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Related post: Page Neomycin Dexamethasone 27 If you have an indwelling catheter or supra-pubic catheter, it may be possible to tape the catheter forward onto your skin, remove the bag, and insert a specially designed valve or stopper (flip/flow valve is one trade name). Talk to your GP or nurse to see if this is an option for you, and where to obtain them. Males with an indwelling catheter should fold the catheter down the length of their erect penis and then place a condom over the penis. Always use plenty of water-based soluble lubricant when having intercourse with someone with an indwelling catheter in place. If you have faecal oozing, use plugs Dexamethasone Tobramycin designed for rectal use. Plan to have a spare stoma bag, toilet tissues, or wet wipes to hand if an accident does occur. Infertility Chemotherapy and radiation therapy can cause infertility for some men and women. Talk to your doctor about how likely this is with your treatment. Your doctors may not be in Dexamethasone Mg a position to know for sure that you will be infertile, so for some people there is an uncertainty, which is ongoing and difficult to cope with. Infertility means that a man cannot father children and a woman cannot become pregnant. Infertility is a side effect of some treatments given for cancer and can affect how people see themselves. If you want to have children, then the impact of the news of infertility can be devastating. This loss can cause a whole range of emotions. Page 28 Many women describe feeling less feminine when they are unable to have children. The sadness and disappointment are very real. Dreams for the future can be shattered, and an overwhelming sense of loss can be felt. It is important to talk about fertility with your cancer specialist who will be able to advise you about methods to preserve your fertility before you start any treatment. Dexamethasone Suppression Pakoko Ka pa te pakoko ki etahi tane, wahine hoki, na runga i te hahau me te haumanu iraruke. Me korero ki to rata e pa ana ki tenei. Tera pea kaore nga rata e tino mohio ana mena ka pa te pakoko ki a koe, na reira ka puta te awangawanga korenga mutu ki etahi, kua tino taumaha haere. Ko te tikanga o te pakoko, kaore e taea e te tane te whiwhi tamariki, a, kaore e hapu te wahine. He panga te pakoko na runga i etahi o Dexamethasone Ophthalmic nga maimoatanga mo te matepukupuku, a, ka pa hoki ki te titiro a tena, a tena, ki a ia ano. Mehemea e whakaaro ana koe ki te whai tamariki, tera pea ka puta te Dexamethasone Sodium Phosphate pouritanga i te rongona Dexamethasone Neomycin i tenei korero. Ka taumaha hoki te whatumanawa. Maha tonu nga wahine e ki ana ka heke te taha ira wahine i te rongona i te korero mo te kore Decadron Dexamethasone whai tamariki. He pono tonu nga pouritanga me nga matekiri. Kua hinga katoa nga moemoea mo nga ra ki mua, kua pehia e te mamae. Page 29 He mea nui kia korero koe ki to matanga matepukupuku, mana koe e tohutohu ki nga huarahi pai hei pupuri i to aheitanga ki te whai tamariki, i mua i to timata i nga maimoatanga. In some cases, it may be possible for a man�s sperm to be collected, frozen, and stored before chemotherapy starts. This sperm can then be used at a later date. For women, it may be possible for eggs to be removed, fertilised, frozen, and stored for possible re-implantation later. As this can involve the use of hormone drugs to stimulate the ovaries to produce more eggs, it may not be suitable for women who have cancers that may be stimulated by hormones. Once your treatment has ended you may wish to explore the fertility options further. Specialised help is available including counselling for infertile couples, and guidance about alternatives to having your own children. Page 30 Hormonal therapy Some cancers are influenced by hormones naturally produced within the body, so treatment is given to change the hormone levels. Hormonal therapy�s effects on women Tamoxifen is a commonly used anti-oestrogen drug often given as part of the treatment for breast cancer. It has fewer side effects than chemotherapy. Some women have symptoms Tobramycin Dexamethasone similar to those of the menopause, such as vaginal soreness, dryness or Dexamethasone Test discharge, or a shrinking of the vagina and a drop in sex drive. However, some women have no such side effects. There are many other hormonal therapies, and these may often cause side effects, such as tiredness or vaginal dryness, which may affect your sex drive. A drug called goserelin (Zoladex) is sometimes given to women who have not yet had their menopause. Goserelin (Zoladex) reduces the production of sex hormones by the ovaries, so periods stop, and women have menopausal symptoms while they are taking this drug. It can cause a reduction in sex drive. Usually, it is taken for two years. Once the drug is stopped sex drive will return gradually to normal, and the other side effects will also disappear. Page 31 Hormonal therapy�s effects on men In men with prostate cancer it can be helpful to lower testosterone production. This may be done by removing the testicles or by giving tablets or injections (see the Cancer Society�s booklet, Prostate Cancer, for more details). You can obtain this booklet from your local Cancer Society Dexamethasone Drops on the Cancer Information Helpline 0800 CANCER (226 237), or by downloading it from our website www.cancernz.org.nz. Treatments to lower testosterone production can have major effects on a man�s sex life. He may find that he feels much less like sex and, when or if he does feel like it, he can�t have or maintain an erection. He may notice that he produces less semen, shaves less frequently, and has less muscle strength. Some men having hormonal therapy treatments may also develop breast swelling and tenderness. Not surprisingly, a Dexamethasone Suppression Test man whose testicles have been removed may feel Dexamethasone Decadron less masculine (false testicles can sometimes be used to give the appearance and feel of normal testicles). Neither the operation nor hormonal therapy make him a woman, as some men fear. Page 32 Some solutions to sexual problems caused Dexamethasone Ointment by cancer and its treatment Help with problems with body image Body image is the mental picture you have of your own appearance. This image may not be drawn from how your body actually looks, but rather how you think you look. Throughout life, your body image is constantly changing. Your body image may alter regardless of whether or not a cancer or its treatment causes change to your appearance. Physical changes in your body affect your sense of femininity or masculinity. This may cause feelings of distress that go beyond the physical effects of cancer and its treatment. When there has been a change in your body, or how you think about your body, you may feel shame, embarrassment, inferiority, and anger. When the change is a visible one, these feelings can be reinforced by the reactions of others when they see the change. The most important thing is to tell someone your fears, rather than hiding them and letting them grow into something bigger. The more able you are to face the things you have been avoiding, the better. However, it might be very important to have spent some time thinking through your worst fear, and planning a way of managing this to help build confidence. If Dexamethasone Phosphate someone is anxious about their body image, reassurance can often be unhelpful because it only gives a Page 33 short-lived decrease in anxiety. In response to your partner�s anxious question, �Do I look all right?� it might be better to ask what the fear is behind their question rather than answer it directly. With time, some people state that they�ve realised they haven�t lost their femininity or masculinity, rather they�ve lost some physical part of their body. Femininity or masculinity is more than just your body, it�s how you think and view life. If you are the partner of someone who has had changes Dexamethasone Injections in their real or perceived body image, it may also take you time to adjust to and accept the changes. You may need to talk through your own fears. Having a stoma, or having a breast removed, is likely to cause Dexamethasone Injection a significant change in body image in most people. If this is true for you then you could try making love in underwear or partly And Dexamethasone dressed rather than completely naked. Changing the lighting level when Tobramycin And Dexamethasone giving and receiving sexual pleasure can also help to build your confidence about how your body looks. Dexamethasone Sodium It may help to lie on your side for lovemaking to prevent pressure on scars or stomas. Facing away from your partner, not towards, may also help.
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