Sex And Intimacy

Sex is only a part of sexuality and intimacy.

If you are not able to have sex in the manner you're used to, you can still be a good lover. Oral and manual stimulation can lead to orgasm. Touching and caressing are also important.

Men

If a man has difficulty getting or maintaining an erection:

• Medications such as those sold under the brand name Viagra or Cialis may help. Speak with your doctor or other health care professional.
• Penile prostheses are also available. A urologist who specializes in penile prostheses can explain the available types and the implantation procedure.
• Consider the possible cause. It could be due to depression or fatigue - or even to dealing with a life changing condition. For discussions about depression and fatigue, see the documents in "To Learn More."

Women:

• Dryness and soreness in the vagina may lead to painful intercourse. It can be treated with vaginal lubricants during sex and/or hormones.
• If you undergo radiation or surgery,  the vagina may narrow making sex painful. Vaginal dilators before sex may help prevent narrowing of the vagina.
• Consider whether difficulties are caused by depression or fatigue - or even to dealing with a life changing condition. For discussions about depression and fatigue, see the documents in "To Learn More."

Advice about physical and emotional issues around sex and intimacy is available through a referral to a sex or couples counselor. The two are likely intertwined.

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