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About sex and chemotherapy

Some people carry on with their sex lives as normal during chemotherapy. Others find their treatment changes how they feel emotionally or physically.

Effects of chemotherapy on your sex life

Some changes are simple and won’t last long. They won't affect your sex life permanently.

Sometimes you may feel:

  • too tired
  • not strong enough to be very active
  • sick or sore
  • not in the mood
  • anxious or low

Your anxiety might not seem related to sex. For example, you may be worried about the cancer and how your treatment is going. Or you may be worried about money, or about how you family are coping with your illness.

These things can cause stress, which can affect your interest in sex. It’s important to talk to your partner about how you feel.

Remember – the changes to your sex life don't usually last long. There's usually no medical reason to stop having sex during chemo. The drugs won't have any long term physical effects on your performance or enjoyment of sex. Cancer can't be passed on to your partner during sex.

Contraception

It’s important to use reliable contraception during treatment. Avoid getting pregnant while you or your partner are having chemotherapy. This is because the drugs may harm the baby.

If you have or have had breast cancer, your doctor might advise you not to take the contraceptive pill. This is because the hormones in it might affect the cancer. 

It is not known for sure whether or not chemotherapy drugs can be passed on through semen or secretions from the vagina. Because of this some doctors advise people to use a barrier method (such as condoms, femidoms or dental dams) if you have sex during treatment. This applies to vaginal, anal or oral sex.

Generally, doctors advise a barrier method only for the time you are actually having the treatment and for about a week after your treatment.

Advice like this can be worrying, but this does not mean that you have to avoid being intimate with your partner. You can still have close contact with your partner and continue to enjoy sex.

Last reviewed: 
12 Jan 2015
  • Handbook of Cancer Chemotherapy (8th edition)
    Skeel, R.T. and Khleif, S.N.
    Lippincott, Williams and Wilkins, 2011

  • Intimacy & Sexuality for Cancer Patients and their Partners a Booklet of Tips & Ideas for your Journey of Recovery
    Dr. D Brandenburg, L Grover, and B Quinn
    NHS Pan-Birmingham Cancer Psychology Services, 2010

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