When facing a brain tumor diagnosis, many people focus on treatment and survival. But what happens after treatment? One major concern that often goes unspoken is sex and intimacy. Changes in the body, energy levels, emotions, and even brain function can impact a person’s ability to feel close to their partner in the same way they did before.
In one of our webinars, expert Mary Hughes shared insights on how brain tumors and treatments can affect sexuality—and what can be done to maintain healthy intimacy.
Sexuality Is More Than Just Sex
Sexuality isn’t just about intercourse—it includes body image, self-confidence, emotional closeness, and pleasure. Many patients struggle with how their body looks or feels after surgery, chemotherapy, or radiation. Fatigue, weight changes, hair loss, and scars can all affect self-esteem and desire.
However, sexuality is not defined by appearance or physical ability. It’s about connection, trust, and pleasure in ways that go beyond intercourse. Holding hands, hugging, kissing, and other forms of touch are still meaningful ways to express intimacy.
Common Challenges for Brain Tumor Patients and How to Address Them
1. Fatigue and Energy Levels
Fatigue is one of the longest-lasting side effects of treatment. Plan intimacy around times when you feel most rested—perhaps in the morning rather than late at night.
2. Medication Side Effects
Steroids, chemotherapy, and radiation can lower testosterone levels, reduce desire, or cause vaginal dryness. Lubricants, hormone therapy, or prescription adjustments may help.
3. Emotional Barriers
Fear, anxiety, depression, and past trauma can all impact sexual health. Open conversations with your partner and health care team can help address concerns.
4. Physical Changes
For men, erectile dysfunction (ED) can be a common side effect. Options like medications, vacuum pumps, injections, or implants may help. For women, vaginal dryness or discomfort can be managed with moisturizers, lubricants, or vaginal dilators.
Talking to Your Partner and Health Care Team
Many people feel embarrassed or afraid to bring up these concerns, but sexual health is an important part of overall well-being. Start by talking to your partner about your feelings and concerns. Open and honest communication can strengthen your relationship.
If you need medical advice, a nurse, doctor, or counselor can help. If your provider doesn’t bring it up, you can ask:
- “How will my treatment affect my sex life?”
- “Are there medications or therapies that could help with my symptoms?”
- “Who can I talk to about these concerns?”
Sex and intimacy don’t have to disappear after a brain tumor diagnosis. With patience, open communication, and adjustments, many people find ways to enjoy closeness and pleasure again. Whether through touch, conversation, or new approaches to intimacy, there are ways to maintain a satisfying connection with your partner.
