Sexual wellbeing

Breast cancer can affect your sense of sexual wellbeing, which can then affect your intimate relationships. While some people experience positive changes to their sexual wellbeing after breast cancer, many find the opposite.

Sexual wellbeing is a complicated and personal issue, and there is no right or wrong way to feel about it.

Common changes

Some people experience physical changes such as:

• weight gain
• hot flushes
• fatigue.

Others experience emotional changes like:

• loss of confidence
• depression.

These affect how we see ourselves. 

Treatments such as chemotherapy and some hormone-blocking therapies can cause vaginal dryness and discomfort during sex. Some people also tell us that because of their treatment and changed hormone levels, they no longer have the energy or desire for sex.

Many people experience a combination of these issues. 

Whatever you experience, it’s important to know that this is quite normal and that there are things you can try to help manage the effects of breast cancer on your sexual wellbeing.

Managing your concerns 

If you have concerns about your sexual wellbeing, it is a good idea to talk to your GP or breast care nurse. They may be able to suggest things that could help you or recommend other health professionals who can help, such as a sex therapist, psychologist or counsellor. 

It may also be helpful for you to read more about the sexual wellbeing and support available.  

Relationships with partners 

Managing your relationship with your partner can be difficult, and intimate relationships can be especially difficult if your treatment has affected your sexual function. 

It is important thing to remember that your feelings and responses are normal and appropriate. There is no one way that you are “supposed” to feel. 

Here are some tips to help you manage your intimate relationship with your partner: 

• Talk openly with your partner. If you are sad about the changes that are happening to your sex life, say so. 
• Be open about your needs. If what you need is a cuddle or a massage, but not sex, tell your partner that.  
• If you do want sex, be clear about what you do and don't want. For example, you may not want your breasts touched.  
• Continuing a loving and supportive relationship with your partner will help your sexual relationship return when you are feeling better.