Is there intercourse after an Indy????

13 years 7 months ago #33334 by Patricia
Replied by Patricia on topic Is there intercourse after an Indy????
Well i am curious Melodie...to see if it would even work or not!! :silly:
I just read a stat which really isn't funny but now that these old guys have their Viagra and Cialis the STD rates rising alarmingly!!

Thursday, July 15, 2010
STD rates surge among seniors.Seniors need to become better educated on sex as a new study shows the rates of sexually transmitted infections are rising rapidly in people over 50 who are popping erectile dysfunction drugs, according to the executive director of AIDS Moncton. A recent study in the Annals of Internal Medicine shows that the number of people over 50 who are being diagnosed with a sexually transmitted infection is rising in an alarming fashion
pat

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13 years 7 months ago #33326 by Melodie
Replied by Melodie on topic Is there intercourse after an Indy????
Pat,

Sometimes I wish I didn't remember it either. But my spouse is still here to remind me (bless his heart) and for some odd reason, he seems even more attracted to me than he was prior to me having cancer. Another of life's jokes on us. :woohoo:

Melodie, Indy Pouch, U.W.Medical Center, Seattle, Dr. Paul H. Lange & Jonathan L. Wright

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13 years 7 months ago #33320 by Patricia
Replied by Patricia on topic Is there intercourse after an Indy????
the trade off was not a good one for me...i now have breast cancer. Think carefully about even a low dose. I was on 0.5 transdermal patch...So not only am i the only one in my familys history to have cancer of any kind i have 2 kinds..bladder and breast.....
and i don't remember sex anyway :P
pat

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13 years 7 months ago #33316 by Sassy
Replied by Sassy on topic Is there intercourse after an Indy????
I have an Indy, and intercourse is fine for me. However, it has been 15 years since my surgery. The first few times was a little painful, but now it is like before. Of course, the menapause aspect may affect desire,etc. like it would anyone. My doctor put me on a low dosage of Estratest and that may be the difference. I think at first I avoided it because of my own self-concept issues and body image changes. Once I accepted myself for who I was once more and the fact that I am still a desirable female who has her plumbing constructed a little differently, I was fine. I think that was the biggest hurdle I had to get over. I am still me, I function differently...but...the rest of me is still the same me. My husband accepts and even teases me about the toilet seat lid being up. That is okay. At least that is not a point of disagreement anymore. I feel that we can't expect others to accept us for who we are unless we first accept ourselves. Just think how lucky we are...we are survivors...warriors...strong sexy women...with lots of guts.

Sylvia L. Ramsey

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14 years 8 months ago #26911 by Melodie
Replied by Melodie on topic Is there intercourse after an Indy????
Cynthia,

Thanks so much for your very lengthy response. That was very sweet of you to take the time to pull up the info. for me. If I am successful getting to where I want to be with this subject it will be because of individuals like yourself who are willing to share information and because now, as a BC warrior, I have to be more persistant and positive than ever. Hugs, Melodie

Melodie, Indy Pouch, U.W.Medical Center, Seattle, Dr. Paul H. Lange & Jonathan L. Wright

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14 years 8 months ago - 14 years 8 months ago #26890 by Cynthia
Replied by Cynthia on topic Is there intercourse after an Indy????
Melodie,

Some time ago I wrote this to another woman that was going through chemo and dealing with the aftermath of RC. I thought I would reprint it here and that it might be of some help. I know some of it does not apply to you but I think some of it might.


You asked a question that was hard for you and you deserve as honest of an answer. For anyone that is easily offended by sexually frank discussion this may be more than you want to know.

Unless we bring it up as woman sexuality and cancer is not touched a pone by our doctors. The limited studies of woman and RC looking at sexuality show that as many as 50% have sexual problems following RC of one sort or the other. And of course sexuality and chemo is a story in and of its self.

First let’s look at some of the factors that the RC brings with it.

A. If the back wall of the vagina was taken it can cause shortening of the vagina and make intercourse difficult. Many woman need to use what is called a vaginal dilator and it takes patience and time to lengthen and stretch the vagina.
B. The onset of menopause due to hysterectomy. This can cause vaginal dryness and lack of desire.
C. A change of body imagine due to surgical scars, stomas or outside appliances.
D. Our partners have a problem moving between the caregiver to the lover roles. They worry about hurting us, they worry about urine discharge.
E. Emotional and physical fatigue from dealing with all the ramifications cancer brings to our lives.


Now let’s look at some of the factors that we face as woman sexually while doing chemo.

A. Lack of desire due to fatigue or feeling unwell.
B. Lack of desire due to menopause caused by chemotherapy.
C. Changes in body image due to hair loss, weight gain or weight loss.
D. Our partners are worried about us and often times have trouble moving between their role as caregiver and lover.
E. Our partners are fatigued due to their expanded responsibilities during our treatment.

Now here is the good news my partner and I have faced this and in the last two years came to the place that we now have a deeper intimate relationship than we did perhaps prior to blc. It takes patience on both parties’ parts but with time can be done.

Here are a few suggestions that worked for us and have been suggested by other woman.
A. If leakage is a worry empty right before starting.
B. Don’t place so much importance on intercourse for a while. Exploring other forms of intimacy can actually add spice and intimacy to a relationship.
C. I you suffer from vaginal dryness make sure that you find a good lubricant.
D. When you try intercourse again even if the posterior wall of the vagina was not taken it will take some patience that area has been through a lot. Do not be surprised it takes a while to have success it is a matter of stretching. Make sure that you have plenty of foreplay this is not the time for a quickie.
E. If you lack desire due to menopause many woman find that the desire may not be there but they still enjoy the act once they get going.
F. Some women talk to their doctors about hormone replacement. Have an honest dialog with your doctor about the benefits versus potential health complications.
G. If body image is a problem lingerie can help a lot. Mae West once said that any woman should never let a man see her comply naked or in anything but candlelight. I took her advice as I have a continent umbilical diversion I would cover my stoma with a light day pad and wear a teddy.
H. If your partner is scared of hurting you give it time. Start by cuddling and pleasuring each other and take it a step at a time.
I. Talk to your doctor about the possible need to use a condom during chemotherapy.
J. Except that some of the problems we face during cancer treatment is situational and time is the answer. Once treatment is over and life returns to a more normal routine and the emotional pressure returns to normal things will happen in a natural way.
K. If you don’t feel like making loves during treatment find the energy to pleasure your partner. It is a loving gift that leaves you both feeling cared for and close.
L. If your doctor give an ok to a vaginal dilator some woman have found success obtaining one the same size and shape as the medical one in adult stores or online that had the vibrating feature. The found this helped relax the muscles and increased feeling and sensitivity. Helping make what could be a chore more enjoyable.
M. A lot of us past the honeymoon phase forget how much fun necking was and need a refresher course in foreplay anyway this is a good time to start at the beginning.
N. For some this is a good time to seek couples therapy. Find someone that has experience with couples dealing with serious illness.
O. Again foreplay is very important for a woman particularly in this case. The more aroused a woman is the more prepared the vaginal tissue becomes.
P. Position can make a big difference, missionary many not be the best to start with. Some woman find the being in a position such as on top can help a great deal. It allows you to control penetration and pace allowing you to relax and not worry that your partner will make a move that will be painful.
Q. If all else fails it is time to see a good Gynecologist that has a background in dealing with woman that have had surgery that alters the vaginal areas. There are creams on the market that can help with the texture of the vaginal wall among other remedies.


Don’t be too hard on each other there has been a great shock to your relationship in many ways. I know for us roles in some ways shifted and stress was incredible on many fronts. You are both scared while trying to do what is best for your children without a road map on how. The family pressures and problems that were there before blc do not magically disappear when you hear the C word. You are facing chemotherapy and that is an unknown to you. This is very hard on relationships and everyone is just trying to find out what reality is again. Yes no performance pressure here.


I can only tell you how we got through it; imperfectly with a great deal of love. Sometimes we puffed and sometimes we were in a huff, sometimes we said the right then and sometimes not and we forgave each other for being human. He forgave me when I was feeling so bad I forgot his needs and I tried very hard to remember them when I could. And through it all we held on to each other in a physical and emotional way. And one day we realized that we had made it through and the world was normal again or should we say a new normal but good. Make sure that you both keep the fact that these are early days and one day treatment and healing will end and you will enter a new phase of survivorship. Print this out for your partner and share it if you like he may be the strong silent type but I bet he would like to know that what is going on here is normal and you two are not reinventing the wheel on the fact that intimacy is complicated by blc.

Here is the link to our woman and sexuality links page.

bladdercancersupport.org/index.php?option=com_weblinks&catid=38&Itemid=103

Cynthia Kinsella
T2 g3 CIS 8/04
Clinical Trial
Chemotherapy & Radiation 10/04-12/04
Chemotherapy 3/05-5/05
BCG 9/05-1-06
RC w/umbilical Indiana pouch 5/06
Left Nephrectomy 1/09
President American Bladder Cancer Society

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