Sexuality

Desire and feelings associated with intimacy may change while undergoing treatment. The physical effects of treatments, including nausea and fatigue, may leave little energy for sexual relationships. Sexual desire may also be altered by some hormonal treatments. Some individuals may find, on the contrary, that the increased closeness and communication resulting for the experience of illness enhances their relationship and sexuality.

Information for Women

Chemotherapy and hormone therapy may cause vaginal dryness. Extra lubrication may make intercourse more comfortable. A water-based gel that has no perfumes or coloring added, such as KY jelly is recommended. It may be more comfortable to warm the tube of gel in warm water prior to use. Oil-based lubricants, such as petroleum jelly, should be avoided.

Chemotherapy treatments also increase the risk of developing a vaginal yeast infection. You may experience a discharge, with itchiness and a burning sensation, on urination. Report this to your oncologist because you, and perhaps your partner, will need treatment with a prescription cream. Women should avoid using commercial douches. These may irritate the vagina.

Information for Men

Some chemotherapy drugs may cause sterility in men. If you would like to have children in the future, sperm banking before chemotherapy treatments may be an option.

It is recommended that you wear a condom for sexual intercourse occurring within 48 hours after each chemotherapy treatment. Without a condom, your partner may experience burning or irritation in her vagina. Ask your doctor for additional information.

Do I Have To Use Birth Control?

Chemotherapy can effect the development of an unborn baby. Therefore, if there is a chance that you or your partner may become pregnant, it is important to use birth control measures while on chemotherapy and for a few months after treatment is completed.

The use of oral contraceptives (the pill) is not recommended for women with certain types of cancer. Ask your oncologist for further information.

Because some chemotherapy drugs cause irregular periods, it is difficult to predict the time of ovulation for using the Rhythm Method. Barrier methods such as diaphragms and condoms, together with spermicidal gel/foam are most appropriate.

This information is not intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment.