FOR BREAKING NEWS VISIT WWW.QNS.COM  SEPTEMBER 10, 2020  • PROSTATE CANCER • THE QUEENS COURIER 37 
  prostate cancer 
 Helpful advice for couples in search  
 of intimacy after prostate cancer 
 A prostate cancer diagnosis can lead to  
 profound changes in a man’s relationship  
 with  his  partner.  As  the  most  common  
 non-skin,  male-specifi c  cancer  in  the  
 U.S.,  prostate  cancer  aff ects  one  in  nine  
 men. Approximately 165,000 men will be  
 diagnosed with prostate cancer this year  
 and 29,000 men will die from the disease.  
 While early detection and treatment can  
 save lives, treatment side eff ects can have  
 a negative impact on quality of life. 
 Th  e prostate gland is part of the male  
 reproductive  system.  Th  erefore,  treatment  
 side eff ects can include erectile dysfunction  
 and incontinence, which can be  
 temporary or ongoing. Th  ese side eff ects  
 can take a toll on sexual health and intimacy: 
  in fact, sexual dysfunction is oft en  
 identifi ed  as  the  most  common  longterm  
 side  eff ect  aft er  prostate  cancer  
 treatments like surgery or radiation. 
 “We  don’t  always  recognize  and  talk  
 about  the  ways  that  prostate  cancer  is  
 also  a  couple’s  disease,”  says  Dr.  Anne  
 Katz,  a  renowned  author  and  clinical  
 nurse  specialist  who  has  devoted  her  
 career to helping men and their partners  
 work  through  intimacy  issues.  “When  
 prostate cancer treatment aff ects a man’s  
 ability  to  perform  sexually,  that  eliminates  
 what  is  a  very  important  expression  
 of  love  for  his  partner.  Th at  can  
 have  an  emotional  impact  on  the  man  
 and his partner. We oft en see that leading  
 to a downward spiral of distance and  
 withdrawal.” 
 Find common ground 
 Address  these  challenges  by  talking  
 openly  about  one’s  sexual  needs  while  
 being  respectful  of  the  other  partner.  
 Acknowledge that this conversation may  
 be  uncomfortable.  It  may  feel  a  bit  like  
 threading a needle ... while wearing oven  
 mitts.  Neither  wants  to  appear  selfi sh.  
 Neither wants to upset the other during  
 an already stressful time. And, for many  
 couples, discussing these deeply personal  
 issues in open conversation feels awkward. 
  Th  e natural thing to do is to avoid  
 talking  about  it  rather  than  risk  the  
 embarrassment of a possible rejection. 
 Recognize  that  communication  is  the  
 best way for any couple to address their  
 issues about intimacy. Enter the conversation  
 with  the  mindset  that  you  and  
 your partner can support each other and  
 fi nd common ground. Hold the conversation  
 in a neutral area - away from the  
 bedroom - without distractions or interruptions. 
   Above  all,  listen  and  empathize. 
 Know that options are out there 
 Most couples do not realize that there  
 may  be  possible  solutions  to  restoring  
 sexual  function  aft er  prostate  cancer  
 treatment. From pills, to external devises, 
   injections  and  surgical  procedures,  
 there  are  solutions  for  nearly  everyone.  
 With  persistence,  a  little  humor,  open  
 discussion, and medical support, couples  
 may reclaim sexual function once again. 
 Seek counsel from  
 a professional 
 For  some  couples,  working  through  
 the barriers to their sexual intimacy can  
 be stressful and overwhelming. Don’t be  
 afraid to seek professional help. You may  
 feel uncomfortable with the idea of talking  
 about these private matters with outsiders. 
   But  know  that  there  are  expert  
 counselors highly skilled in engaging you  
 and  your  partner  in  a  discussion  about  
 these sensitive issues, in addition to physicians  
 who specialize in restoring sexual  
 function. 
 You’re not alone 
 Th  ere’s  no  need  to  suff er  in  silence.  
 Many  couples  must  navigate  intimacy  
 issues  in  the  face  of  prostate  cancer, 
   and  there  are  a  number  of  resources  
 available  to  help  make  that  easier.  
 To  access  resources  off ered  by Us  TOO  
 International Prostate Cancer Education  
 and  Support  Network,  visit  ustoo.org.  
 Th  ere  are  pages  on  Sexual  Health  and  
 Intimacy  (at  www.ustoo.org/intimacy) 
   and  Incontinence  (at  www.ustoo. 
 org/incontinence) and a Prostate Cancer  
 Pathways  page  (at  www.ustoo.org/prostate_ 
 cancer_pathways)  that  contain  
 information about educational events on  
 this topic and others that are helpful for  
 couples dealing with prostate cancer. 
 — Courtesy BPT 
 
				
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