AFTER CANCER: TALKING ABOUT REPRODUCTIVE AND SEXUAL FUNCTIONS WITH DOCTOR

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What If I Am Reluctant to Talk about Ну Sexual Function with Ну Oncologist?

Many people are reluctant to mention sexual concerns to their oncologists. This may be because you

• are embarrassed or ashamed of your loss of sexual function •see your oncologist as someone who deals with life-and-death

decisions, making your concern about sexual function appear petty

•are grateful to have survived and do not want to appear ungrateful by complaining

• do not want to deal with any more medical issues

Your ability to function sexually at a level that is satisfactory to you and your partner is an important factor in your overall quality of life.

What If I Have Tried to Talk with My Oncologist about Sexual Difficulties But Obtained No Satisfactory Answers or Advice?

If you tried to communicate your concerns about sexual function but were too uncomfortable to deal with it or if your doctor seemed uncomfortable or unable to deal with the topic, look for help elsewhere. Professionals who are well trained and comfortable dealing with issues of sexuality include

• gynecologists

• urologists

• psychologists specializing in sexual dysfunction

You can obtain information about sex counselors with experience in problems resulting from physical illness by calling the Cancer Information Service.

(for men) Has My Treatment Affected My Ability to Father Children?

Radiation therapy to the testicles can cause sterility. Whether or not it is permanent depends on

• your age when treated

• the total dose of radiation received

•use of concomitant chemotherapy

Chemotherapy can also cause temporary or permanent sterility. Sterility is the more likely and has a greater chance of being permanent,

• the older you are when treated

• the higher the total dose of chemotherapeutic agents known to cause sterility

• the longer the duration of exposure to chemotherapeutic agents known to cause sterility

• the larger the number of drugs used that are known to cause sterility

Is Posttreatment Sterility Ever Reversible?

Yes. Men and women have been known to regain fertility twelve to sixty months following completion of cancer treatment.

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• CANCER-FIGHTING AND HEALING RECIPES: SALAD DRESSINGS
• AFTER CANCER: MORE HANDLES HELPING TO GET NEW LIFE
• AFTER CANCER: WHAT TO DO IF FATIGUE IS INTERFERING WITH SEXUAL FUNCTION?
• AFTER CANCER: WHAT IF I FEEL LESS FAMILIAR WITH OR LESS SURE ABOUT НУ BODY?
• AFTER CANCER: DEALING WITH CHILDREN