Sex During Chemotherapy: A Guide for Ovarian Cancer Patients

Sex during chemotherapy is a topic many ovarian cancer patients have questions about yet often feel hesitant to discuss. 

According to ovarian cancer facts, 1 in 78 people with ovaries will be diagnosed with ovarian cancer in their lifetime, so these intimate concerns impact many lives. Let’s address this important topic with the clarity and understanding it deserves.

Can You Have Sex on Chemotherapy?

The simple answer is yes. Intimacy during chemotherapy is generally safe when you’re feeling up to it, and your doctor hasn’t advised against it. However, this answer comes with important considerations that every patient should understand. Your comfort and safety are paramount, and knowing what to expect can help you navigate this aspect of your cancer journey with confidence.

Understanding Intimacy During Chemotherapy

When it comes to sex while on chemotherapy, your body may respond differently than before treatment. Fatigue, nausea, and other side effects can affect your interest in sexual activity. These changes are completely normal and temporary for most patients. Your energy levels and interest may fluctuate throughout your treatment cycle, with some days feeling more like yourself than others.

Physical Changes and Considerations

Chemotherapy for ovarian cancer can cause several physical changes that affect intimacy. Many women experience vaginal dryness, which can make intercourse uncomfortable or even painful. This isn’t just a minor inconvenience; it can significantly impact your comfort and confidence during intimate moments. And it’s not just about lubrication. Some women notice increased sensitivity or changes in how things feel overall.

Hormonal changes are another big piece of the puzzle.

Mood changes can make you feel like you’re on an emotional roller coaster. Some women notice their vaginal tissues becoming thinner or more delicate. You might also experience changes in sensation or even occasional spotting after intimate activity.

The good news: there are solutions. Water-based lubricants can be a game-changer for dealing with dryness, and you can get them at any pharmacy without a prescription. Your healthcare team can also recommend specialized vaginal moisturizers that provide longer-lasting relief. 

For more severe symptoms, several prescription options are available. These include hyaluronic acid vaginal suppositories, which contain a naturally occurring substance that helps with lubrication and vaginal moisture. These suppositories are typically used 3-4 times per week and can significantly improve vaginal dryness. 

Topical estrogen creams are another option, though they aren’t right for everyone. Always discuss these treatments with your doctor to determine the best option for your specific situation.

Changes in body image can also affect how you feel about intimacy. Maybe you’re dealing with surgical scars, weight changes, or hair loss. These changes can impact how you feel about yourself and your sexuality. Acknowledging these feelings and discussing them with your partner and healthcare team is important. Remember, these temporary changes don’t define your worth and attractiveness.

Managing Intimacy During Treatment

Sexual intimacy isn’t limited to intercourse. During treatment, you might find new ways to maintain the connection with your partner. Gentle touching, massage, or simply holding each other can provide meaningful intimacy when you’re not feeling up to more physical activities. This time can actually strengthen your emotional bond as you discover different ways to express affection and maintain closeness.

Can You Be Intimate While on Chemo? Safety Guidelines

Protection during sexual activity is crucial during chemotherapy treatment. Since chemotherapy drugs can be present in bodily fluids, using barrier methods like condoms or dental dams is recommended during treatment and for about a week afterward. This applies to all types of sexual activity, including oral sex.

Your blood counts will fluctuate during treatment, which can affect when it’s safe to engage in sexual activity. Low platelet counts can increase the risk of bleeding, while low white blood cell counts may make you more susceptible to infections. Your healthcare team can help you understand your blood count numbers and what they mean for intimate activity.

When to Wait

There are times when sexual activity should be postponed during chemotherapy treatment. These include periods of very low blood counts, active bleeding, or when you’re experiencing significant pain or discomfort. Your healthcare team will guide you on specific timing based on your treatment schedule and blood count results.

Sex After Chemotherapy: Looking Forward

Recovery of sexual function after chemotherapy varies for each person, and it’s important not to rush the process. 

Some women notice improvements within months of completing treatment, while others may need more time to feel comfortable with intimacy again. Physical changes like vaginal dryness might linger for a while, and your hormone levels may take time to stabilize.

Your comfort with sexual activity might come back gradually, and that’s perfectly normal. You might find that what worked before treatment feels different now or that you need to explore new approaches to intimacy. Some women discover that their erogenous zones have changed or that they need different kinds of stimulation to feel pleasure. This journey of rediscovery can lead to a deeper understanding of your body and what brings you satisfaction.

The key is to be patient with yourself and maintain open communication with both your partner and healthcare team. Don’t hesitate to discuss ongoing concerns or ask about treatments that might help. Some women find that working with a sexual health specialist after treatment helps them regain confidence and comfort with intimacy. Remember: this is about moving forward at your own pace, not meeting anyone else’s timeline or expectations.

Communication: The Foundation of Intimate Health

Open dialogue with your partner, ovarian cancer doctor, and healthcare team is essential. They can address specific concerns about sex during chemotherapy and provide guidance based on your situation. Many patients feel embarrassed discussing sexual health, but remember your healthcare providers are accustomed to these conversations and want to support all aspects of your well-being during treatment.

Similarly, maintaining honest communication with your partner helps both of you adjust to changes and find new ways to maintain intimacy. Share your feelings, concerns, and needs openly. This transparency can strengthen your relationship during treatment.

Looking Ahead with Hope

While cancer treatment can temporarily affect your intimate life, many patients resume satisfying sexual activity after treatment ends. The key is to be patient with yourself and your body during recovery, focusing on emotional connections while physical intimacy gradually rebuilds.

At Not These Ovaries, we understand the unique physical and emotional challenges of maintaining intimacy during treatment. Your healthcare team is there to support you through every aspect of this journey, so don’t hesitate to ask questions or seek guidance when needed. Remember, you’re not alone; your comfort should guide your choices as you navigate this path.