Dear Iris,

Is it safe to have sex while on chemotherapy?

K

Dear K,

Thank you for your question—it’s an important and often under-discussed topic.

The safety of engaging in sexual activity while undergoing chemotherapy can vary greatly depending on individual health, the location of the cancer, the type of chemotherapy you're receiving, and the specifics of your cancer treatment. Generally, it's safe for many individuals to continue sexual activity during chemotherapy, but there are a few precautions to keep in mind.

Firstly, chemotherapy can weaken your immune system, making you more susceptible to infections, including sexually transmitted infections (STIs). Therefore, it’s crucial to use protection like condoms to reduce the risk of infections.

Additionally, chemotherapy can cause changes in your body that affect sexual function and desire. For women, it might lead to vaginal dryness, making intercourse uncomfortable. In this case, water-based lubricants can be helpful. For men, chemotherapy may result in erectile dysfunction or a decrease in libido. It’s important to communicate openly with your partner about how you’re feeling.

Another consideration is the presence of chemotherapy agents in bodily fluids, including semen and vaginal secretions, for 48 to 72 hours after treatment. During this period, using condoms can help protect your partner from exposure to these agents.

If your treatment involves radiation therapy or surgery to the pelvic region, you will likely need to abstain from penetrative sex while healing, until you receive clearance from your provider.

It’s always a good idea to discuss any concerns about sexual activity with your oncologist or your Iris Care Team who understands your specific treatment details and can provide personalized advice. It's also important to consider birth control and pregnancy planning, as most chemotherapies recommend avoiding pregnancy. Your care team can help you explore the best protection methods during treatment.