Ask Question
Sign Guest book

 
About Lymphoma
| Advocacy & Art | CAM & Life Style | Clinical trials | Doctors & Centers  | Guidelines  at  Diagnosis | How  to   Help  | Research | Side Effects  | Support | Symptoms  | Tests | Treatments


WebCasts

Sex & Fertility

  

Side Effects > Sexual & Fertility 

Last update: 12/08/2007

Resources | Patient PerspectiveResearch News

TOPIC SEARCH: Men ~ PubMed | Women ~ PubMed | Men ~ Web | Women ~ Web 

On this page we will post information about how the disease and treatments can affect 
sexuality and fertility.
 

Sexual Side effects

Treatment & Fertility

Resources:
bullet
Anxiety and depression can affect sexuality - PAL
bullet
Will My Sexual Function & Fertility Be Affected by Treatment? -  cancer.org
bullet
Q: Will chemotherapy affect my sex life? - cancerbacup.org.uk
bullet
Q: My partner is having chemotherapy and we would like to have sex but we are worried that it may harm him. Ans: - cancerbacup.org.uk
bullet
Q: Can I have sex during chemotherapy treatments? Ans: - advocatehealth.com
bullet
Sex and chemotherapy - cancerhelp.org.uk

Patient Perspectives on sexuality:

Jama wrote: "Of note to anyone on chemo, it is recommended to use condoms even between married couples because of the chance of infection because of the low white cell counts. It is sort of like adding insult to injury to remind them to buy surgical ones. Stanford actually supplied us with condoms after that!!! I simply assumed that some patients had problems with infections and they were protecting me and took no insult away."

"There is a whole "untouched" group of subjects that patient advocates could tackle:

bullet

Sexual relationships during chemo

bullet

Sperm saving before chemo

bullet

Chemo induced impotence

bullet

Chemical castration in women 
(fried ovaries)

bullet

Chemo induced menopause"

~ Jama

Emotional side of Treatments
 
Post from CyberFamily support

Although I am not married, I can tell you that throughout my 7 rounds of CHOP if I had been married my wife would have been a very lonely lady. There was just no desire there. There are several things going on that all play a part.

First there is the chemotherapy itself. While I never got sick, and I called my CHOP a walk in the park, it still made me feel blah most of the time. To be blunt, the idea of sex just had no appeal throughout the whole six months I was on it. This did resolve itself several months after chemo was finished. I can't explain how or why, all I can say is that the chemo is wreaking havoc on the body and the hormones, are all out of whack, and the patient just has too much on their mind.

Then there is the emotional trauma, whether it is visible or not. Chemo is doing nasty things to our bodies, and our own image of our bodies. Everything from losing hair, to losing or gaining weight, to feeling fatigued, it all just adds up, and you start to wonder if you are the same person you used to be. The fatigue would be a major contributor to a lack of desire.

I know for me losing the hair was the worst part. I didn't mind being bald so much, but you lose the hair ALL OVER your body. It was so depressing getting out of the shower each day, and looking at the 12 year old pre-pubescent boy looking back at me in the mirror. I never much thought about my body hair before that, but I am a pretty sad sight when I am hairless. I would never have dared to let a spouse see me naked at that time :-) Luckily with CVP your husband is less likely to lose his hair. 

There is also the constant wondering if you are going to die or not, wondering if the side effects are permanent, and wondering if all your friends are going to abandon you, or if they will be supportive.

I don't think I ever sat around "thinking" about those things at the time. At least not consciously, but they are always at the back of your mind in some small way. So while outwardly I was a very positive unchanged person, inside I knew it wasn't all so perfect, and that just made me a bit more moody than usual.

At a time like this when there is so much stress in his life, his poor old brain is just not going to be in the mood, and when the brain isn't in the mood the body is not likely going to cooperate either.

Just be with him and enjoy ordinary intimacy like hand holding, hugging and just being together. Or explore new ways to be intimate without having to have sex. I expect you will find him returning to normal, or near normal a month or two after his last treatment. 

Just be patient and understanding and I am sure you will find your old husband again when this is over.

G D 
dx 09/98 follicular mixed cell, Stage IV
CHOP X 7, Radiation X 20; 09/98-05/99
SCT 04/17/2002

Testing fertility
bullet
Preserving fertility?  uscivf.org
bullet
Baylor urologists test fertility treatment for men after cancer - bcm.edu
General effects of chemotherapy on the reproductive system in men 
bullet
cancerbacup.org.uk 
Using Lupron (GnRH Agonists) to preserve fertility during chemo?
bullet
About Lupron - MedlinePlus
bullet
Use of GnRH analogs ((Lupron) for functional protection of the ovary and preservation of fertility during cancer treatment in adolescents: a preliminary report. Gynecol Oncol. 2001 Jun;81(3):391-7. PMID: 11371127 - PubMed
bullet
Fertility after treatment for Hodgkin's disease. Ann Oncol. 2002;13 Suppl 1:138-47. Review. PMID: 12078896 - PubMed
bullet
Prevention of gonadal damage during cytotoxic therapy. Ann Med. 1997 Jun;29(3):199-206. Review.
PMID: 9240625 - PubMed
High-dose chemotherapy?
"In men, the use of TBI usually causes infertility but with normal testosterone levels. If a booster dose of radiotherapy is given to the testes so that total doses are greater than 20Gy, testosterone levels may be reduced and supplement therapy required. There have been reports of recovery of fertility in men who have been treated using cyclophosphamide and single-fraction TBI (12).
Without TBI, recovery of fertility following a transplant is variable, although it is not so likely as with women. Age at treatment with BMT in men does not appear to be related to recovery of male gonadal function (12)."  cancerbacup.org.uk
Pregnancy outcomes  following treatment of cancer?
bullet
Fertility and pregnancy after treatment for cancer during childhood or adolescence.
Cancer. 1993 May 15;71(10 Suppl):3392-9. Review. PMID: 8490888 - PubMed
bullet
Pregnancy outcomes following treatment of cancer. J Obstet Gynaecol. 2002 Jan;22(1):43-4.
PMID: 12521727 - PubMed
Treating lymphoma when pregnant?
bullet
Non-Hodgkin's Lymphoma During Pregnancy
http://www.bchealthguide.org/
bullet
Non-Hodgkin lymphoma and pregnancy Q&As
http://www.cancerbackup.org.uk/
bullet
Hodgkin's Lymphoma During Pregnancy - Treatment Option Overview
http://www.webmd.com/cancer/

 

 

Return to top
Research News
bullet
Sexuality after cancer treatment: What men can expect - edition.cnn.com

Some sexual side effects of cancer treatment will resolve in a few weeks. Others may last for a year or two after treatment, and some will be permanent. Find out as much as you can about what's impeding your sexual function. This will help you feel more in control of the situation and help guide you to treatment options.
bullet
The effects of rituximab treatment during pregnancy on a neonate.
Haematologica. 2006 Sep 7; PMID: 16963391
bullet
Safety of rituximab therapy during the first trimester of pregnancy: a case history.
Eur J Haematol. 2004 Apr;72(4):292-5. PMID: 15089769
bullet
Sex After Transplants By Sally James - cancerpage.com
bullet
Radiotherapy blow to fertility underestimated Eggs twice as sensitive to cancer-treating radiation.  - Nature.com 01_31_03
bullet
Prevention of menstruation with leuprorelin (GnRH agonist) in women undergoing myelosuppressive chemotherapy or radiochemotherapy for hematological malignancies: a pilot study. Leuk Lymphoma. 2001 Sep-Oct;42(5):1033-41. PMID: 11697620 - PubMed
bullet
Prevention of hypermenorrhea (excessive menstration)with leuprolide in premenopausal women undergoing bone marrow transplantation. Am J Hematol. 1993 Apr;42(4):350-3. PMID: 8493984 - PubMed
bullet
Archive of CANCER-SEXUALITY LISTSERV.ACOR.ORG - acor.org
(See left column for how to subscribe.)
bullet
Sexual functioning in long-term breast cancer survivors treated with adjuvant chemotherapy. Breast Cancer Res Treat. 2002 Oct;75(3):241-8. PMID: 12353813 - PubMed
bullet
Secondary Amenorrhea [no menstrual periods] After Hodgkin's Lymphoma Is Influenced by Age at Treatment, Stage of Disease, Chemotherapy Regimen, and the Use of Oral Contraceptives During Therapy: A Report From the German Hodgkin's Lymphoma Study Group. J Clin Oncol. 2005 Oct 20;23(30):7555-64. PMID: 16234521
 
Disclaimer:  The information presented on Lymphomation.org is not intended to be a substitute for 
professional medical advice or to replace your relationship with a physician.
For all medical concerns,  you should always consult your doctor. 
Patients Against Lymphoma, Copyright © 2004,  All Rights Reserved.