A diagnosis of breast cancer may change how you think about your body, so it is important to give yourself time to come to terms with it.
Your body and your breasts after treatment
Dealing with changes to your body
A diagnosis of breast cancer may change how you think about your body. All women react differently to the changes to their body due to breast cancer treatment. Some women react positively but others find it more difficult to cope. It is important to give yourself time to come to terms with any changes to your body.
Although most breast cancer occurs in women over 50 who have been through the menopause, some younger women have to cope with early menopause brought on by treatment for cancer. Symptoms can include hot flushes, vaginal dryness and loss of sexual desire. Talk to your healthcare team about any symptoms you have and they will be able to help.
A breast prosthesis is an artificial breast which can be worn inside your bra to replace the breast that has been removed. Soon after a mastectomy, you will be given a lightweight foam breast to wear until the area affected by surgery or radiotherapy has healed. After it has healed, you will be offered a silicone prosthesis. Prostheses come in many different sizes and shapes and you should be able to find one that suits you.
If you did not have immediate breast reconstruction (carried out at the time of mastectomy), you can have reconstruction later, called a 'delayed reconstruction'. There are two main methods of breast reconstruction. These are reconstruction using your own tissue and reconstruction using an implant. Which type is more suitable for you depends on many factors, including the treatment you have had, any ongoing treatment and the size of your breasts. Talk to your healthcare team about which reconstruction is suitable for you.
Hair loss from chemotherapy can range from mild thinning of the hair to total hair loss, including body hair. When the hair grows back it may be more curly, thicker or finer than it was before treatment. It may grow back a slightly different colour.
Coping with hair loss
There are many options women find helpful when having chemotherapy - some cut their hair short so that it’s less upsetting if their hair does fall out, some women choose to wear a wig while their hair is growing back. Others choose to wear a scarf or hat, while some women prefer to keep their head uncovered.
Depending on where you live you might be able to go to a Look Good Feel Better workshop. These are free of charge and provide tips and advice about dealing with changes to the way you look while having chemotherapy. Workshops are available in capital cities and other major centres.
Breast cancer and fertility
Some treatments for breast cancer can affect a woman’s ability to become pregnant. Once treatment for breast cancer has finished there’s no reliable test to find out if a woman can still become pregnant.
If a woman’s periods stop for a year or more, it’s likely that menopause will be permanent. If menopause is permanent, it’s not possible to have children naturally.
If a woman does fall pregnant after treatment for breast cancer, there’s no evidence that this will increase the risk of breast cancer coming back.
If you have been diagnosed with breast cancer and you were planning to have children before your diagnosis, speak to your oncologist before starting treatment for breast cancer. It may be possible to see a fertility specialist to discuss the available options.
Managing the emotional aspects of breast cancer
Relationships with friends and family
It is not always easy to talk about cancer, either for you or your family and friends. You may sense that some people feel awkward around you or avoid you. Being open about how you feel and what your family and friends can do to help may put them at ease. But do not feel shy about telling them that you need some time to yourself, if that is what you need.
Your sex life
Breast cancer and its treatment can affect your sex life. It is common for women to lose interest in sex after treatment for breast cancer. Your treatment may leave you feeling very tired. You may feel shocked, confused or depressed about being diagnosed with cancer. You may be upset by the changes to your body or grieving the loss of your breasts or, in some cases, your fertility.
It is understandable that you may not feel like having sex while coping with all this. Try to share your feelings with your partner. If you have problems with sex that aren't getting better with time, you may want to speak to a counsellor or sex therapist.
Contraception during and after breast cancer treatment
Although some breast cancer treatments can cause menstrual periods to stop, this doesn’t necessarily mean a woman can’t become pregnant during treatment. It’s important for women who are sexually active to continue to use contraception during and after breast cancer treatment.
There’s no evidence about whether or not it’s safe to take the oral contraceptive pill (‘the Pill’) or use implants (with etonogestrel) during or after treatment for breast cancer. Therefore it’s recommended that women use non-hormonal forms of contraception, such as condoms, diaphragms, intrauterine contraceptive devices (IUDs) or male or female sterilisation.
It’s still possible to catch sexually transmitted infections (STIs) after menopause. Condoms are the most effective way of protecting against STIs.
Talk to other people
If you have questions, your doctor or nurse may be able to reassure you. You may find it helpful to talk to a trained counsellor or psychologist, or to someone at a specialist helpline. Your doctor's surgery will have information on these. Some people find it helpful to talk to other people who have breast cancer, either at a local support group or in an internet chatroom.
Breast Care Nurses
Your local Breast Care Nurse can be a wealth of information and support for you and your family, and can help with:
- liaising with your medical team and co-ordinating your appointments
- explaining treatments to you and your family
- attending medical appointments with you
- advising on and organising accommodation if you are travelling for treatment
- helping you to manage side effects of treatments, including treating radiotherapy burns
- helping you to talk to your family about your diagnosis
- arranging for someone to come in to your home to provide practical help, for example housework
- linking you to support services in your local area
- providing emotional support
- providing information on breast prostheses and breast reconstruction.
Ask your doctor, phone the Cancer Helpline on 13 11 20 or enquire at your local hospital or community centre for details of a Breast Care Nurse near you.
Last reviewed: September 2016