Talking about sexual life while undergoing cancer treatment is often considered taboo or uncomfortable.

According to Dr. Tanya Wildes, an expert in hematology-oncology as well as a specialist in multiple myeloma, sexual health is an important part of overall health and well-being.

'Sexual health is an important component of your health as a whole. Opening communication with doctors is a very important first step," explains Dr. Wildes, quoted from the Nebraska Medicine page.

Physical and emotional changes are common in cancer patients, both before, during, and after treatment. Hormonic therapy, chemotherapy, to surgery can affect the passion, sexual function, and comfort of the body. Therefore, adjustments are needed from time to time.

Dr. Wildes emphasized that the first step is to ask myself, do I want to remain sexually active? If the answer is yes, then patients with partners need to discuss with doctors to find solutions to existing obstacles.

"Whether it's safe or not, the answer is not always black-and-white. For multiple myeloma patients with bone lesions in the pelvis, the main factor is pain and discomfort," he said.

Pain and discomfort are important signals that should not be ignored. If the body feels comfortable and the doctor has given permission, then sexual intercourse can generally be carried out.

"If something causes pain, stop. However, if intimacy brings comfort, closeness, and happiness, in general it can be done," said Dr. Wildes.

For patients with multiple myelomas and pelvic bone lesions, there are several important factors that must be considered before having sex:

1. Types of treatment. Cancer treatment and use of bone booster drugs can help reduce the risk of bone damage.

2. The number of blood cells is low. If the number of blood cells is low due to therapy, intimate relationships should be avoided because they pose a risk of infection or bruises.

3. Pain or discomfort. If the pain increases, this sign of an intimacy approach must be changed. Another alternative to expressing closeness can be discussed with a doctor.

4. Consideration of pregnancy. The factors of fertility, contraception, and certain restrictions are different for each patient.

5. Risk of infection. Protection from sexually transmitted infection remains important, plus extra prevention measures according to the patient's condition.

6. Side effects of drugs. Some drugs can affect sexual arousal, body function, and mental health. Discuss solutions with doctors.

Dr. Wildes emphasized that the impact of cancer on sexual life is very complex and different for each individual. Therefore, open communication with medical personnel is the best step.

"Keep honest communication with doctors and health teams. They understand your condition the most, your treatment, and your healing process. If needed, they can help find additional support as needed." he concluded.


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