You’ve been through a lot. After surgery or chemo or radiation therapy, you may feel like you inhabit the body of a stranger—it doesn’t look, feel, or behave like the body you once knew so intimately. You may feel as though your body has betrayed you. You may disassociate from your body—it’s there, but you aren’t. Or, you may grieve over the loss of your former self, scar-less, energetic, attractive.
Recovery is a long and challenging road, and like any journey, you’ll probably find the way littered with unexpected difficulties as well as sweet surprises. Initially, however, it’s mostly uphill.
You may find that your body simply doesn’t respond the way it did “before.” You may find your self-image seriously shaken by the scars, the hair loss, the weight gain. You may find it hard to care about anything because you’re exhausted—or depressed. Feeling attractive and desired is an important component to sexual responsiveness for women, and you may feel anything but.
This is a fragile time. You’ll need to become acquainted with your new body and to accept and even embrace it with all its limitations. And maybe this acceptance will open the doors to a new kind of sexual partnership as well. Maybe one that’s more honest, that expects less, that laughs more.
First, however, you need time to heal and to regain energy, and this can take months. Go easy on yourself. “I think the one gift I’ve had from breast cancer is that I’ve never made myself go back to the same level of pushing as before,” writes Dr. Su Kenderdine, in a Q&A at breastcancer.org. Rest is as restorative as exertion, she says.
Second, pamper your body. Do the small things that make you feel sexy—get a manicure, buy lingerie and nice sheets, take long soaks in the tub, style your hair (or buy a wig you like), get a makeover. Lavish your body with good energy, and your sexual responsiveness may pick up, too. “Eroticize your body,” says Sabitha Pillai-Friedman, a well-known sex therapist and breast cancer survivor. “We have scars. Our bodies have changed. It’s very important for us to sort of look at ourselves. We can look at ourselves with scars, but we can also look at ourselves with the scars enhanced with sexy lingerie. Right?”
Third, get to know your new body. You may discover new erogenous areas as well as reawaken old ones. How does it feel to stroke your belly? To massage your ears? The back of your neck? The inner thigh? The feet? Harness the power of all your sex organs—your skin and sense of touch as well as your mind. Fantasize. Read sexy stories.
“Your vagina responds to your mind and your feelings about yourself, so if you feel like ‘damaged goods,’ too heavy, or in any way undesirable, your vagina will stay relatively dry and unresponsive,” writes Dr. Marisa Weiss, president and founder of breastcancer.org.
Surround yourself with positive thoughts. Visualize yourself as attractive and desireable. Confidence is sexy.
Fourth, get a vibrator and some lubricants and use them by yourself first. “Once we’ve had surgery and treatments… our body’s response changes, so we need to really figure out what works for us before we can share our bodies,” says Dr. Pillai-Friedman.
Prime the pump, so to speak. Arousal may take more or a different kind of stimulation, so find out what works for you now. Also, self-pleasuring will wake up sleepy nerve pathways and improve blood flow to your genitals.
Finally, don’t neglect your partner. Talk about how you feel and what you’re doing. Essentially, you’re working hard to regain something important both to your relationship and to your own sense of well-being—your sexuality. If you lay the groundwork well, everyone benefits. And in the meantime, don’t withdraw. Keep the intimacy alive with lots of touch and cuddling.
Also, don’t make assumptions about what your partner feels or thinks. Don’t project your own discomfort with how you look or assume that if he touches you he wants sex. It’s highly likely that he or she is looking for cues from you and will accept whatever makes you comfortable. If you’re not sure how he or she feels, ask rather than guess.
When you make love again, experiment with positions that might be more comfortable. If you’re on top, you can control the depth and speed of thrust. A spoon position is close and loving, but also visually more private. Use pillows, props, supports. Use lots of lubricant. Wear something sexy—and you don’t have to take it off if you don’t want to. Don’t forget to laugh.
Who knows. This might be the start of something newly beautiful.
Dr. Barb DePree, M.D., has been a gynecologist and women’s health provider for almost 30 years and a menopause care specialist for the past ten.