Hematologic Malignancies
(Leukemias, Lymphomas, Multiple Myeloma)

Although these types of malignancies are not treated with surgery that can cause a change in how the body looks, chemotherapy and radiation therapy can also produce a huge shock to a person's sexuality and self-image. During chemotherapy treatment (often, this is given in very high doses) most men and women have little desire for sexual intimacy or intercourse because of increased weakness and fatigue, or nausea and vomiting. Normally, body changes from hair loss can also cause a lack of self-confidence and some embarrassment since all hair is usually lost, including in the pubic area. One woman commented on how shocked she was to look down and see "a bald vagina". She said she felt as if she were 10 years old again.

If prolonged hospitalization is necessary, there is usually little privacy provided for an intimate moment. Because of high doses of chemotherapy, the ovaries and testicles may be affected. Women receiving these high doses of chemotherapy will experience irregular or no periods, along with vaginal dryness, hot flashes and decreased sexual desire. Men will have a decreased or absent sperm count and have problems getting or maintaining an erection. Usually these problems are temporary and the ability to be sexually active returns after treatment is finished or in between treatment periods.

When blood counts become very low, you can become extra tired and may even get short of breath (caused by low red blood cells); this can also decrease interest in sex. If your platelets are low, there is concern about bleeding and if white blood cells are low, the possibility of infection increases. If a vaginal yeast infection occurs, there will be itching and burning, especially during intercourse. For men on high doses of chemotherapy, the ability to get an erection can be diminished. Creativity may be needed to promote an intimate relationship, and the Manage section may give you some hints and tips on how to do that.