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Radiotherapy uses radiation to kill cancer cells. You might have radiotherapy to the pelvis to treat cancers such as:

- cervical cancer

- vulval cancer

- vaginal cancer

- anal cancer


The side effects vary from person to person. They might impact how you happen to be experience sexually.

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:

- 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 physician and midwife will assistance you and discuss about achievable alternatives.

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It is sometimes possible to move the ovaries out of the treatment area before radiotherapy begins. Ovarian transposition might prevent an early menopause. It will be usually done by keyhole (laparoscopic) surgery. This is called ovarian transposition.

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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 exterior radiotherapy.

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 in the physical physique. For cervical cancer, a radioactive source goes inside the vagina.

Both external and internal radiation can cause vaginal dryness, narrowing and fibrosis of the vagina.

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The skin inside the vagina can also become thin, delicate and torn. These can take a few weeks, or months even, to heal. Rarely, ulcers (sores) can form within the vagina when the skin tears. This can lead to pain, bleeding or discomfort, and may make intercourse painful.

You may not feel like having sex while you are having a course of pelvic radiotherapy. You may likewise find that you look as well irritated to possess intercourse pleasantly. The treatment can make you feel very tired and give you bladder inflammation (cystitis) and diarrhoea.

For many people it is best to avoid intercourse altogether during thwill be time. There are various other ways of satisfying each additional. But you may well take pleasure in a erotic romance nevertheless. It is important to talk to each other about what you want.

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

Pelvic radiotherapy can make the tissues in the vagina less stretchy. Fibrosis can narrow the vagina, producing it uneasy and challenging to possess gender. This is called fibroswill be.

Vaginal dilators after treatment might help to prevent this. Ask your radiographer, doctor or nurse about dilators if they haven't been mentioned to you.

Vaginal dilators

Dilators are cone shaped plastic objects that you put into your vagina to help stretch it.

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You can can use vaginal dilators from 2 to 8 weeks after treatment to help prevent narrowing of the vagina. Inquire your medical doctor or midwife when you should begin applying them. Some persons include their lover with this. When you cherished this information and you desire to get more info relating to AVERAGE NUDE OLDER WOMAN PICTURES i implore you to visit our own site. The dilators come in sets of different sizes. You begin with one of a comfortable size and use larger ones until your vagina is stretched enough for you to have sex comfortably.

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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.

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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 a matter of minutes each moment.

Between 6 and 12 months

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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.

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Alternatives to vaginal dilators

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.

Find out more about radiotherapy for cervical cancer


Chemoradiotherapy for cancer in the pelvic area

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Sometimes chemotherapy is combined with radiotherapy (chemoradiotherapy) for cancers in the pelvic area. Getting the two treatment options together with each other can produce the abnormal region extremely breakable and hypersensitive.

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Always use reliable contraception if you're having chemotherapy treatment. 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. You should avoid becoming pregnant, as the treatment drugs could harm the baby.

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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. Thwill be applies to vaginal, anal or oral sex. Because of this some doctors advwill bee people to use a barrier method (such as condoms, femidoms or dental dams) if you have sex during their treatment.

Generally, doctors advise a barrier method only for the time a person is actually having the treatment and for about a week after treatment.

Advice like this can be worrying, but this does not mean that you have to avoid being intimate with your partner. You can even now experience near get in touch with and continue to appreciate love-making.

Read more about chemotherapy and women’s sexuality


Tiredness

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You might feel tired during your radiotherapy treatment. This could be because:

- 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 present your sex in unique techniques if you possess a mate or happen to be solo.

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Help and support

These changes and the emotions it can bring can be difficult to cope with. They can allow you understand what assist and assistance is usually accessible in your therapy center or in your region. It may aid to speak to a spouse, relative or friend. Let your nurse, gP or perhaps expert be aware of how you might be sense.

Some people choose to talk things through with a counsellor or therapist. Or you could call some of the organisations that feature facts and help about romances 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

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- Cervical cancer: ESMO clinical practice guidelines for diagnosis, treatment and up follow
C others and Marth
Annals of Oncology, 2017. Volume 28, Supplement 4

- Fertility sparing treatments in gynaecological cancers
Noble University of Gynaecologists and Obstetricians, 2013

- The information on this page is based on literature searches and specialwill bet checking. Please contact patientdetails@cancer.org.uk with details of the particular issue you are interested in if you need additional references for this information. We utilized numerous referrals and there are usually as well various to record below.