Sex after Breast Surgery

Breast surgery, of course, is just one component of treatment. Medications designed to reduce or stop the production of estrogen in premenopausal women such as tamoxifen or toremifene (Fareston) can cause vaginal changes, such as drier, thinner tissue that is more likely to tear and cause painful intercourse. Aromatase inhibitors, which are increasingly used in treating early breast cancer in postmenopausal women, also can worsen vaginal dryness and contribute to sexual problems. Chemotherapy drugs can lead to weight gain, hair loss and skin changes that may affect your self-esteem and reduce your libido. Plus, the intense fatigue that often comes with cancer treatment can make sex last on your list.

Also, recognize that recovering from cancer—physically, emotionally and sexually—takes time. In one survey of 50 women one year after breast surgery, 80 percent said they either had no desire or reduced sexual desire. The women found that their illness affected their relationships, with one-third saying the main cause was related to feelings of physical inadequacy

I urge you to talk with your partner about these changes in your body and how they make you feel. If you don’t feel like having intercourse, communicate that clearly, but let your partner know that you still love and value him or her and that you still want—and need—to be touched and cuddled during this phase.

One study found that women with breast cancer felt more comfortable talking about sexual problems with their partner than with a therapist. However, if you want to talk with a therapist, ask your doctor or oncology nurse for a referral to one who specializes in working with cancer patients.

You deserve a healthy sexual life as much as you deserve to be healthy.

This content is supported by an educational grant from Wyeth Pharmaceuticals Corporation