Women s Intimacy, Sexuality and Relationship Issues After Cancer
|
|
- Johnathan Logan
- 6 years ago
- Views:
Transcription
1 Women s Intimacy, Sexuality and Relationship Issues After Cancer Sylvie Aubin, Ph.D. Segal Cancer Centre Jewish General Hospital McGill University
2 Objectives Acknowledge changes in intimacy and sexuality experienced by women after cancer Present ways to address changes to achieve a satisfying sexual life 2
3 Treatments Impacting Intimacy And Surgical treatments Prophylactic mastectomy Prophylactic oophorectomy Hormonal treatments Prophylactic oophorectomy Sexuality Hormonal treatments that suppress or lower estrogen (oral, injection) Radiation therapy (external, internal) Chemotherapy Transplant (bone marrow, stem cell) 3
4 What May Happen Sexually Sexual desire Loss or absence Sexual arousal Decreased or loss of lubrication Decreased sensation in vulva, clitoris, breasts and nipples Difficulties feeling sexually aroused or excited Orgasm Decreased clitoral response Not as consistent, intense or pleasurable Sexual pain Sharp, localized pain or burning sensation 4
5 Treatments Impacting Intimacy And Sexuality 5 Hormonal treatments Menopause (full/partial), most traumatic if sudden Loss menses Decrease/loss of sexual desire, feeling asexual Feeling sexually numb, not able to get sexually turned on or aroused Compromised fertility Vagina: internal structure (shortening, tightening, thinning, loss of Rugae) Low/absent lubrication
6 Treatments Impacting Intimacy And Sexuality Hormonal treatments Hot flashes, night sweats Decrease in energy level Sleep deprivation/insomnia Weight gain. And it just won t come off Increased emotional lability/sensitivity Alternating emotions of sadness, anxiety, worry Increased irritability/short fusedness, anger or frustration 6
7 Treatments Impacting Intimacy And Chemotherapy Decreased energy level, fatigue Irregular or loss of menses Compromised fertility Post-infusion caution for sexual activities with penetration Decreased cognitive function, the chemo brain Increased risk of bladder, vaginal infection Sexuality 7
8 Treatments Impacting Intimacy And Sexuality Radiation (latent vs. immediate effects) Fatigue Scarring, burning, pain or discomfort Hormonal loss/decrease if near pituitary gland 8
9 Altered physical appearance Breast asymmetry Scarring, skin discoloration, texture Hair loss/thinning Weight gain Decreased self/body image Feeling sexually unattractive as a partner More self-conscious or critical Altered perception of sex Anticipatory anxiety Shame or embarrassment Other Treatment Impacts 9
10 Intimacy and Sexuality. What to do First things first, explore in solo: Set time aside to explore if and what changed Practice exploration of breasts, genital areas (look, vary pressure, location and speed) Practice being sexually mindful: the art of the here and now 10
11 Intimacy and Sexuality. What to do Be creative, bring in the sex toys: A must: a good lubricant for every sexual encounter Short acting/external (Pink, K-Y, slippery stuff, Astroglide) or long acting/internal (Replens, KY ) Vibrators vs. vasocongestive toys (Silver bullet, Eros CTD) Viagra??!! What about your favorite sexual fantasies? Sexual literature (visual or erotic fiction) 11
12 Intimacy and Sexuality. What to do If pain, discomfort Vaginal dilators with deep breathing To help with the intensity of your orgasms Pelvic muscle exercises (Kegels)with/out vaginal weights 12
13 Couple Intimacy and Sexuality. What to do Pick a good time and place, yes it s about planning Communication of fears, concerns, barriers to resuming sexual life The weekly couple block of time or date exercise Re-define your sexual encounters Start with sensual, non-goal oriented sexual encounters Aim for variety, not all encounters need to include penile penetration and lead to an orgasm for both Bring in the lub and the sex toys 13 Be proactive vs. passive: Share sexual advances Guide your partner s hand to preferred area or way of caressing
14 Couple Intimacy and Sexuality. What to do Sexual mindfulness: where is your mind during sex? Wanders too much on what s not or should be happening How unattractive your is to him/her How disappointed he/she must feel How long this orgasm is taking 14
15 Changes in Intimacy and Sexuality. What else may help Exercise. It may improve Sexual desire, orgasm intensity, body/self-image Weight gain, loss of muscle mass Sleep Cognitive function Treat depression, anxiety Medication with psychotherapy Switch SSRI (Paxil) to SNRI (Wellbutrin) Seek the help of a sex/couple therapist 15
16 Concluding Thoughts Get the whole story about the possible changes and what can be done about it Start by re-connecting with sex alone before you try stuff with your partner Keep the sexual communication channels open Don t give up. Set backs are part of a slow, gradual learning process 16
Sexuality, Intimacy and Relationships in Survivorship: A Quality of Life Issue
Sexuality, Intimacy and Relationships in Survivorship: A Quality of Life Issue Sage Bolte, PhD, LCSW, OSW-C Program Coordinator, Oncology Counselor Life with Cancer Inova Cancer Services Fairfax, VA sage.bolte@inova.org
More informationAmy Siston, Ph.D. July 9, 2017
Amy Siston, Ph.D. July 9, 2017 Prevalence of Sexual Dysfunction Non-Cancer Population Ovarian Cancer Population 43% 30-100% Common Sexual Issues DESIRE: 25-59% no/low sexual desire AROUSAL: 24-60% difficulty
More informationBody image and sexuality issues after surgery or cancer
Body image and sexuality issues after surgery or cancer Sharon L. Bober, Ph.D. Director, Sexual Health Program Perini Family Survivors Center Dana-Farber Cancer Institute June 26, 2010 Why doesn t sex
More informationFemale Sexual Health: Practical Pointers During and After Cancer
Female Sexual Health: Practical Pointers During and After Cancer Leslie Heron, RN, BSN, MN, APRN, FNP-BC, NC-BC SCCA Survivorship Clinic, Fred Hutch Survivorship Program 8 th Annual Pierce County Survivorship
More informationQuick Study: Sex Therapy
Quick Study: Sex Therapy Sexual Dysfunction: Difficulty experienced by an individual or couple during the stages of normal sexual activity including physical pleasure, desire, arousal, or orgasm. Assessing
More informationCHRONIC PAIN AND SEXUALITY
CHRONIC PAIN AND SEXUALITY The Sexual Response Cycle The sexual response cycle is the process of sexual desire that leads to arousal, builds to orgasm, and ends with resolution. A person will have sexual
More informationOpening the Door to Intimacy. Carolynn Peterson, RN, MSN, AOCN
Opening the Door to Intimacy Carolynn Peterson, RN, MSN, AOCN What is the largest sex organ in humans? Ways That Cancer or Its Treatment Can Affect Your Sexuality: Physical ability to give and receive
More informationVaginismus. get the facts
get the facts Sexual Pain in Women: Some women can experience pain when trying to have sexual intercourse. Different kinds of pain have different causes. Sometimes the pain prevents intercourse from being
More informationLeslie R. Schover, PhD Department of Behavioral Science
Causes and Treatments of Low Sexual Desire in Breast Cancer Survivors Leslie R. Schover, PhD Department of Behavioral Science IMPORTANCE OF SEX TO BREAST CANCER SURVIVORS Livestrong 2006 Post-Treatment
More informationDisease (diabetic neuropathy, multiple sclerosis, tumors, and, rarely, tertiary syphilis)
COURSES ARTICLE - THERAPYTOOLS.US Individual Planning: A Treatment Plan Overview for Adult Men with Sexual Performance Problems Individual Planning: A Treatment Plan Overview for Adult Men with Sexual
More informationThere are a variety of ways to address VVA. Keep yourself healthy, avoid irritants to the vulva and vagina, and use moisturizers and lubricants.
What is VulvoVaginal Atrophy? VulvoVaginal Atrophy, or VVA for short, is also called genitourinary syndrome of menopause. VVA is a condition where the skin of the vagina and vulva becomes thin, dry and
More informationFemale Sexual Dysfunction: Common Problem But Uncommonly Discussed
Transcript Details This is a transcript of an educational program accessible on the ReachMD network. Details about the program and additional media formats for the program are accessible by visiting: https://reachmd.com/programs/clinicians-roundtable/female-sexual-dysfunction-common-problem-butuncommonly-discussed/7045/
More informationResilient Intimacy. Richa Sood, M.D.
Resilient Intimacy Richa Sood, M.D. Disclosures No financial conflicts My specialty is Female Sexual Dysfunction Common Questions What is normal sexuality, and how does it change with medical illness?
More informationSex Cells The effect of hormones on peri- and post- menopausal female sexuality Dr. Cathy Caron November 24, 2011
Sex Cells The effect of hormones on peri- and post- menopausal female sexuality Dr. Cathy Caron November 24, 2011 Is sex over at menopause? Older adults are having sex 51% of women ages 50 to 59 report
More informationThe following section of this program contains some material that may be considered sensitive or personal.
[TRACK 3: INTIMACY AND SEXUALITY] The following section of this program contains some material that may be considered sensitive or personal. Intimacy, sexuality, and fertility issues are often neglected
More informationLiving and loving after a stroke
Living and loving after a stroke This booklet is for people who have had a stroke and their loved ones and want to learn more about sex after a stroke. 2 Living and loving after a stroke The way you may
More informationErin E. Stevens, MD Chair, Department of Gynecologic Oncology Billings Clinic Cancer Center January 18, 2017
Erin E. Stevens, MD Chair, Department of Gynecologic Oncology Billings Clinic Cancer Center January 18, 2017 Objectives Define what's normal Define female sexual dysfunction Identify the causes of female
More informationSexuality and Your Cancer Treatment
Sexuality and Your Cancer Treatment How Will My Cancer Treatment Affect My Sexuality? Issues that affect quality of life, such as sexual health, have become increasingly important, even though cancer care
More informationPresented by: Helena Green Clinical Sexologist/Counsellor.
Female Sexuality Presented by: Helena Green Clinical Sexologist/Counsellor helena@relate-sexology.com.au www.insyncforlife.com.au 02/05/2018 UWA IMED2208: Issues in women's reproductive health Clinical
More informationParticipant Objectives
Intimacy after a Cancer Diagnosis Jennifer Currin- McCulloch, LMSW,OSW-C Curtis and Elizabeth Anderson Cancer Institute Participant Objectives Describe sexual barriers that individuals with cancer may
More informationSex and Sexuality During and After Cancer Treatment: Yes, there are things that help!
Moving Beyond Cancer to Wellness Sex and Sexuality During and After Cancer Treatment: Yes, there are things that help! Leslie Vietmeier, RN, BSN, MN, FNP, ARNP-BC, SCCA Survivorship Clinic, FHCRC Survivorship
More informationSexual problems- some basic information
Sexual Problems 1 Soheil A. Hanjani, MD, FACOG, FACS Obstetrics & Gynecology 830 Oak Street Brockton, MA 02301 (508) 583-4961 Fax (508) 583-4732 Soheil.Hanjani@Steward.org www.hanjanimd.com Sexual problems-
More informationMoving Beyond Cancer To A New Normal in Intimacy For Men & Their Partners. Presented by Mary Ellen West, RN, MN, CNM AASECT Certified Sex Counselor
Moving Beyond Cancer To A New Normal in Intimacy For Men & Their Partners Presented by Mary Ellen West, RN, MN, CNM AASECT Certified Sex Counselor WHO Definition of Sexuality Central aspect of being human
More informationRenewing Intimacy & Sexuality after Gynecologic Cancer
Renewing Intimacy & Sexuality after Gynecologic Cancer foundationforwomenscancer.org Over 90,000 women are diagnosed with a gynecologic cancer each year. The challenge for a woman with cancer and her healthcare
More informationSexuality for the Woman With Cancer Cancer, sex, and sexuality
Sexuality for the Woman With Cancer Cancer, sex, and sexuality When you first learned you had cancer, you probably thought mostly of survival. But after a while other questions may have started coming
More informationAccept that you are a sexual being. Set non-demanding expectations
There are many things that can interfere with having a good sex life. When living with chronic pain it will be important for you to separate out what sexual problems are related to pain and what are related
More informationSexual Concerns. Mental Health Topics
Sexual Concerns A lot of people have concerns about their sex life. Common concerns and problems that affect one or both sex partners Talk to your partner about your include: sexual concerns. n Little
More informationSexuality in Later Life
National Institute on Aging AgePage Sexuality in Later Life Many people want and need to be close to others as they grow older. This includes the desire to continue an active, satisfying sex life. But,
More informationSexuality After the Diagnosis of Ovarian Cancer
Sexuality After the Diagnosis of Ovarian Cancer June La Valleur, MD, FACOG, Sexual Health Counselor Associate Professor, Ret., University of Minnesota Medical School Sexual Health Consultant at Skyhill
More informationFirst Cancer, Then Sex. Sexuality and Intimacy During and After Cancer
Sexuality and Intimacy During and After Cancer Dr. Stephanie Buehler Psychologist & Certified Sex Therapist Hoag Affiliate 800-769-0342 First Cancer, Then Sex Generally, people respond to the news of the
More informationSexuality. Renewing Intimacy and. After Gynecologic Cancer. Gynecologic Cancer Foundation. Women s Cancer Network Web Site:
Gynecologic Cancer Foundation 401 North Michigan Avenue Chicago, IL 60611 Tel: 312.644.6610 Fax: 312.527.6658 E-mail: gcf@sba.com Women s Cancer Network Web Site: www.wcn.org Toll-Free Gynecologic Cancer
More informationLucy Guerra MD MPH FACP FHM Division Director & Associate Professor Internal Medicine
Lucy Guerra MD MPH FACP FHM Division Director & Associate Professor Internal Medicine Disclosures I have no financial, personal, or familial associations to disclose. Learner Objectives Develop a basic
More informationRegaining sexual activity after major bowel surgery. Advice for women
Regaining sexual activity after major bowel surgery Advice for women How does major bowel surgery affect women? Bowel surgery is often major surgery and it can affect women and their partners in different
More informationUnderstanding Sexual Response
Porterbrook Clinic Sheffield Care Trust Getting the Most out of Psychosexual Therapy Understanding Sexual Response Information for Users of our service Dr Kevan Wylie Clinical Lead Porterbrook Clinic 75
More informationManaging Symptoms after Prostate Cancer Sexual Side Effects. Changes in a man s sex life are common and can be managed.
Managing Symptoms after Prostate Cancer Sexual Side Effects Changes in a man s sex life are common and can be managed. Prostate cancer and its treatment often bring changes in a man s sex life, especially
More information5/3/2016 SEXUALITY: KNOWLEDGE OPENS THE DOOR OBJECTIVES DEFINITIONS CONT. DEFINITIONS
SEXUALITY: KNOWLEDGE OPENS THE DOOR TO COMMUNICATION JILL LIBBESMEIER BSN, RN, OCN OBJECTIVES Understand the differences between sexuality, intimacy, sexual health, and sexual dysfunction Identify how
More informationSAN DIEGO SEXUAL MEDICINE
SAN DIEGO SEXUAL MEDICINE INTERNATIONAL INDEX OF ERECTILE FUNCTION (IIEF) These questions ask about the effects that your erection problems have had on your sex life over the last four weeks. Please try
More informationChanges in Intimate and Sexual Relationships After Cancer Webcast October 27, 2008 Sylvie Aubin, Ph.D. Introduction
Changes in Intimate and Sexual Relationships After Cancer Webcast October 27, 2008 Sylvie Aubin, Ph.D. Please remember the opinions expressed on Patient Power are not necessarily the views of Seattle Cancer
More informationUnderstanding Women's Sexuality after Bladder Cancer webinar. Part I: The Physical Impact
Understanding Women's Sexuality after Bladder Cancer webinar Tuesday, December 1, 2015 Part I: The Physical Impact Presented by LaShon Day received her Masters of Science as a Physician s Assistant at
More informationHow to Maintain a Healthy Vulva and Vagina During and After Menopause
Contents The Process of Menopause... 2 Comfortable Vaginal Penetration... 2 Vaginal Renewal Program... 3 Part 1: Moisturizing the skin of vulva and vagina... 3 Choosing a Lubricant:... 3 Lube Purchase
More informationInterventions to Address Sexual Problems in People with Cancer
A Quality Initiative of the Program in Evidence-Based Care (PEBC), Cancer Care Ontario (CCO) Interventions to Address Sexual Problems in People with Cancer L. Barbera, C. Zwaal, D. Elterman, K. McPherson,
More informationClient s Name: Today s Date: Partner s Name (if being seen as a couple): Address, City, State, Zip: Home phone: Work phone: Cell phone:
Client s Name: Today s Date: Partner s Name (if being seen as a couple): Address, City, State, Zip: Home phone: Work phone: Cell phone: Private email address: Student? If yes, where and major? May we leave
More informationINTIMACY AND RELATIONSHIPS AFTER CANCER DIAGNOSES PAULINE SHEILS, CNS IN SEXUAL WELLBEING, PST, RNP.
INTIMACY AND RELATIONSHIPS AFTER CANCER DIAGNOSES PAULINE SHEILS, CNS IN SEXUAL WELLBEING, PST, RNP. Self image Biological sex Sexual attraction Sexual Practices Sexuality flower Spirituality Relationships
More informationNew Treatments for Vaginal Health. Sarah Azad, MD El Camino Women s Medical Group
New Treatments for Vaginal Health There s Hope Sarah Azad, MD El Camino Women s Medical Group The Genitrourinary Syndrome of Menopause (GSM) Problems with genital health secondary to the changes that occur
More informationSEXUALITY Information for Patients and Families
SEXUALITY Information for Patients and Families Since my stroke I have difficulties with sexual performance. Is this normal? Yes. Studies estimate that 65-75% of people who have had a stroke do experience
More informationManaging Symptoms after Prostate Cancer Sexual Side Effects for Gay and Bisexual Men Changes in a man s sex life are common and can be managed.
Managing Symptoms after Prostate Cancer Sexual Side Effects for Gay and Bisexual Men Changes in a man s sex life are common and can be managed. Even without prostate cancer, getting older can cause changes
More informationGuide for. Gynecologic. Cancer. Survivors. foundationforwomenscancer.org
Guide for Gynecologic Cancer Survivors foundationforwomenscancer.org I'm a survivor a living example of what people can go through and survive. ~ ELIZABETH TAYLOR The Foundation for Women s Cancer is committed
More informationSexual Problems. Results of sexual problems
What leads to sexual problems? Side effects from certain medications Results of sexual problems Relationship difficulties What reduces sexual problems Medical treatment (if problem is biological) Medical
More informationANAL SEX GUIDE. Jerking-Off.Org Summary. Shop Now! Shop Now!
ANAL SEX GUIDE Summary 1.Anal sex introduction...2 2.Anal sex safety...3 3.Common anal sex questions...4 4.How to have painless anal sex...5 5.Anal sex statistics...6 6.Anal Sex Tips and Techniques...7
More informationWomen s sexual wellbeing after a cancer diagnosis PONZ Forum 20 September 2014
Women s sexual wellbeing after a cancer diagnosis PONZ Forum 20 September 2014 Leena St Martin Clinical Psychologist Gynaecology Outpatients Greenlane Clinical Centre Auckland District Health Board LeenaSM@adhb.govt.nz
More informationCommon Side Effects. Fatigue Neuropathy Hot flashes
Common Side Effects Fatigue Neuropathy Hot flashes Fatigue According to the National Comprehensive Cancer Network (2017), cancer related fatigue is defined as a distressing, persistent, subjective sense
More informationSexual Health History: Talking Sex with Gender Non-Conforming & Trans Patients
Sexual Health History: Talking Sex with Gender Non-Conforming & Trans Patients Timothy Cavanaugh, MD Co-Medical Director of the Fenway Trans Health Program Fenway Health Continuing Medical Education Disclosure
More informationWhen cancer joins you in the bedroom...sexuality and intimacy
Meeting of the Waters 22/7/2017 When cancer joins you in the bedroom...sexuality and intimacy Gay Corbett Prostate Cancer Specialist nurse Continence Nurses Society Australia Vic Tas (CoNSAVT) Victorian
More informationPsychological Effects of Prostate Cancer on Sexuality. Pauline Sheils. Dip. PST. Clinical Nurse Specialist in Sexuality
Psychological Effects of Prostate Cancer on Sexuality Pauline Sheils. Dip. PST. Clinical Nurse Specialist in Sexuality Cancer is a devastating disease that threatens a person s physical and emotional well-being.
More informationPresentation 10 Feb 2, 2019
Addressing Sexual Relationship Concerns for the Patient Treated for Cancer 2019 BREAST HEALTH: A TEAM APPROACH 2/2/2019 SARAH JAX, MA, APRN, AOCNP MINNESOTA ONCOLOGY - PLYMOUTH Objectives Discuss causes
More informationSEXUAL HEALTH. Premature Ejaculation: A Patient Guide
SEXUAL HEALTH Premature Ejaculation: A Patient Guide Table of Contents Reproductive & Sexual Health Committee Reproductive & Sexual Health Committee.... 2 Introduction: A Common Problem with Solutions...
More informationGuide to Understanding. Intimacy and Sexuality
Guide to Understanding Intimacy and Sexuality Fill out our online survey today for a chance to win a $25 gift card! visit: surveymonkey.com/r/2016lbbc Tell us what you think of the Guide to Understanding
More informationHORMONAL LEVELS SELF TEST. Date Full Name No.
HORMONAL LEVELS SELF TEST Date Full Name No. This self-test to help your doctor if your levels of hormones are below normal. Circle the score for each line then total the score at the bottom of each hormone.
More informationTalking to Our Patients About Intimacy and Sexuality
Talking to Our Patients About Intimacy and Sexuality Sheila Silver, MA, DHS, ACS November 13, 2014 Sexual dysfunction is one of the most demoralizing and disabling features of Parkinson Disease. - Gila
More informationPatient education for transgender masculinizing hormone therapy
Date name DOB Patient education for transgender masculinizing hormone therapy o Some transsexual, transgender, and gender non-conforming people choose to take hormone therapy to treat gender dysphoria
More informationWomen's Cancer & Sexuality Diljeet K. Singh, MD, DrPH CANCER SURVIVOR DAY
Women's Cancer & Sexuality Diljeet K. Singh, MD, DrPH CANCER SURVIVOR DAY Explicit diagrams & anatomy drawings will be used in this lecture Specific treatment techniques will be discussed for sexual problems
More informationSurvivorship: Life Beyond Cancer Treatment
Survivorship: Life Beyond Cancer Treatment 1 1 Dear Cancer Survivor, The Cancer Survivorship program at University of Maryland St. Joseph Medical Center s Cancer Institute is designed to help patients
More informationCHAPTER 11: SEXUAL AND GENDER PROBLEMS KEY TERMS
CHAPTER 11: SEXUAL AND GENDER PROBLEMS KEY TERMS Androgens The most important of the male hormones. Unusual sexual behaviour, such as impulsive sexual offending involving non-consenting others, may be
More informationUnderstanding Men s Sexuality and Intimacy After Bladder Cancer Webinar. Part III: Treatments for Improvement
Understanding Men s Sexuality and Intimacy After Bladder Cancer Webinar Tuesday December 8, 2015 Part III: Treatments for Improvement Presented by Section A: Medical and behavioral treatments to improve
More informationSexuality and Aging. P. Abdon DaSilva.
Sexuality and Aging. P. Abdon DaSilva. Sexuality in the elderly is a dark continent that most people, including physicians, prefer not to think about. J. LoPiccolo Definition Sexuality: a central aspect
More informationSexological aspects of genital pain
Sexological aspects of genital pain Annamaria Giraldi, professor, MD, PHD Sexological Clinic, Psychiatric Centre Copenhagen 1 Disclosures Speaker: Eli Lilly, Pfizer Consultant: Eli Lilly,Palatin 2 Agenda
More informationQ: What are the gender differences in sexual dysfunction in adults with MS?
Mellen Center Approaches Sexual Dysfunction in MS Framework: Sexual dysfunction is a common symptom of MS. However, it is an underappreciated condition that often goes unreported by both the patient and
More informationTips to Improve Your Sex Life
Tips to Improve Your Sex Life How to Enjoy More Fulfilling Sex Whether the problem is big or small, there are many things you can do to get your sex life back on track. Your sexual well-being goes hand
More informationSexuality for the Man With Cancer Cancer, sex, and sexuality
Sexuality for the Man With Cancer Cancer, sex, and sexuality When you first learned you had cancer, you probably thought mostly about survival. But after awhile, other questions may have started coming
More informationSexual dysfunction in Multiple Sclerosis.
Sexual dysfunction in Multiple Sclerosis. Moira Tzitzika MSc, BTEC, EFT, ΕCPS, MSMC Psychologist, Psychotherapist, Clinical. Sexologist First Vice President Hellenic Federation of Persons with MS Why such
More informationHormone Deficiency Tests
Hormone Deficiency Tests ESTROGEN SIGNS & SYMPTOMS NEVER SOMETIMES REGULARLY OFTEN CONSTANTLY 1 I am losing hair on top of my head. 2 I'm getting thin, vertical wrinkles above my lips. 3 My breasts are
More informationInternational Childbirth Education Association. Postpartum Doula Program
International Childbirth Education Association Postpartum Doula Program Part 3: Postpartum Emotions Objective: Describe the range of possible postpartum emotions. List two factors that affect postpartum
More informationNorge. 14 inhabitants / km 2. Nederland. 400 inhabitants / km 2
Norge 14 inhabitants / km 2 Nederland 400 inhabitants / km 2 Living with so many people together we are obliged to talk and discuss That is probably one of the reasons that we are rather liberal in socio-ethical
More informationWomen s Sexual Interest/Desire Disorder : Implications of New Definition
Women s Sexual Interest/Desire Disorder : Implications of New Definition Rosemary Basson MD FRCP(UK) Vancouver General Hospital University of British Columbia Vancouver, Canada 1 New Model of Sex Response
More informationTopics in Human Sexuality: Sexual Disorders and Sex Therapy
Most people print off a copy of the post test and circle the answers as they read through the materials. Then, you can log in, go to "My Account" and under "Courses I Need to Take" click on the blue "Enter
More informationISSM PATIENT INFORMATION SHEET ON PREMATURE EJACULATION
International Society for Sexual Medicine - www.issm.info ISSM PATIENT INFORMATION SHEET ON PREMATURE EJACULATION Version: January 2015 Premature Ejaculation Advice for Men from the International Society
More informationBounce Back. Stronger! Being Emo-chic INFLUENCE INSPIRE IGNITE
INSPIRE IGNITE Bounce Back INFLUENCE Stronger! Being Emo-chic Managing your emotions can sometimes be harder than getting out of bed for school in the mornings. There s always the snooze button if you
More informationSexual Intelligence: A New View of Sexual Function & Satisfaction
Sexual Intelligence: A New View of Sexual Function & Satisfaction Marty Klein, Ph.D Entrepreneurs Organization February 23, 2017 What do most people say they want from sex? 1) Pleasure 2) Closeness But
More informationThe impact of cancer and cancer treatments on sexuality and what can help. Trish Lymburner, MSW, RSW Lisa Roelfsema, MSW, RSW
The impact of cancer and cancer treatments on sexuality and what can help Trish Lymburner, MSW, RSW Lisa Roelfsema, MSW, RSW 1 Presenter Disclosure Presenters: Lisa Roelfsema, MSW, RSW and Trish Lymburner,
More informationPhilip Burke, PhD 18 Year PSC Patient Clinical Psychologist
Philip Burke, PhD 18 Year PSC Patient Clinical Psychologist Solution: The Spoon Theory by Christine Miserandino. Meet the Silver Thieves. What happens when we try to defeat the silver thieves? Accept thieves
More informationSexual Devices: Clitoral Stimulator, Dilators and Vibrators
Sexual Devices: Clitoral Stimulator, Dilators and Vibrators Michael L. Krychman MD Associate Clinical Attending UCI Irvine, CA Executive Director Southern California Center for Sexual Health and Survivorship
More informationP A N A N X I E T Y C
P A N A N X I E T Y C The terms panic attack and anxiety attack are used interchangeably, but they are not the same. Key characteristics distinguish one from the other, though they have several symptoms
More informationBeyond Cancer Moving On
Beyond Cancer Moving On Today, people with cancer have a better chance at living a normal life than ever before in history. In fact, there are more than 10 million survivors people who have, or are living
More information1) How does your relationship feel? 2) How satisfied are you with your sex life? 3) How knowledgeable is your partner s touch?
The Passion Prescription Pad It can sometimes be confusing to figure out what products to try. There are different types to use depending on your sexual goals. This quiz can help you identify what s best
More informationSymptom Management. Sexual Health Information for Men with Cancer
Symptom Management Sexual Health Information for Men with Cancer Table of Contents 3 The Male Reproductive System 5 Managing Erection Problems Vacuum Erection Devices................... 9 Oral Medicine
More informationOBSTETRICS & GYNECOLOGY
JANUARY 2012 COMPOUNDING PHARMACY SOLUTIONS PRESCRIPTION COMPOUNDING WWW.CPSRXS. COM We customize individual prescriptions for the specific needs of our patients. INSIDE THIS ISSUE: Female Sexual Arousal
More informationHow is primary breast cancer treated? This booklet is for anyone who has primary breast cancer and wants to know more about how it is treated.
How is primary breast cancer treated? This booklet is for anyone who has primary breast cancer and wants to know more about how it is treated. How is primary breast cancer treated? Part 1 the treatment
More informationSexuality and Bone Marrow Failure Diseases: A Conversation
Sexuality and Bone Marrow Failure Diseases: A Conversation Timothy Pearman, Ph.D. Director, Supportive Oncology Associate Professor Dept. of Medical Social Sciences Dept. of Psychiatry and Behavioral Sciences
More informationHealthy Boys POWERFUL BOYS
Healthy Boys are POWERFUL BOYS Your Sexual & Reproductive Health Education Booklet This book belongs to: Rise 2 Raise Mentoring Program By Robert Ingersoll 2 Introduction The more knowledge you have, the
More informationCHEMOTHERAPY. What should I expect?
CHEMOTHERAPY What should I expect? WHAT IS CHEMOTHERAPY? Chemotherapy is treatment that uses drugs to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. Chemotherapy
More informationMental Health Nursing: Sexual Disorders. By Mary B. Knutson, RN, MS, FCP
Mental Health Nursing: Sexual Disorders By Mary B. Knutson, RN, MS, FCP Definition of Sexuality A desire for contact, warmth, tenderness, and love Adaptive sexual behavior is consensual, free of force,
More informationTreating GSM without Estrogens. Lubrication and Vaginal Dilators
Treating GSM without Estrogens Lubrication and Vaginal Dilators Hope K. Haefner, MD Michigan Medicine Ann Arbor, MI USA Disclosures/Conflicts of Interest Hope Haefner, MD has no disclosures or conflicts
More informationPlaying with Pain. Copyright by M. David Walker All Rights Reserved Do Not copy without written consent
Copyright by M. David Walker 2002 2014 - All Rights Reserved Do Not copy without written consent After becoming comfortable in a sexual relationship, couples often times decide to become more adventurous.
More informationSexuality and Sexual Dysfunction in Women
Sexuality and Sexual Dysfunction in Women Denise M.S. Willers, MD Associate Professor of Obstetrics and Gynecology Washington University School of Medicine Disclosures No financial disclosures to make
More informationNivedita Dhar M.D. Wayne State University April 25, 2013
Female Sexual Dysfunction Nivedita Dhar M.D. Wayne State University April 25, 2013 Outline Define Sexual Health and Wellness and discuss how it is unique to each individual Discuss the current terminology
More informationHow cancer treatments may affect your vagina How a vaginal dilator may help you How to use vaginal dilators Where to buy vaginal dilators
SYMPTOM MANAGEMENT Vaginal Dilators Information for Patients In this document you will learn about: How cancer treatments may affect your vagina How a vaginal dilator may help you How to use vaginal dilators
More informationSome Facts about your Penis
Porterbrook Clinic Sheffield Care Trust Dealing with Male Sexual Dysfunction Some Facts about your Penis Andrology Service (Urology) Sheffield Teaching Hospitals Information for Users of our service Dr
More informationSexual Health after Spinal Cord Injury
Authors: SCIRE Community Team Reviewed by: Lesley Houle, RN and Rachel Nicoletti, RN(C), BSN Last updated: June 12, 2018 Sexual health changes are common after spinal cord injury (SCI). This page provides
More informationThe Reproductive System Responsibility: Continue the species Structure: Pair of Gonads Accessory organs, ducts, hormones, etc.
Chapter 11: The Reproductive System and Sexual Health The Reproductive System Responsibility: Continue the species Structure: Pair of Gonads Accessory organs, ducts, hormones, etc. Sexual Autonomy and
More informationImpact on our Mental Health. Biological Changes Psychological Changes Social Changes Professional Services Coping Skills
Impact on our Mental Health Biological Changes Psychological Changes Social Changes Professional Services Coping Skills Biological Changes After a brain injury, biological impacts may affect mental health
More information