Breast cancer patients and sex: can we ever go back to the old days!

  Currently, the question most patients and families ask about breast cancer is almost always, “How long will I live with breast cancer?” Few people ask, “Will I live happily?” Most people care about living. Most people care about being alive, not about living happily, the technical term for quality of life (QOL). After all, our folk saying is “It’s better to die than to live.” Cancer is considered an incurable disease, and cancer patients are looked at with disdain. With the advancement of medical technology, many breast patients are making higher demands. Not only do we want to live, but we want to live well.  Sex, in our traditional culture, is a difficult issue to talk about. The title of this article may be called false, as we are deeply imbued with Confucian culture and asking such a question is often seen as alien. It is true that most patients ask the author such questions over the phone, but it is literally in front of me.  Serious diseases often sound alarm bells for your sex life. But breast cancer can bring the thought of sex to a grinding halt. Thinking about your options for breast cancer treatment in a mood of unease and fear, sex may just be the last item on the list, or it may not even be in your consciousness again. Such emotions may affect your attitude toward sex and sexual partners. However, when you feel comfortable after cancer treatment, you may want to return to your old, normal life. For most women, especially younger breast cancer patients, a normal life also includes sex.  The side effects of anti-cancer treatment are sometimes temporary and sometimes permanent, such as: early menopause, painful intercourse, hair loss, weakness, and sexual frigidity. Chemotherapy and radiotherapy often bring about stubborn fatigue. You may want to stay lazy in bed but not do anything. Some medications, may make you wilt. Whether it’s the physical deficits from the surgeon or the hair loss and weight loss from chemotherapy, breast cancer completely destroys your body and your desire for sexuality.  Breast cancer changes the way you see your body. When they go through this, many people think their bodies are imperfect. Your body has been through too much, but it will get better, and first you need to know that your partner will still find you attractive and sexy.  The first time you see yourself in the mirror is painful, and it’s hard to even imagine being sexy and attractive again. You and your partner must be ready to accept what you will look like in the future. If you haven’t had surgery yet, ask your doctor if he or she has photos of women who have had this type of surgery. Look at the photos with your partner and say what you want. The look on your partner’s face the first time he or she looks at your incision may be one that you will never forget. You may think, “He thinks I’m ugly,” and knowing ahead of time can take away those surprises.  Communication is important. Tell your partner what makes you comfortable and what makes you uncomfortable. You may be waiting for each other to respond first. You are waiting for him to tell you he needs sex, and he is waiting for you to respond. Your partner may be afraid of hurting you, or afraid that you are not ready. Here’s a big “hooray for communication”.  If your breasts were your primary area of sexual sensitivity before surgery, you may feel a lot of loss after a mastectomy or lobectomy. It is recommended that you discover and explore new sensitive areas. For some women, reconstructed breasts and scarring can make sensitivity lower, which back makes them will suffer painful memories of altered sex lives. But consider and try other areas as sexually sensitive spots.  Chemotherapy might make you menopausal earlier. Or if you are ER(+) or and PR(+) and need endocrine therapy, Tamoxifen or Legoserelin + Letrozole will leave you in menopause for several years. These can bring on vaginal dryness and other symptoms. Vaginal moisturisers and lubricants can solve the problem of vaginal dryness. Vaginal moisturisers are not lubricants used during sex, they are similar to the moisturising sprays we use.