Pain

After surgery you may feel sore for several weeks or longer in some cases. You may find it uncomfortable to be touched or hugged if the wounds from the surgery are still healing or if the area around the scar is painful. Pain can reduce your interest and pleasure in sex and distract you from reaching orgasm. It may also mean the positions you enjoyed having sex in are now uncomfortable or you may be worried about hurting your partner. The medicines you are taking may make you feel drowsy and tired, which may affect your libido.

Painful intercourse

Irritation of the prostate or urethra from surgery or radiation therapy can cause painful orgasms. If you have developed scar tissue in the penis after surgery, this may cause pain or bleeding, but it usually settles down in time. Anal sex can be painful after radiation treatment for prostate or anal cancer.

Pelvic surgery, radiation therapy or treatment that affects hormones can reduce the size or moistness of the vagina, which can make intercourse painful. Fear of pain can cause the muscles around the vagina to become tight (vaginismus), and this can make penetration difficult or impossible.

    — Annmaree


Tips for managing pain

Managing pain

Making penetrative sex more comfortable

  • Plan sexual activity for the time of day when your pain is lowest. If you are using pain medicine, take it shortly before sex so it will have maximum effect.
  • Try different positions (such as side by side) until you find one that may be more comfortable for both of you and reduces pressure on painful areas.
  • Use pillows or cushions to help you feel more comfortable and reduce pressure on a sore area.
  • Use relaxation techniques such as warm baths or massage to relax you before having sex.
  • If pain continues, you can ask to be referred to a specialist pain clinic. It is important to deal with pain early as a holistic approach is important for long term benefits.
  • Avoid deep pelvic thrusts – choose alternative positions to control the depth of penetration.
  • Use plenty of water-based or silicone-based lubricant, e.g. Pjur or Astroglide.
  • Try to be close to orgasm before penetration.
  • Talk to a doctor or sex therapist if these methods don’t work. A women’s pelvic health physiotherapist may be  able to advise on the use of vaginal dilators and pelvic floor exercises to help manage painful intercourse.
  • Ask an occupational therapist what products can assist with positioning – they may suggest using wedges, pillows, electric beds, transfer boards.
  • If pain is ongoing, ask to be referred to a specialist pain clinic.

 

For more on this, see Pain and cancer or listen to our Managing Cancer Pain podcast.

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Instructions for downloading and reading EPUB files

Apple devices

The iBooks application must be installed on your Apple device before you can read the EPUB.
Different ways to download an EPUB file to your Apple device:

  • email EPUB files to yourself and transfer the attachment to iBooks.
  • copy EPUB files into DropBox (or a similar service) and use the DropBox app to send them to iBooks.
  • open EPUB files directly from Mobile Safari and open them in iBooks, where they are saved automatically by downloading the EPUB from the website.

Need more help? Visit: http://support.apple.com/kb/HT4059

Kobo

To download an EPUB file to your Kobo from a Windows computer:

  • download and save the EPUB directly onto your desktop.
  • connect your Kobo to your computer using the USB cable and tap “Connect” on your eReader.
  • select “Open folder to view files” to view the contents of your Kobo.
  • navigate to where you have stored your EPUB file in “Finder”, in documents or downloads, and drag and drop it into the Kobo window. You can now disconnect your Kobo to read the eBook.

To download an EPUB to your Kobo from a Mac:

  • download and save the EPUB directly onto your desktop.
  • connect your Kobo to your computer using the USB cable and tap “Connect” on your eReader.
  • open your “Finder” application.
  • select “Kobo eReader” from the listed devices to view the contents of your Kobo.
  • navigate to where you have stored your EPUB file in “Finder”, probably in documents or downloads, and drag and drop it into the Kobo window. You can now disconnect your Kobo to read the eBook.

Turn on your Kobo and your EPUB will be located in “eBooks”, while a PDF will be located in “Documents”.
Need more information? Visit: http://www.kobo.com/help/koboaura/response/?id=3784&type=3

Sony Reader

To download an EPUB file on your Sony Reader™:

  • ensure you have already installed the Reader™ Library for PC/Mac software
  • select the eBook you want from our website and click the link to download it.
  • connect the Reader™ to your computer.
  • open the Reader™ Library software and click “Library” in the left-hand pane and select the eBook to view it.

Need more help? Visit: https://au.readerstore.sony.com/apps_and_devices/

Amazon Kindle 2nd Generation devices

EPUB files can’t be read on the Amazon Kindle™. However, like most eReaders, Kindle™ 2nd Generation devices are able to display PDFs. We recommend that you download the PDF version of this booklet if you would like to read it on a Kindle™.
To transfer a PDF to your Kindle™ via USB cable from your computer or Mac:

  • download the PDF directly onto your computer.
  • connect the USB cable to your computer’s USB port, and the micro USB end of the cable to your Kindle™. Note: the Kindle™ won’t be available as a reading device while it is connected to your computer until it has been disconnected.
  • open the Kindle™ drive and several folders will appear inside. The “Documents” folder is where you will need to copy or drag the PDF to.
  • safely eject your Kindle™ from your computer and unplug the USB cable. Your content will appear on the Home Screen.

Kindle also provides a Kindle Personal Documents Service that allows users to send documents as an attachment directly to your eReader. For more information on this service, visit http://www.amazon.com/gp/help/customer/display.html/ref=help_search_1-1?ie=UTF8&nodeId=200767340&qid=1395967989&sr=1-1
For more information on accessing a PDF on your Kindle™, visit www.amazon.com/manageyourkindle, log in to your account and click on Personal Document Settings.
Need more help? Visit https://www.amazon.com/gp/help/customer/display.html?nodeId=200375630

Android and PC

You can also download and open eBooks on Android devices and PCs with appropriate apps or software installed. Suitable eReader apps for Android include Google Play Books, FBReader and Moon+ Reader. Suitable software for PCs include Calibre and Adobe Digital Editions.


This information was last reviewed in May 2019
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