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He said, ‘If I'd known it would be like this, I wouldn’t have done it,’” says Dr. When Fuehrer was diagnosed with testicular cancer at 25, he had an orchiectomy to remove one of his testicles.

David Stanley and Rebekah Robbins, both of Sheffield, England, kiss after being married at the Empire State Building in New York, on February 14, 2007.

Robbins met Stanley on the internet after she started her fight with breast cancer, for which she continues treatment.

“Sexuality is a very understudied area for the same reason it’s an undiscussed area in clinical practice: People just don’t want to talk about it—not in their research, not as a patient, not as a provider.”But for the more than 15.5 million Americans alive today with a history of cancer—and for those among the 1,688,780 new cases of cancer that will be diagnosed this year—surviving the disease does not have to mean a life devoid of physical pleasure and intimacy.

There are therapies and medications available to every patient, along with a small cadre of experts who help survivors navigate the jagged path back to sexual health—if only patients and doctors would learn how to talk about it.

“The point of being alive is to enjoy life and connect with the ones you love,” says Dr.

Madeleine Castellanos, a psychiatrist who specializes in sex therapy and works with cancer patients.For breast cancer, survival rates during those same periods jumped from 75 percent to 91 percent. The answer to that depends on everything from your type of cancer and treatment to your age and gender.Most prostate cancer patients, for example, experience erectile dysfunction at some point, whether they undergo surgery, radiation or hormonal therapy. After surgery, most men have temporary incontinence, and after hormonal therapy, most experience a decrease or loss of sexual desire.“They tell you within a week or so of having the catheter taken out that you should masturbate. They’ve cut everything inside of you, and nothing comes out—not even dust! Masturbating increases blood flow to the penis, which helps decrease the risk of impotence, as well as shrinkage. “You are so flaccid that it’s even a pain in the ass to do.”After treatment for prostate cancer, most men take Viagra and Cialis to provide blood flow to avoid penile shortening and help with erections , but many need additional interventions, like penile injections, vacuum pumps and alprostadil urethral suppositories (brand name: MUSE), which are small pellets inserted into the tip of the penis. If someone gives me a couple hundred dollars in tips, I think, Oh! ”A 72-year-old prostate cancer survivor and former cancer researcher from a major pharmaceutical firm, who spoke on the condition of anonymity, says he never regained his erectile function. C., to a cancer patient at Johns Hopkins Hospital in Baltimore, where she underwent chemotherapy, radiation and a radical hysterectomy to treat cervical cancer. ”Women who undergo chemotherapy often end up in temporary or permanent early menopause, which can lead to vaginal dryness, tightness and painful sex.“It sounds awful, but it’s really not that bad, and people get into a rhythm,” Mulhall says. It’s like a miracle, but if you’re on a basic salary, it’s a lot of money,” says Harry, who was treated at Mount Sinai in New York City. “The loss of my fertility—you don’t feel like a woman. And being 25, I was like, ‘I’m gonna have to give up sex for the rest of my life! Chemo can also decrease libido, cause yeast infections, inflame genital herpes or warts, and lead to fatigue, nausea, weight gain and hair loss.It was 2001, and Fuehrer, then 25, was just a few days away from winning the light heavyweight title at the Natural New York State Bodybuilding Championship.

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