What happens before sexual health support after cancer?

Support may cover desire, arousal, erections, orgasm, vaginal or penile changes, dryness, pain, fertility concerns, body image and intimacy. You can choose which topics to discuss. The clinician may ask about surgery, medicines, chemotherapy, radiotherapy, hormonal treatment, symptoms and emotional wellbeing because each can affect sexual comfort or function.

The appointment is a health assessment, not a test of your relationship or sexuality. Depending on your concern, the clinician may offer education, recommend an examination, or involve a specialist such as a urologist, gynaecology clinician, pelvic-health therapist or counsellor. A partner can join if you want them there.

Before the visit, note when the change began, what makes it better or worse, and whether pain, dryness, numbness, fatigue or fear is involved. Bring your medicine list and mention products or supplements you use. Think about what outcome matters most to you, such as comfort, closeness, confidence, sexual activity or fertility planning.

You do not need to wait until treatment is finished to raise a concern. Ask which activities are safe at your stage of recovery and whether contraception, infection protection or pregnancy planning needs attention. After prostate surgery, sexual changes may be discussed as part of recovery; see [Prostate Removal Surgery](/treatments/surgical-oncology/prostatectomy/).

Arrange medical advice for new or persistent sexual pain, bleeding, sores, discharge, severe dryness, sudden loss of function or distress that interferes with daily life. Seek urgent care for heavy bleeding, severe pelvic pain, fever with feeling very unwell, or an erection that is painful and does not settle. These symptoms need assessment rather than self-treatment.

Could my treatment or medicines explain this change? What options fit my health and recovery? Is an examination needed? When can I safely resume sexual activity, and can my partner receive guidance too?