Treatment for some cancers may have little effect on sexuality beyond the effects of fatigue, pain, weakness or other temporary side effects. Younger men who receive extensive chemotherapy , however, might consider sperm banking before treatment in case the sperm count does not return to normal. But the treatment of several kinds of cancer may directly affect how well you function sexually.
Bladder Cancer Surgical therapy for bladder cancer can lead to decreased desire, a reduced ability for men to get an erection, retrograde ejaculation and orgasm problems including a lower intensity. About half the women who have this therapy end up with a shorter and narrower vagina, making penetration more difficult. Communication with her partner will become especially important, as will the use of lubricants such as K-Y jelly or Crème de la Femme.
Breast Cancer Psychological counseling is helpful for all women treated for breast cancer given the symbolic sexual significance of the female breast. Even 10 percent of women who have a benign biopsy may want to discuss sexual concerns. And 30 to 40 percent of women who have a modified radical mastectomy experience sexual dysfunction. Fewer sexual problems are reported if a lumpectomy is done, which results in less change to body image. Treatment with low doses of testosterone can help women regain desire and sexual enjoyment.
