Chemotherapy Sexuality Effects

How will chemotherapy affect my sexuality?

For men, chemotherapy drugs may lower the number of sperm cells, reduce their ability to move, or cause other abnormalities. These changes can result in infertility, which may be temporary or permanent. It is important that you discuss this issue with your doctor before you begin chemotherapy. When undergoing chemotherapy you should use an effective means of birth control during treatment.

For women, anticancer drugs can damage ovaries and reduce the amount of hormones they produce. As a result, some women find that their menstrual periods become irregular or stop completely while they are receiving chemotherapy. Because of the damage to the ovaries, infertility may result or the ability to become pregnant may be lost. It is advisable during chemotherapy to avoid pregnancy and to use effective birth control measures. Anticancer drugs may also cause birth defects.

Sexual feelings and attitudes vary among people during chemotherapy. Some people find that they feel closer to their partners and have an increased desire for sexual activity. Others experience little or no change in their sexual desire and energy level. Still others find that their sexual interest declines because of physical and emotional stresses of having cancer and getting chemotherapy. You and your partner should try to share your feelings with one another. If it is difficult for you to speak to each other about sex, or cancer or both, you may want to speak to a counselor who can help you communicate more openly. If you were comfortable with and enjoyed sexual relations before starting therapy, chances are you will still find pleasure in physical intimacy during your treatment. Remember that what was true before you started chemotherapy remains true now: There is no one "right" way to express your sexuality. It's up to you and your partner to determine together what is pleasurable and satisfying to you both.