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Surviving Lymphoma: Sex and Sterility

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One common concern among cancer patients and survivors is how their treatment is going to affect their sexuality and long-term sterility.

Here are some tips for those either in treatment or in remission:

Pre-Treatment: What to ask and what to do

Chemotherapy, radiotherapy, and surgery can all affect the reproductive system.  Treatment might possibly lead to temporary or permanent sterility.

Ask your doctor what your intended treatment involves and how this might impact long-term fertility.  There may be treatment options that might be as effective as the planned treatment but spare the reproductive system.

If no other treatment options are available, sperm banking may be an option for men.  Hormone treatment may also be a possibility.  For women, there has been recent research in preserving eggs - one should contact their doctor or a fertility specialist for the latest information in this area.

Diminished Drive: Causes and Feelings

Treatment can leave one physically feeling tired and fatigued. It can also lead to hormonal changes that cause dryness and reduced libido. Cancer pain or nausea can also make someone feel like relations would be the last thing in the world they would like to do.

Self-image can also be a concern.  Treatment may leave physical and emotional scars.  One might develop a sense that they are not very attractive.

What to do:

While there is no universal solution, do keep in mind that caring, loving partners do not care how you look - they are patient and kind.  If you are fatigued, simple hugging and caressing may be just the ticket, saving energy for a time where you can enjoy more strenuous activity. You might create an atmosphere which makes you feel good and appeals to your partner - a nice dinner, soft lighting, or new clothing.   Taking it easy is a good approach, trying what works, avoiding those things that might be uncomfortable or unworkable given your circumstances. There are many ways to be intimate which do not involve intercourse.

Communication is very important - talk, ask questions, then pick the time when you are ready.

Reference and Information

  • Information on sexuality and how it relates to cancer from the American Cancer Society
  • Information from Cancerbackup (UK) (new name)
  • Recommended Book: After Cancer: A Guide to Your New Life by Wendy S. Harpham, MD. 1994, Norton. This book is available in both paperback and hardback

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This page is a work in progress - if you have more complete information, references, or other information please contact the author. The author is not in the medical field and does not warrant the correctness of the material on this page or the sites linked - please take online information and consult with your own medical team to make informed decisions.

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Updated June 1, 2006

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