Sexual Health Archive

More than 10 million of the nation’s 19 million cancer survivors are women, 80% of whom are 60 or older. Cancer survivors going through menopause may not be able to use systemic hormone therapy if their cancer was hormone-driven, but other measures can provide symptom relief. These include various medications and lifestyle modifications such as cognitive behavioral therapy, meditation, acupuncture, and regular exercise. Some women who can’t use systemic hormone therapy may still try vaginal estrogen to ease vaginal dryness, some urinary symptoms, or painful sex.

Women with unusual pelvic or vaginal symptoms should report them to their gynecologist. These symptoms include vaginal odor, itching, or burning; menstrual changes; pelvic pain or discomfort; or new bleeding.

Vaginal probiotics contain live microorganisms and come in oral and suppository forms. Some ads claim these products can prevent or treat infections. But the vagina regulates its own bacterial mix, so vaginal probiotics aren’t necessary.

Pelvic floor dysfunction in women is commonly linked to lower back pain. The odds of developing pelvic floor–related back pain increase for women as they get older due to factors such as diminished estrogen and childbirth-related pelvic floor damage. Lower back pain and pelvic floor dysfunction may also have overlapping signs, including urinary leakage or urgency, a feeling of heaviness in the pelvis or vaginal bulging, constipation or bowel issues, painful sex or urination, and pain with prolonged sitting or standing.

Gynecologic cancers, which affect the ovaries, uterus, cervix, vagina, or vulva, are less common than breast cancer. Women can guard against these cancers by learning the risk factors for each type, which include obesity, exposure to human papillomavirus, and smoking. Women should also continue pelvic exams and cervical cancer screenings after a hysterectomy or menopause, as well as watch for unusual symptoms. Women with a strong family history of gynecologic or certain other cancers should consider genetic testing.

Most men can resume regular sexual activity after a heart attack once they can engage in mild-to-moderate physical activity without experiencing marked fatigue, chest pain, or shortness of breath. For heart-related procedures like angioplasty with stent placement (to open a blocked artery and restore blood flow), coronary artery bypass surgery, or open-heart surgery, men should wait until surgical sites have fully healed before resuming sex. At the same time, men should address any lingering heart disease risk factors, such as high blood pressure and excess weight.

Men can overcome the barrier of back pain in the bedroom by trying different sexual positions and adjusting their intensity and frequency.