our loved ones about our feelings and needs is important. Seeking support from mental health professionals or support groups can also be helpful.

Physical Effects

Cancer treatment can also have physical effects on our sexuality, such as pain, fatigue, and changes in body image. For example, breast cancer treatment can impact our sexual health and functioning. It’s important to discuss any concerns or issues with our healthcare team, who can provide recommendations and survivorship care guidelines. There are also resources available for improving sexual health after cancer treatment, such as counseling, education, and support groups.

Overall, it’s important to recognize that the impact of cancer treatment on relationships and sexuality is a common experience for cancer survivors. By seeking support, communicating openly, and taking care of our physical and emotional health, we can improve our quality of life and maintain fulfilling relationships.

Long-Term Treatment Effects on Sexual Function and Intimacy

As cancer survivors, we understand that long-term treatment effects can impact our sexual function and intimacy. It is important to address these concerns with our healthcare team and loved ones to ensure we receive the appropriate care and support.

Sexual Dysfunction

Sexual dysfunction can occur as a result of cancer treatment, including breast cancer treatment. This can include decreased sexual desire, difficulty achieving orgasm, and pain during intercourse. It is important to discuss these concerns with our healthcare team as there may be options available to help manage these symptoms.

Body Image and Self-Esteem

Cancer treatment can also impact our body image and self-esteem. Scarring, hair loss, and changes in weight or physical appearance can all contribute to feelings of insecurity and low self-esteem. It is important to remember that these changes are a normal part of the cancer journey and to seek support from loved ones and healthcare professionals.

Communication and Intimacy

Communication is key when it comes to maintaining intimacy in our relationships. It is important to have open and honest conversations with our partners about our concerns and needs. This can help to strengthen our relationships and increase feelings of closeness and intimacy.

In conclusion, it is important to address the long-term treatment effects on our sexual function and intimacy as cancer survivors. By discussing these concerns with our healthcare team and loved ones, we can receive the appropriate care and support to help manage these symptoms and improve our quality of life.

Survivorship Care Guidelines and Recommendations for Managing Sexual Health

As cancer survivors, we understand that sexuality and sexual health are important aspects of our overall quality of life. However, cancer treatment can often have long-term effects on our sexual function and desire. It is important to assess and manage these effects to ensure that we can continue to lead fulfilling lives.

Assessment and Screening

Regular assessment and screening for sexual dysfunction should be a part of our survivorship care plan. This can include discussing any changes in sexual function or desire with our healthcare provider and undergoing a physical exam. It is also important to address any underlying causes of sexual dysfunction, such as pain, stress, or depression.

Management and Treatment

There are several management and treatment options available for sexual dysfunction. This can include medications, such as sildenafil or tadalafil, to improve erectile function. Lubricants and vaginal moisturizers can also be used to alleviate vaginal dryness. In some cases, referral to a sexual health specialist or psychotherapist may be necessary to review treatment and counseling options.

Support and Resources

It is important to seek out support and resources to manage sexual dysfunction and maintain sexual health. This can include support groups, counseling, or educational resources. The American Cancer Society has developed cancer survivorship care guidelines for the care of people with cancer who often experience physical and psychosocial long-term and late effects of cancer and its treatment. These guidelines can provide valuable information and resources for managing sexual health as a cancer survivor.

Final Thoughts…

Living with cancer and its long-term effects can be challenging for both the survivor and their partner. It is common for cancer treatment to have a significant impact on sexual functioning and couple relationships. However, it is important to note that there are ways to manage these challenges and improve intimacy.

By seeking support from healthcare professionals, survivors, and their partners can better understand the physical and psychosocial effects of cancer treatment and find strategies to cope with them. Communication is key to maintaining a healthy relationship, and survivors and their partners can benefit from open and honest conversations about their needs and concerns.

It is also important to prioritize self-care and make time for intimacy, whether that means exploring new ways of being intimate or finding ways to connect emotionally. By taking a proactive approach to managing the effects of cancer treatment on sexuality and couple relationships, survivors and their partners can improve their overall quality of life and strengthen their bond. -T

FAQs

Q: How does cancer treatment affect sexual health?

A: Cancer treatment can cause physical and emotional changes that affect sexual health. For example, chemotherapy and radiation therapy can cause fatigue, pain, and changes in libido. Surgery can cause scarring or changes in body image that affect sexual function. Hormone therapy can also cause changes in sexual function.

Q: How can we improve sexual health after cancer treatment?

A: There are many ways to improve sexual health after cancer treatment. It’s important to talk to your healthcare provider about any concerns you have. They can help you find solutions that work for you. For example, vaginal moisturizers and lubricants can improve vaginal dryness. Pelvic floor exercises can improve bladder control and sexual function. Counseling or therapy can help address emotional issues that affect sexual health.

Q: What are some long-term effects of cancer treatment on sexual health?

A: Some cancer treatments can cause long-term effects on sexual health. For example, treatment-induced menopause can cause vaginal dryness and pain during sex. Radiation therapy to the pelvis can cause erectile dysfunction or vaginal stenosis. Surgery to remove reproductive organs can cause changes in sexual function. It’s important to talk to your healthcare provider about any concerns you have.

Q: How can we maintain intimacy and relationships after cancer treatment?

A: Cancer treatment can affect relationships and intimacy. It’s important to communicate with your partner about any concerns you have. You may need to explore new ways of being intimate that work for you. For example, non-sexual touching, cuddling, or massage can help maintain intimacy. It’s also important to seek support from friends, family, or a therapist if needed.

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Todd Franzen


Todd Franzen is a 2X Hodgkins Lymphoma Survivor. Living in Breckenridge Colorado

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