Colorectal Cancer
Survivorship and Long-Term Care

Sexual Health and Intimacy

Let’s talk about something that doesn’t get nearly enough attention: intimacy and sexual health after colorectal cancer treatment. For many survivors, cancer changes how we see and experience our bodies, and that can ripple into our relationships, our confidence, and our sense of connection. Add in the complexities of being part of the LGBTQ+ community, and it’s no wonder this topic can feel like uncharted territory.

But here’s the truth: Your sexual health matters. Your intimacy matters. And no matter where you are in your journey—nervous, frustrated, or cautiously hopeful—you’re not alone. This space is for you, to help you feel seen, supported, and empowered to explore what intimacy and connection look like for you now.

How Treatment Changes Intimacy

Cancer treatment doesn’t just affect your physical health—it touches everything. For LGBTQ+ survivors, these impacts can feel even more complex when healthcare systems don’t fully understand or address your needs.

  • Physical Changes: Surgery, radiation, or chemotherapy may cause pain, scarring, or changes in sexual function, especially if treatment affected the pelvic or anal area.

  • Emotional Challenges: Grief over how your body has changed, fear of rejection, or struggles with body image are common but often overlooked.

  • Reduced Libido: Fatigue, hormonal changes, or mental health challenges can make intimacy feel like the last thing on your mind.

♥︎ What You Need to Know: It’s okay to grieve what’s different. But remember, intimacy is about connection, not perfection—and there’s a path forward.

Rebuilding Intimacy: A Journey, Not a Race

Getting back to intimacy takes time. It’s not about “getting back to normal”—it’s about finding what feels good and true for you now.

  • Start with Self-Compassion: You’ve been through a lot. Be kind to yourself and let go of the pressure to immediately “get back” to how things were.

  • Take Small Steps: Start with non-sexual touch, like cuddling, holding hands, or just sitting close. Rebuilding trust with your body and your partner(s) takes time.

  • Communicate Honestly: It can feel awkward, but talking openly with your partner(s) about what feels good, what doesn’t, and what you need can strengthen your connection.

  • Redefine Intimacy: Intimacy doesn’t have to mean sex. It can be a shared laugh, a lingering hug, or simply being present with each other.

♥︎ What You Need to Know: Intimacy is yours to define. Take it slow, be open, and don’t be afraid to explore new ways of connecting.

Sexual Health for LGBTQ+ Survivors

For LGBTQ+ survivors, talking about sexual health can feel like an uphill battle. But your needs deserve to be heard and respected.

  • Ask the Specific Questions: Be direct with your healthcare team about how treatment affects your body and your sexual health. Questions like, “How will this affect anal sex?” or “What support is available for gender-affirming care after treatment?” can help ensure your concerns are addressed.

  • Seek Affirming Care: Not every provider understands the unique needs of LGBTQ+ patients. Don’t hesitate to seek out affirming therapists, support groups, or healthcare providers who specialize in LGBTQ+ sexual health.

  • Connect with Your Community: Sharing your experiences with others who “get it” can make all the difference.

♥︎ What You Need to Know: Your identity and needs matter. Don’t settle for care that doesn’t make you feel seen.

Getting Professional Help

If you’re struggling with intimacy or sexual health, professional support can make all the difference.

  • Sex Therapists: Specialized therapists can help you navigate emotional and physical challenges with intimacy, solo or with a partner.

  • Pelvic Floor Therapy: A pelvic floor therapist can address pain, tightness, or other functional changes post-treatment.

  • Support Groups: Connecting with other LGBTQ+ survivors can offer both practical advice and emotional solidarity.

♥︎ What You Need to Know: You don’t have to figure this out alone—there are experts and communities ready to help.

Resources for Support

Rediscovering Connection

Cancer may have changed your body, but it hasn’t taken away your capacity for love, connection, and intimacy. Rebuilding your sexual health is a journey, and there’s no right or wrong way to go about it. Take your time, honor your needs, and remember—Cheeky Charity is here to walk alongside you, every step of the way.

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