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Stay in the Mood During Chemo: Tips for Low Libido

Linsey Gold • Feb 22, 2022

When we talk about chemo-related side effects, nausea, vomiting, and hair loss are the first things to come to mind. However, there’s one common side effect that's not well-discussed but needs the attention of both patients and healthcare experts—low libido, especially in women.


How Chemotherapy Can Affect Your Sex Drive


According to studies, low libido and sexual dysfunction are the top complaints of breast cancer survivors.

About 73.4% of patients are at risk of developing female sexual dysfunction after receiving treatment for breast cancer. Additionally, 1 in every 10 female breast cancer survivors reports experiencing hyposexual sexual desire disorder. (*)


This doesn’t come as a surprise since the treatments for breast cancer can significantly negatively impact the survivor’s physical and psychological health, which can ultimately affect their sexual desire.


Since the human libido is quite complex, there are many potential causes of low sex drive. With that said, here are the top causes of low libido and sexual functioning during chemotherapy:


  • Reduced Hormone Levels


Chemotherapy drugs can significantly reduce your sex hormone levels. In women, it may decrease sex drive and affect sexual desire. It may also trigger early menopause with symptoms ranging from vaginal dryness to hot flushes.


On the other hand, men may also experience testosterone deficiency which causes poor sexual function and erectile dysfunction.


We also need to consider the fact that most breast cancer tumors are estrogen-receptor (ER) positive. This means that the tumors will continue to grow when exposed to estrogen, the female sex hormone.


Because of this, breast cancer patients usually undergo hormone therapy and chemotherapy concurrently. That's why they are often prescribed estrogen-blocking drugs like aromatase inhibitors and tamoxifen, which block the female sex hormone, leading to a lower sex drive.


  • Physiological Changes


Other side effects of chemotherapy are loss of appetite, nausea, changes in bowel movement, low energy levels, and fatigue. These can make you feel weak and can directly affect your sex life.


  • Poor Body Image


Chemotherapy doesn’t just change your physiology. It changes your appearance as well. Hair fall and loss is the top side effect of chemo treatments, while certain chemotherapy drugs can cause skin discoloration. Weight gain is also another common side effect of chemotherapy.


That's not all. Most breast cancer treatments involve mastectomy, which may alter the appearance of the breast or remove it altogether.


These changes can affect how a cancer survivor sees her sexuality and may even cause her to lose self-esteem.


If you aren’t happy with how you look, you might feel embarrassed to be sexually intimate with another person. In addition, low self-esteem can negatively affect a person’s sex drive.


  • Depression


Being diagnosed with cancer and experiencing all bodily changes associated with chemotherapy and other cancer treatments may also cause depression.


When you’re suffering from depression, sex will be the last thing on your mind, and you may not have the mental and emotional upkeep to engage in sexual activity.



Other Chemo-Related Side Effects That Can Affect Sexual Activity


There are other chemo-related women's sexual health issues that hinder sexual pleasure and make you more apprehensive about sexual activity. Because of this, these problems may indirectly cause hypoactive sexual desire disorder Here are some of them:


  • Vaginal Dryness


Vaginal fluids are essential for sexual function as it facilitates proper penetration. Unfortunately, certain drugs can decrease vaginal secretions and make the female organ dry and tight. If the lubrication isn’t enough, you’ll suffer from painful sex, and may prevent you from achieving sexual satisfaction.


  • Decreased Sensitivity


Due to low hormones and physiological changes of the vagina, your clitoris will have reduced sensitivity which can inhibit sexual arousal. In addition, if you’ve undergone breast surgery, your nipples and breast will have reduced feelings as well.


  • Pain During Sex


Most chemotherapy drugs may cause a vaginal scar, vaginal dryness, ulcers, thinning of the vaginal lining, and tissue damage, making intercourse painful and not enjoyable.


  • Changes in Orgasm


With all the changes your body has gone through, it may be a bit more difficult for you to reach orgasm, or your orgasm may not be as intense as before. Other women even complain about not experiencing any orgasms at all.


  • Yeast Infections


Most people undergoing chemotherapy are prescribed steroids and antibiotics to prevent bacterial infection. However, these medicines may cause yeast infections.


Some of the symptoms of yeast infection include:


- Thick and whitish discharge

- Burning sensation during sex

- Itching in the vagina or vulva


All of which can make your sexual experience less enjoyable and appealing and ultimately lead to a low sex drive.


  • Mood Changes


As mentioned, depression is common with people undergoing chemotherapy. Unfortunately, the existing medications for this mental health issue may cause various mood changes. Sadness and any negative emotions may lead to low sex drive.



How to Boost Your Libido During Chemo


Are you suffering from a hypoactive sexual disorder or low libido? Do you want to reclaim your sex life and finally solve your sexual problems?


To be honest, increasing sex drive in women undergoing chemotherapy requires lots of work. But the good news is a low sex drive isn’t a permanent side effect of chemotherapy or other cancer treatments. On the contrary, some patients reported that their low sexual drive went back to normal after their treatment had ended.


Here’s even better news: Low libido during chemotherapy can be managed with the proper treatment and tips. However, some cases would require medical intervention and the assistance of professional healthcare experts.


Below are some of the ways you can boost your sex drive and improve sexual function during chemotherapy:


1. Work on Yourself


Before you start with any treatment or intervention, the first step you need to focus on yourself. Keep in mind that your physical, mental, and emotional health has been tested and gone through so much, and that’s why it needs your full care and attention.


Here are some tips on how to do that:


  • Make healthy lifestyle changes


Chemotherapy can destroy your energy levels to the point that you’ll no longer have energy for sex. So if you want to bring back your sex drive, you need to restore your stamina first.


To do that, you need to exercise regularly and maintain a proper diet. You should also focus on rest and recovery so make sure to get a good night's sleep. This will also help you to manage stress and anxiety.


There are also a few don'ts you need to keep in mind. For one, drinking alcohol is a big no-no since too much alcohol can cause decreased libido.


Additionally, you should avoid smoking too as it restricts blood flow, preventing you from getting in the mood.


Lastly, don’t take any herbal supplements without talking to your doctor first.

  • Promote a healthy self-image


If the loss of desire for sex is due to a poor self-image, you need to find ways to boost your self-esteem.


You can start by reciting daily affirmations that can help build your confidence. And if you lost your hair due to chemo, you can try wearing wigs or hair accessories. Finally, pamper your skin with the right products and apply makeup to boost skin color to address dull skin.


For those who've undergone a mastectomy, you can try breast reconstruction surgery or use a breast prosthesis.


There are many things that you can do to foster a healthy self-image. But of course, it also pays to be honest with yourself. You need to accept the fact that cancer and chemotherapy changed your body. It gave you scars, took away your breast, made your vagina drier, or made you fatter.


However, you should also remind yourself that it also made you stronger and more beautiful in other people’s eyes, so maybe it’s about time that you consider yourself pretty stunning too.


2. Work with your partner


Since your low sexual desire also affects your partner’s sex drive, you should work with him to boost your decreased libido.


Below are some of the ways how you can do that:


  • Keep Your Communication with Your Partner Open


Start by talking with your partner. Often, partners see your low sexual desire as rejection. He may also feel confused about why you no longer have any sex drive.


To avoid any relationship issues, it’s best that you share with him how you feel. In addition to ensuring that you’re both on the same page, talking it out will help you maneuver your new normal.


If you have had your breast removed or you’ve noticed some changes in your sexual organs, tell your partner about it and come to an agreement on how you would like him to treat these body parts. For example, do you want him just gently to touch those areas or no touch at all? Do you want to add sex toys to your bedroom routine?


These are just some of the things you need to tackle head-on for better sexual health for both of you.


  • Find Other Ways to Become Intimate with Your Partner


Building intimacy is not just about engaging in sexual activity with your partner.


If you don’t desire sex, you can always give each other massage, hold hands, cuddle, or kiss.


It’s also a good idea to make time for date night and look for new creative ways to spend time together.

  • Seek Sex Therapy and Relationship Counseling


To avoid any unnecessary drama or issues, you should seek the help of healthcare professionals who specialize in sexual health.


These experts have been professionally trained to identify and manage any hindrances to healthy sex life. They will also provide you with reliable sex education to help solve sexual dysfunction problems.


3. Address Vaginal Changes Brought about by Chemotherapy


The top cause of hypoactive sexual desire disorder is chemo-related vaginal changes like dryness, atrophy, and many more.


Here are some of the ways on how you can address these:


  • Use vaginal dilators


A vaginal dilator is a plastic or rubber tube designed to enlarge the vaginal opening and reduce pain during sex.


  • Apply lubricants during sex


Lubricants can provide the moisture needed for a smooth penetration during intercourse. When choosing lubricants, make sure to go for a water-based product that doesn’t contain perfumes, colorants, spermicide, and other chemical irritants.


  • Perform pelvic floor exercises


Also known as Kegels, these exercises can help relax vaginal muscles and address vaginal atrophy and tightness.



The Bottom Line


Sex and intimacy matter a lot to cancer survivors, especially since all the physiological changes that they're experiencing increase their risk of having poor self-image. Unfortunately, low libido is a side effect of chemotherapy and can get in the way of a woman’s sexual functioning.


But here’s one thing you should remember: Even though female sexual dysfunction may be common with breast cancer survivors during chemotherapy, there are many ways to manage and resolve this sexual health issue. 


Increasing women’s sexual desire will involve lots of hard work. But with the right mindset, the best support system, and professional assistance from board-certified physicians, you can improve libido and find your way back to healthy sex life.

By Linsey Gold 20 Jan, 2023
After cancer treatment, many women feel out of sync with their body. Here are tips to help you reconnect with your sexuality and empower you to make choices that are right for you.
By Linsey Gold 06 Jan, 2023
Breast cancer is the most common type of cancer in women, and it can occur in any part of the breast. There are many different breast cancer types, but all of them start with abnormal cells that grow out of control. These abnormal cells can invade and damage nearby breast tissue, including the lymph nodes under your arm, which is why it’s important to get regular mammograms and checkups. Early detection is key to successful treatment. In this article, we'll discuss the eight different breast cancer types. We hope this information will help you become more aware of the various types of breast cancer and their potential risks. RELATED: Breast Cancer And Exercise: The Role Of Physical Activity In Women With Breast Cancer 8 Breast Cancer Types Ductal or Lobular Carcinoma The most common type of breast cancer, ductal or lobular carcinoma, begins in the breast ducts or the lobules. This type of cancer can be invasive or non-invasive, and it's usually treated with a combination of surgery, radiation therapy, and chemotherapy. Ductal Carcinoma in Situ (DCIS) or Intraductal Carcinoma or Stage 0 Breast Cancer Ductal carcinoma in situ is a pre-invasive or non-invasive breast cancer. This means that there are abnormal cells in the lining of the milk duct, and they haven't spread outside of the duct. In most cases, DCIS is found through a mammogram before it can be seen or felt. While DCIS isn't life-threatening, it's still considered cancer and should be treated as such. Left untreated, DCIS may develop into an invasive breast cancer, which can be much more serious. This is why many doctors recommend treatment for DCIS even though it's a noninvasive cancer. Surgery is the most common treatment for DCIS. The type of surgery depends on the size of the tumor and how far it has spread within the ducts. Radiation therapy is often used after surgery to kill any remaining breast cancer cells. Invasive Breast Cancer or Infiltrating Breast Cancer Invasive breast cancer is a more serious type because it has spread outside the milk ducts or lobules into surrounding breast tissue. Once the invasive breast tumors spread to other parts of the body, such as the bones or lungs, they become metastatic breast cancer. While early-stage invasive breast cancer may not cause any symptoms, advanced stages of the disease can cause a variety of symptoms, including: a lump or thickening in the breast bloody discharge from the nipple changes in the size or shape of the breast skin dimpling pain Treatment options for invasive breast cancer typically involve surgery to remove the cancerous breast tissue, as well as radiation therapy and/or chemotherapy to kill any remaining cancer cells. In some cases, a combination of these treatments is necessary to achieve the best possible outcome. With early detection and proper treatment, most women with invasive breast cancer can go on to lead long, healthy lives. The two most common types of invasive breast cancer are: a. Invasive Ductal Carcinoma or Infiltrating Ductal Carcinoma (IDC) Invasive ductal carcinomas are the most common breast cancer type, accounting for about 80% of all diagnosed cases. It begins in the milk ducts, but quickly spreads beyond ducts and into the surrounding breast tissue. Although ductal carcinoma can occur in any part of the breast, it most commonly affects the upper outer quadrant. It can occur in any age group, but is more often diagnosed in post-menopausal women. Invasive ductal carcinoma is also the most common type of male breast cancer. b. Invasive Lobular Carcinoma (ILC) ILC is a type of invasive breast cancer that accounts for approximately 10-15% of all invasive breast cancers. Unlike other breast cancer types, which typically first form in the milk ducts, lobular carcinoma begins in the milk-producing glands (lobules) Invasive lobular breast cancer is often harder to detect on mammograms than other breast cancer types, so it's important for women to be aware of the signs and symptoms. While it can occur in women of any age, ILC is most commonly diagnosed in women over the age of 50. Apart from these two most common types, there are other rare breast cancers that are sub-types of invasive breast cancer. These breast cancers have cells with unique characteristics: Medullary carcinoma: This type is characterized by the presence of large cancer cells and is more likely to occur in women with a family history of breast cancer. Tubular carcinoma: Under a microscope, breast cancer cells from a tubular carcinoma look like tubes. This type makes up about 2% of all breast cancers. Mucinous (or colloid) carcinoma: This cancer looks very different from other types of breast cancer because it contains a large amount of mucin. Mucin is a jelly-like substance that's normally found in small amounts in mucous membranes, such as the lining of the gastrointestinal tract. Papillary carcinoma: This is characterized by long and thin tumors, similar in appearance to finger-like growths. It's usually found in older women. Adenoid cystic carcinoma: This is a type of cancer that typically affects the salivary glands. However, it can also occur in other tissues, such as the breast. It's characterized by the presence of two different types of cells--luminal and basaloid. Low-grade adenosquamous carcinoma: This is a rare variant of metaplastic breast cancer that's characterized by both glandular and squamous differentiation. Some subtypes of breast cancer have the same or even worse prognoses than invasive carcinoma, including: Mixed carcinoma: The prognosis of mixed carcinoma of the breast is quite good, with an average of eight-year disease-free survival. Metaplastic breast cancer: The five-year survival rate for this type is around 63%. Micropapillary carcinoma: This type is usually associated with a poorer prognosis than other types of breast cancer, but can be successfully treated in some cases. HER2-Positive Breast Cancer This is a type of breast cancer that's characterized by an overgrowth of the HER2 protein. This protein is found on the surface of healthy cells, and it helps to regulate cell growth. However, in HER2-positive breast cancer, the protein is produced in excess, causing the cells to grow and divide at an abnormally fast rate. Triple Negative Breast Cancer (TNBC) TNBC is an aggressive type of invasive breast cancer that's named "triple negative" because it's characterized by the lack of receptors commonly found in breast cancer: estrogen receptor progesterone receptor human epidermal growth factor receptor 2 (HER2) This means that the tumor cells aren't sensitive to hormone therapy, making it difficult to treat. They also tend to grow and spread more quickly than other types of breast cancer. Women with triple negative breast cancers are typically diagnosed at a younger age and have a higher risk of recurrence . RELATED: How To Improve Breast Health Inflammatory Breast Cancer (IBC) Inflammatory breast cancer is a rare form of locally advanced breast cancer, meaning that it has already progressed locally but has not yet spread through the lymph nodes or outside the breast. IBC accounts for only 1-5% of all breast cancer cases and typically occurs in younger women and in African American women. Symptoms can include: redness swelling warmth in the affected breast inverted nipple discharge from the nipple IBC is often mistaken for a breast infection, which can delay treatment and result in the cancer spreading. If you experience any of these symptoms, it's important to see a doctor as soon as possible. Less Common Types of Breast Cancers Some types of breast cancer are less common than others. This doesn't mean they're any less serious, but it does mean that they may not be as well-known. Here are three less common types of breast cancer: Paget's Disease of the Breast Paget disease is a rare form of cancer that affects the nipple and areola (the dark area of skin around the nipple). The disease gets its name from Sir James Paget, the doctor who first described it in 1874. Common symptoms include:  a rash or crusting around the nipple itching burning pain Angiosarcoma Angiosarcoma is a type of cancer that develops in the lining of blood vessels or lymph vessels. It can occur anywhere in the body, but it most commonly develops in the skin, breast, or liver. Angiosarcoma is rare, and it's often diagnosed at an advanced stage. The prognosis for angiosarcoma is generally poor, but it varies depending on the location and stage of the cancer. With early diagnosis and treatment, some patients are able to achieve long-term remission. Phyllodes Tumor A phyllodes tumor is a rare type of breast tumor that arises from the breast's connective tissue, specifically the stroma. Its name comes from the Greek word "phyllodes," meaning "leaf-like." Phyllodes tumors tend to be large and bulky, and they can grow quickly. They're usually benign (non-cancerous), but in some cases, they can be malignant (cancerous). Phyllodes tumors are relatively rare, accounting for less than 1% of all breast tumors. Final Thoughts Breast cancer comes in many different forms and can affect people of any age, gender, or race. Understanding its different types is key to getting an accurate diagnosis and finding the best treatment plan. While breast cancer can be a serious illness, it's important to remember that it can also be successfully treated with early detection and advanced treatments. If you're ever concerned about a potential breast cancer symptom, don't hesitate to talk to your doctor. They can help you determine if it's something to be concerned about and make sure you get the care you need. Most importantly, remember to take your health into your own hands as much as possible—schedule regular check-ups with your doctor, maintain a healthy lifestyle, and stay up-to-date on breast health screenings. Doing this could save your life! Remember, early diagnosis is key for successful treatment of any type of breast cancer. Up Next: How To Take Care Of Your Breast Prostheses What Is A Mastectomy? | Everything You Need To Know The Best Bras After Breast Surgery
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