Jamaica Gleaner

After breast cancer ... I simply don’t feel sexual

- Deardoc@gleanerjm.com

Sexuality after breast cancer

IT IS common for women to have concerns about sexuality after breast cancer. Physical changes which occur during and after treatment will make most women less comfortabl­e with their bodies. Also, some treatments such as chemothera­py can change your hormone levels and may negatively affect a woman’s sexual interest and/or response. Additional­ly, for women who are seeking to choose a partner or have children, a diagnosis of breast cancer can be especially difficult.

Surgical treatment for breast cancer, particular­ly removal of the breast, can damage a woman’s feeling of attractive­ness. Our culture has taught us to view breasts as a fundamenta­l part of beauty and femininity. If a breast has been removed, a woman may worry about whether or not her partner will still find her attractive. She may also be worried about not being able to enjoy sexual stimulatio­n in the affected breast.

However, even after having a breast removed, some women still enjoy being stroked around the area of the healed scar, whereas other women may actually dislike being touched there, and may no longer even enjoy being touched on the remaining breast and nipple. Some women who have had a mastectomy may also feel self-conscious in certain sexual positions, where the area of the missing breast is more visible.

But we cannot forget the partner in all this, because the cancer diagnosis can be very distressin­g for the partner as well. Partners are usually concerned about how to express their love physically and emotionall­y after treatment, especially surgery. But breast cancer can be a growth experience for couples, especially when partners take part in decision-making and go along to treatments.

Regardless of the changes you may experience, it’s important to know that there is advice and support out there to help you cope with them. Speaking with your doctor or other members of your healthcare team is often a good starting point. There are also many support groups available, and they can refer you to one that is suitable for your needs.

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