Show notes
This episode is part of Empowered Intimacy: Getting Your Sexy Back After Breast Cancer, a series focused on helping breast cancer survivors reclaim their sexual health, confidence and intimacy.
Painful sex after breast cancer is common, but that doesn't mean it is something women should be expected to accept.
Too often, we're told to use more lubricant or assume vaginal dryness is the entire problem. But pain during sex can have several different causes, including changes to the vulvar and vaginal tissue, loss of elasticity, irritation and pelvic-floor muscle tension.
Where the pain occurs - at the vaginal opening or deeper during penetration - may also offer important clues about what is causing it.
In this episode, Melissa sits down with Dr. Kristin Rojas, a fellowship-trained breast surgeon, board-certified gynecologist and Director of the OASIS (Onco-menopause and Intimacy Specialists) Program at The University of Texas MD Anderson Cancer Center.
Dr. Rojas explains how an examination can help identify the cause of painful sex and walks listeners through the four-step approach she uses with patients: eliminating irritants, moisturizing the tissue, choosing the right lubricant and addressing the pelvic floor.
She also discusses why pushing through painful sex can make the problem worse, when pelvic-floor physical therapy or vaginal dilators may help, and how nonhormonal and hormonal treatment options can be tailored to a patient's individual needs.
If sex has become painful, you are afraid to try again or you have started believing that comfortable intimacy is no longer possible, this episode will give you a clear place to begin.
By listening to this podcast, you agree not to use the content for medical advice to treat any medical condition in either yourself or others. Please consult your own physician for any medical issues that you may be having. This disclaimer also applies to all of my guests.
The information shared on Dear Cancer, I'm Beautiful is for educational and informational purposes only and is not intended as medical advice.
Always consult your physician or qualified healthcare provider regarding your individual medical care and treatment decisions. The views and opinions expressed by guests are their own and do not necessarily reflect those of Cancer Fashionista.
Thank you to Lilly, Daiichi Sankyo and Novartis for making this episode of Empowered Intimacy: Getting Your Sexy Back After Breast Cancer possible.
Resources Mentioned in This Episode:
AASECT (American Association of Sexuality Educators, Counselors and Therapists) – Find a certified sex therapist, sexuality counselor or educator, including professionals with experience in cancer-related sexual health.
The Menopause Society - Find a menopause-trained healthcare professional in your area.
OASIS Program at MD Anderson Cancer Center - Learn more about the Onco-menopause and Intimacy Specialists Program directed by Dr. Kristin Rojas.
Connect with Dr. Kristin Rojas Instagram: @kristinrojasmd