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In this episode our focus is on the couple. It is imperative to recognize the impact cancer treatment can have on both partners. It is also important to provide resources and support to help them cope with the challenges they face - including erectile dysfunction and renegotiating the sexual relationship.
Our guide in this series of programs is Dr Judith Boice, who has been in practice for 27 years. She is a naturopathic physician and acupuncturist, an international bestselling author and an award-winning educator.
Key Take-Aways
Erectile dysfunction
For many men, prostate cancer leaves them with erectile dysfunction issues. There are several treatment options to address erectile dysfunction.
The first line in conventional therapy is the phosphodiesterase inhibitors, including Viagra and Cialis.
The second level of support is to work with vacuum erectile devices and penile injections. The third line of therapy is to use penile implants.
Sexuality after prostate surgery
One of the recommendations for men after prostate surgery is to have erections and intercourse as much as possible, with a view to helping reestablish the normal circulation in the penis.
Naturopathic physicians can recommend hydrotherapy, such as alternating hot and cold baths. We can suggest a range of therapies to improve the circulation in the pelvic region.
Renegotiating the sexual relationship
It’s important to include your patient’s partner into the discussion. Assumptions are made on both sides which can impact the quality of the relationship going forward. It’s important to address these and start a dialogue.
Only 10% of women and 14% of men actually have a conversation about renegotiating sexual relationship with their partner. The partner may also feel guilty. Also, the patient may feel suddenly inadequate.
For instance, the patient may think “I can't have an erection so she is going to leave me”. Whereas his partner is more concerned about his survival.
Communication is more important than ever and the practitioner can play a key role in getting these issues out in the open.
Grieving
If the patient is in palliative care or a hospice, it's important to allow for privacy for the couple to experience intimate contact if they desire it.
In the case of LGBTQ couples, research reveals that only about 5% of partners are given appropriate support. In some cases, partners have been denied access because they do not conform to institutional standards for marriage or family partnerships.
Thankfully this is changing.
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The opinions expressed in this Nutramedica program are those of the guests and contributors. They do not necessarily reflect the opinions of Nutritional Fundamentals For Health Inc.
This video is intended for licensed or registered health professionals and students of health professions only. These statements have not been evaluated by the Food and Drug Administration. Information contained in these programs are not intended to diagnose, treat, cure or prevent any disease.
