Wish To Move Up Your How Carry out Older Females Wish Intimacy Often? You Need To Read This First
Wish To Move Up Your How Carry out Older Females Wish Intimacy Often? You Need To Read This First
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Radiotherapy uses radiation to kill cancer cells. You might have radiotherapy to the pelvis to treat cancers such as:
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- cervical cancer
- vulval cancer
- vaginal cancer
- anal cancer
The side effects vary from person to person. They might influence how you are usually emotion sexually.
Early menopause
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Pelvic radiotherapy can cause an early menopause by stopping your ovaries from working.
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The symptoms of a menopause due to cancer treatment are the same as those of a natural menopause, but they can be more intense if it comes on suddenly. You might have:
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- hot flushes and sweating
- vaginal dryness
- low mood or depression
- loss of confidence and self esteem
- tiredness
- thinning bones
- loss of interest in sex
If you haven’t already been through the menopause, this means your periods stop and you won’t be able to become pregnant. This is called infertility.
The risk of infertility depends on the dose of radiation to your ovaries, your age (the risk is higher the older you are), and if you have chemotherapy with the radiotherapy.
Finding out that treatment for your cancer may leave you infertile can be extremely distressing if you had hoped to get pregnant in the future. Your health care worker and physician will help you and have a discussion about probable choices.
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It is sometimes possible to move the ovaries out of the treatment area before radiotherapy begins. It will be usually done by keyhole (laparoscopic) surgery. This is called ovarian transposition. Ovarian transposition might prevent an earlier menopause.
You can see a fertility specialist before you start cancer treatment. They can talk to you about the possibility of freezing your eggs, embryos or ovarian tissue.
Read more coping with possible infertility
Find out about coping with an early menopause
External and internal radiotherapy
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Radiotherapy for some types of cancer, such as cervical cancer, can be inner or perhaps alternative radiotherapy.
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External radiotherapy targets radiation at the cancer from a radiotherapy machine outside of the body. This gives a high dose of radiotherapy both to the cervix and the vagina. Internal radiotherapy, called brachytherapy also, offers rays from inside the human body. For cervical cancer, a radioactive source goes inside the vagina.
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Both external and internal radiation can cause vaginal dryness, narrowing and fibrosis of the vagina.
The skin inside the vagina can also become thin, delicate and torn. Rarely, ulcers (sores) can form within the vagina when the skin tears. These can take a few weeks, or months even, to heal. This can lead to pain, bleeding or discomfort, and may make intercourse painful.
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You may not feel like having sex while you are having a course of pelvic radiotherapy. The treatment can make you look very tired and give you bladder inflammation (cystitis) and diarrhoea. You may likewise find that you sense also aching to possess intercourse perfectly.
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For many people it is best to avoid intercourse altogether during thwill be time. It is important to talk to each other about what you want. But you can enjoy a sexual relationship still. There are numerous other ways of satwill befying each different.
It is important to avoid pregnancy during radiotherapy, as it may harm the baby. Talk to your specialwill bet about a suitable type of reliable contraception becomefore starting treatment.
Narrowing of your vagina
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Pelvic radiotherapy can make the tissues in the vagina less stretchy. Fibrosis can narrow the vagina, producing it uneasy and complicated to possess love-making. This is called fibroswill be.
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Vaginal dilators after treatment might help to prevent this. Ask your radiographer, NAKED OLDER WOMEN WITH YOUNG MEN doctor or nurse about dilators if they haven't been mentioned to you.
Vaginal dilators
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Dilators are cone shaped plastic objects that you put into your vagina to help stretch it.
You can can use vaginal dilators from 2 to 8 weeks after treatment to help prevent narrowing of the vagina. Question your physician or midwife when you should begin employing them. You begin with one of a comfortable size and use larger ones until your vagina is stretched enough for you to have sex comfortably. The dilators come in sets of different sizes. Some persons require their mate with this.
How to use them
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There are international guidelines for using vaginal dilators and these are usually described below. Ask your medical team for individual advice.
You usually start with the smallest size and go up to whatever size is comfortable for you.
For the first 6 months
Use dilators with a water soluble lubricating gel at least twice a week and up to twice a day, for 3 to 10 or so minutes each period.
Between 6 and 12 months
Use dilators once a week.
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After 12 months
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Use your dilators occasionally as long as you are not having any difficulty.
Alternatives to vaginal dilators
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Sexual intercourse also helps to keep the vagina open and is a good alternative to using dilators.
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You might prefer to use your fingers or a vibrator to help stretch your vagina. If water soluble lubricants do not give enough lubrication for comfortable intercourse you may want to try a silicone based lubricant. These give more lubrication and are usually fine to use after any vaginal irritation caused by radiotherapy has settled down.
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Find out more about radiotherapy for cervical cancer
Chemoradiotherapy for cancer in the pelvic area
Sometimes chemotherapy is combined with radiotherapy (chemoradiotherapy) for cancers in the pelvic area. Having the 2 cures might come up with the vaginal location incredibly fragile and information mutually.
Always use reliable contraception if you're having chemotherapy treatment. You should avoid becoming pregnant, as the treatment drugs could harm the baby. Women who have or have had breast cancer are usually advised not to take the pill because the hormones it contains may affect the cancer.
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It is not known for sure whether cancer drugs, such as chemotherapy, can be passed on through secretions or semen from the vagina. Because of thwill be some doctors advwill becomee people to use a barrier method (such as condoms, femidoms or dental dams) if you have sex during their treatment. Thwill be applies to vaginal, anal or oral sex.
Generally, doctors advise a barrier method only for the time a person is actually having the treatment and for about a week after treatment.
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Advice like this can be worrying, but this does not mean that you have to avoid being intimate with your partner. You can possess close contact and continue to enjoy sex still.
Read more about chemotherapy and women’s sexuality
Tiredness
You might feel tired during your radiotherapy treatment. This could be because:
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- of having cancer
- your body is using energy to repair damage to healthy cells from the radiation
- you're in pain
- you're having to travel quite a way for your radiotherapy appointments
- you're feeling anxious and stressed - this might affect the quality of your sleep at night
Radiotherapy side effects tend to get worse as you progress through your treatment. So you might not feel tired at the beginning of your course but might do towards the end and for a few weeks afterwards.
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Try not to be too hard on yourself if you don’t feel like having sex when you are tired. You can exhibit your sexuality in different ways if a partner is had by you or are single.
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Help and support
These changes and the emotions it can bring can be difficult to cope with. It may support to speak to a companion, relative or friend. They can let you know what support and help is available in your treatment centre or in your area. Let your nurse, consultant or GP find out how you are usually emotion.
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Some people choose to talk things through with a counsellor or therapist. Or you could get in touch with some of the firms that present help and data about interactions and sex.
Go to resources and support
Cancer Research UK nurses
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- A nurse-led sexual rehabilitation intervention after radiotherapy for gynecological cancer
R Bakker and others
Supportive Care in Cancer, 2017. Volume 25, Number 3
- Cervical cancer: ESMO clinical practice guidelines for diagnosis, treatment and up follow
C others and Marth
Annals of Oncology, 2017. Volume 28, Supplement 4
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- Fertility sparing treatments in gynaecological cancers
Noble University of Obstetricians and Gynaecologists, 2013
- The information on this page is based on literature searches and specialwill bet checking. We utilized numerous recommendations and there are usually as well numerous to record below. Please contact [email protected] with details of the particular issue you are interested in if you need additional references for this information.
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