One research review found reports of sexual dysfunction increased from 17.5 percent before treatment to 86 percent after six months of hormone therapy. Medications that can affect sexual function include aromatase inhibitors, tamoxifen, and toremifene. Ovarian suppression treatments can also lower libido.
Besides hormone changes, other side effects can affect sexual desire, like nausea, constipation, fatigue, depression, or vaginal discharge, says Brasfield. “[But] there are several strategies that have proven effective to support intimacy for some women,” she says.
Brasfield recommends these tips for better sex during hormone treatment for MBC:
- Incorporate exercise. Regular physical activity improves both cardiovascular health and mood, which indirectly enhances sexual function.
- Speak to a counselor. A mental health professional can help you and your partner address intimacy changes.
- Use lubricants. Applying nonhormonal, water-based lubricants can combat vaginal dryness.
If you need more support, your provider can help. “While your care team can recommend a variety of effective vaginal lubricants for mild conditions, input from a gynecologist, a pelvic floor physical therapist, or a sex therapist are also needed for many women depending on their circumstances,” says Reeder-Hayes. “Do not be afraid to advocate for yourself!”
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