Cancer & Intimacy

By Iwona Podzielinski, MD, "Dr. IPod"

Fort Wayne Medical Oncology and Hematology

April 26, 2025 in Patient-centric Care

Nurturing Relationships and Deepening Connection During Your Cancer Journey

Key Takeaways

Intimacy extends beyond physical connection—it includes emotional, experiential, and communication-based bonds that can be nurtured even when physical intimacy is challenging.
Cancer treatments can impact sexual health, but acknowledging these challenges and seeking professional support can help restore confidence and connection.
Open communication, self-care, and holistic approaches can empower patients to maintain intimacy and rebuild relationships during and after treatment.

Understanding Cancer’s Impact on Intimacy

A cancer diagnosis changes nearly every aspect of life, but direct conversations about intimate relationships and sexuality may be rare during treatment. Many patients hesitate to bring up concerns out of discomfort, but oncologists understand that cancer affects all aspects of life, and we want to address these challenges and support our patients in navigating them. Moreover, maintaining intimacy—both physical and emotional—is essential to well-being and quality of life during and after cancer treatment.

To explore this topic, I consulted the expertise of Jen Fecher, founder of Empowering Intimacy, an organization dedicated to providing education and support for individuals facing intimacy and sexual health challenges due to illness. Fecher wants patients to understand that intimacy extends beyond physical connection—it also encompasses communication, emotional bonding, and self-awareness, all of which are critical during a cancer journey.

Redefining Intimacy Beyond the Physical

When cancer treatments impair physical intimacy, it can feel like an additional loss, but Fecher educates patients and their partners that intimacy is broader than sexual activity alone. “It’s not merely the physical act of intercourse but rather how we connect and bond in all aspects of life,” she explains.

There are varying types of intimacy that can help maintain connection when sexual activity is difficult, including:

Emotional intimacy – Deepening trust and communication with a partner.
Experiential intimacy – Creating shared experiences, like cooking a meal together or enjoying nature.
Spiritual intimacy – Connecting through shared values and beliefs.
Communication intimacy – Being open and vulnerable in conversations.

Understanding and fostering these forms of intimacy can help individuals and couples navigate the changes that cancer brings, creating new ways to feel connected.

The Role of Sexual Health in Overall Well-Being

Sexual health is a key component of overall well-being that is frequently adversely affected by cancer treatments. The World Health Organization defines sexual health as an essential part of physical and emotional well-being, emphasizing the need for individuals to have access to information, care, and support to maintain a fulfilling sexual life.

Cancer treatments such as chemotherapy, radiation, and surgery can lead to physical changes that impact sexual function, including:

Vaginal dryness or atrophy
Erectile dysfunction
Fatigue and hormonal changes
Body image concerns

Fecher believes cancer patients should voice concerns, “The first step in addressing intimacy or sexual dysfunction issues is recognizing that they exist and seeking guidance. Many people feel hesitant or embarrassed, but support is available.”

Overcoming Barriers to Intimacy

If intimacy has become difficult, there are practical steps patients can take to reconnect with their partners and themselves:

Open Communication – Having honest conversations with your partner about fears, desires, and changes.
Explore Non-Physical Intimacy – Engaging in activities that strengthen emotional and experiential connections.
Seek Professional Guidance – Speaking with a therapist, doctor, or sexual health educator for guidance.
Consider Holistic Approaches – Utilizing tools like pelvic therapy, mindfulness, or lubricants designed for sensitive skin.

Fecher notes, “Self-development and self-care are the first steps in reconnecting intimately and sexually.” When the physical and emotional toll of cancer makes it difficult for patients to love themselves, connecting with others can become even harder.

Confidently Moving Forward

If you are struggling with this issue, you need to understand that you are far from alone. More than 80% of cancer patients experience some form of sexual dysfunction during or after treatment, but this does not mean intimacy must come to an end. With the right resources and support, individuals can rebuild their confidence, discover new ways to connect, and maintain fulfilling relationships.

For more information, guidance, and resources tailored to cancer patients and their families, visit Empowering Intimacy at www.empoweringintimacy.org