Manual Sex and Cancer: Six Weeks to Better Sex for Couples During and after Cancer Treatment

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Each year, more than , men are diagnosed with the disease and nearly 34, die. And African American males like Ginyard have a 60 percent higher risk for prostate cancer than white males. The University of Texas study involved couples.


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In each case, the man's prostate cancer treatment had taken place no more than two years prior to the study. Half of the couples sought no help for three months. The other half had three face-to-face counseling sessions or worked with an online counselor who gave feedback on the Internet. A third group of 71 couples who lived too far to participate in face-to-face counseling was part of the Internet group. Couples were also educated about treatment options for impotence: drugs like Viagra that increase blood flow, shots in the penis, vacuum pumps and surgical penile implants.

Each partner looked over the information on these medical interventions and rated them. The computer generated their top three choices. Couples compared notes then agreed on a treatment option as a first step. They were also monitored by counselors to see how well it worked and to "troubleshoot," according to Schover. She said treatments can be a "hassle," especially if both partners are "not motivated to really take the time and put a priority on making sex intimate and fun and communicate about what feels good. After three months, the couples who had received no counseling benefits were assigned one of the two treatment options.

Both partners in the relationship filled out questionnaires assessing their sexual function and satisfaction before counseling, after treatment and at six months and one year later. At the end of one year, 54 percent found effective treatments for their sexual dysfunction.

On average, the group "looked like the score of men in a community who don't have erection problems," said Schover. Men who were more sexually active before cancer treatments fare better than those who are not.

Questions Men Have About Cancer, Sex, and Getting Professional Help

And, not surprisingly, she said, men with younger partners or newer relationships also have more success in returning to full sexual function. She said that many men who initially try erectile dysfunction drugs like Viagra find that they don't work. Ginyard said his doctor informed him about treatments for potential impotence, but he wasn't listening. But the couple had a breakthrough when Ginyard was going to daily radiation and had what he called his "female moment.

The couple had "the conversation we hadn't had in years," according to Ginyard. As emotional intimacy grew -- and with the help of the erectile dysfunction drug Cialis -- the couple gradually was able to resume full sexual intercourse. And when we did engage, it's been like a new and better love and appreciation for each other. Today, Ginyard counsels other men through the advocacy group Zero: The Project to End Prostate Cancer , which he now says is his "calling.

Sex and relationships

Ginyard, who invented a women's tote bag, now donates some of the profits of his company, Shusokumb , to Zero. As for his sex life, "Oh my God, it's improved," said Ginyard, who credits his age, exercise and a renewed relationship with his wife. All rights reserved.

Getting professional help

Play Courtesy Collette Veasey-Cullors. Jim Jordan on Trump's comments on China. Barroom bloodbath: 4 dead, 5 hurt at Kansas tavern; 2 gunmen at large. Currently, many gay and bisexual prostate cancer patients are walking away without any advice because doctors don't ask about their sexual orientation. But gay or bisexual men receiving anal sex are at risk of physical damage in the weeks following their treatment. Those who have radiation treatment should wait the longest — six months — to avoid harming themselves or their partners.

Gay prostate cancer patients should wait up to six weeks or more until they have anal sex again to avoid the risk of bleeding, infections and pain, top surgeons have said stock image. The first-of-its-kind guidance is based on the opinions of 15 cancer doctors and 11 surgeons across the UK. He said: 'We found that most oncologists and surgeons don't ask patients about their sexual orientation or sexual practices.

Mr Ralph said this 'means some men won't get the appropriate advice and support they need to continue having a safe and fulfilling sex life'. He added men are normally advised to start having sex again soon after prostate cancer treatments in order to help preserve their erectile function. Some treatments for prostate cancer can damage the nerves and blood vessels that are needed for an erection.

The team came to the conclusion that following surgery to remove the prostate — a radical prostatectomy — sex should be avoided for six weeks. After external beam radiotherapy, patients should avoid sex for two months to reduce the risks of pain or long-term complications such as rectal bleeding, the guidance said. According to guidelines put together by doctors and surgeons, men being tested or treated for prostate cancer should leave the following time gaps from receiving anal sex to avoid internal injuries, incorrect test results or damage to their partner:.

Sexual Function Can Return After Prostate Cancer

And men who have permanent seed brachytherapy, in which lumps of radioactive material are left inside the body to destroy the cancer, should wait six months or more. Their sexual partners could be exposed to damaging radiation if they start having sex again too soon, the experts said. And before a PSA test, which is a blood test that can help diagnose prostate cancer, sex could skew the results and should therefore be avoided for a week before. This is the first time health professionals have come together to develop clinical advice in relation to anal sex and prostate cancer.

The panel themselves admitted they did not always ask prostate cancer patients about their sex lives. Only three out of the 26 12 per cent said they always asked prostate cancer patients about their sexual orientation. And only two of the 26 eight per cent always ask about anal sex if they are aware their patient is gay or bisexual. Dr John Burton, from Edinburgh Cancer Centre, said: 'This guidance will be invaluable to clinicians and people receiving treatment for prostate cancer. Mr Ralph said making the guidance was difficult because there is a lack of concrete clinical evidence on the subject.

The figures are based on the most common answers provided from top clinicians. Prostate Cancer UK has already incorporated these findings into its patient advice. Catherine Winsor, spokeswoman for the charity, said its specialist nurses often get asked about the issue from patients and professionals.

She said: 'This important and much-needed research has addressed an important gap in our ability to support gay and bisexual men. Prostate cancer is the most common cancer in men, affecting one in eight men in the UK. Around 47, men are diagnosed with prostate cancer every year in the UK, and , men in the US. Prostate cancer became a bigger killer than breast cancer for the first time, official statistics revealed last year. More than 11, men a year - or one every 45 minutes - are now killed by the disease in Britain, compared with about 11, women dying of breast cancer.

It means prostate cancer is behind only lung and bowel in terms of how many people it kills in Britain. In the US, the disease kills 26, each year. Despite this, it receives less than half the research funding of breast cancer — while treatments for the disease are trailing at least a decade behind. If the cancer is at an early stage and not causing symptoms, a policy of 'watchful waiting' or 'active surveillance' may be adopted.

Some patients can be cured if the disease is treated in the early stages.