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A lot of that is due to plain old embarrassment—sex is one of the most universally uncomfortable topics of discussion.“A lot of folks think it will get better over time, and it doesn’t, or years go by, and they’ve lost intimacy in their life,” says Catherine Alfano, vice president of survivorship at the American Cancer Society and a rehabilitation psychologist.

T hick muscles and veins rippled under his tan, hairless skin, and there was a tense smirk on his face.“They tell you within a week or so of having the catheter taken out that you should masturbate. They’ve cut everything inside of you, and nothing comes out—not even dust! Masturbating increases blood flow to the penis, which helps decrease the risk of impotence, as well as shrinkage. “You are so flaccid that it’s even a pain in the ass to do.”After treatment for prostate cancer, most men take Viagra and Cialis to provide blood flow to avoid penile shortening and help with erections , but many need additional interventions, like penile injections, vacuum pumps and alprostadil urethral suppositories (brand name: MUSE), which are small pellets inserted into the tip of the penis. If someone gives me a couple hundred dollars in tips, I think, Oh! ”A 72-year-old prostate cancer survivor and former cancer researcher from a major pharmaceutical firm, who spoke on the condition of anonymity, says he never regained his erectile function. C., to a cancer patient at Johns Hopkins Hospital in Baltimore, where she underwent chemotherapy, radiation and a radical hysterectomy to treat cervical cancer. ”Women who undergo chemotherapy often end up in temporary or permanent early menopause, which can lead to vaginal dryness, tightness and painful sex.“It sounds awful, but it’s really not that bad, and people get into a rhythm,” Mulhall says. It’s like a miracle, but if you’re on a basic salary, it’s a lot of money,” says Harry, who was treated at Mount Sinai in New York City. “The loss of my fertility—you don’t feel like a woman. And being 25, I was like, ‘I’m gonna have to give up sex for the rest of my life! Chemo can also decrease libido, cause yeast infections, inflame genital herpes or warts, and lead to fatigue, nausea, weight gain and hair loss.“So if you’re not enjoying your time, and your quality of life is shot, what’s the point?”Cancer is the second-leading cause of death in the United States, claiming over half a million American lives each year.

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