CHEMICALLY INDUCED MENOPAUSE: PRACTICAL TIPS

? One woman who had many intense night sweats kept a small cooler by her bed. During the day, she left two or three wet washcloths in the freezer and put them by her bed at night.

? There are good over-the-counter products to alleviate vaginal dryness. It makes sense to try several brands to see what works best for you. Astroglide is a frequent favorite. It may be helpful to use a product like Replens every other day as you begin chemotherapy to minimize vaginal dryness. You can also use plain yogurt as a lubricant for intercourse.

? Like lots of things in life, the old cliche of “use it or lose it” applies here.

? A vitamin E capsule opened and spread on the vagina increases vaginal lubrication.

? There is some research suggesting that the topical vaginal use of Retin-A may help with dryness and elasticity. Ask your gynecologist.

? When your treatments are completed, if you are experiencing chronic difficulties with your libido, ask your oncologist about the possibility of taking a low dose of testosterone.

? Remember Kegel exercises? These are still one of the best ways to strengthen your pelvic floor and enhance sexual sensation. The easiest way to practice these exercises is during urination. As you begin to pee, squeeze your muscles together to stop the flow. Stop and start it several times. After doing this a few times, you will have identified the correct muscles to contract and can then practice at other times. When you do so, contract the muscles and hold them for a slow count of ten; then relax.

? Expect some changes in your sex life. Be willing to adapt.

Your sexual interest and response will probably return to normal after your treatments end.

If this doesn’t happen, be creative and find other, new ways of both receiving and giving physical pleasure.

? Make up your mind to deal with your cancer. Be determined to get through it.

? Know that you will need to face painful and difficult changes, including an altered image of yourself, both physically and emotionally.

? Allow yourself to grieve for these losses—of full health, of body parts, and of your former self. Never again will you feel carefree in the same innocent way.

? Be good to yourself.

? Try to see the humorous side of life. Rent funny movies.

? Enjoy what you do and do what you enjoy.

? Tell people who ask what you need. They want to help you.

? Learn to both ask for help and accept it.

? Be kind to yourself and remember to laugh often.

? Let yourself cry.

? There is light at the end of the tunnel!

? YOU CAN DO THIS. YOU ARE NOT ALONE.

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