Sexuality, intimacy and cancer

Before or during treatment

• Could this treatment affect my sex life, libido, hormones or fertility? What are the risks?
• Are changes likely to be temporary or permanent? How long will they last?
• What can be done to keep my sexual function and pleasure? Are there treatments that can help?
• Is it safe to have sex or masturbate? Do I need to take any precautions?
• Is there anything I should avoid when having sex?
• What type of contraception should I use, and for how long? Is it safe to get pregnant, or to get my partner pregnant?

Side effects and concerns after treatment

• Sex doesn’t feel the same as it used to. What can I do?
• I want to have sex, but find it hard to feel aroused. What can help?
• I’ve lost interest in sex. Is there anything that could help? When will I feel like, or enjoy, sex or being intimate again?
• What problems may I have with intercourse or penetration?
• It hurts when I have sex. Why is this, and how can I manage it?
• Why can’t I get an erection? Will this be temporary? What are my options if I can’t get an erection?
• Why don’t I ejaculate anymore?
• How can I manage the symptoms of menopause? Could menopausal hormone therapy help?
• I have vaginal dryness. What can I do? Is oestrogen cream safe to use?
• How can I stretch my vagina? Is it safe, and who can help me learn about vaginal dilators?
• I’m having trouble feeling confident about my body and reaching orgasm. Will things improve?
• I’m worried I can’t satisfy my partner anymore. What can I do?
• Can you refer me to a sex therapist? Is there anyone else who might be able to help?