Awkward Auntie Question No. 32

Ever had a question about relationships or sex that you just can’t ask your oncology care provider? We’re back for another round of Awkward Auntie, the space for all the awkward questions inside young adult cancer.

Awkward Auntie: Dating & Chronic Cancer

Question: How do I even date with chronic cancer? Do I tell a potential date right off the bat that I have cancer that will be with me for the rest of my life?

Additional details: I am……between the ages of 34-39 years old. 

Answer: You have asked the 64 million-dollar question!

Everyone is different when it comes to this. Some people disclose immediately to weed out potential partners who may not be able to handle the situation. Some people put this in their bio if they are using an online dating app, while others wait until they have an invitation to meet up. Or they wait to see if they continue talking to the person online. Both approaches have risks and benefits, and if it were easy to figure out, you would have done that already! You have to be comfortable with your approach – tell immediately or wait to see what happens – and also not take rejection or ghosting too seriously (not easy!). People don’t follow through for any number of reasons. What is important is that YOU tell when you are ready – but leaving disclosure for too long (how long is too long? I’m not sure, but certainly more than two actual dates, I think) will feel like you are hiding something really important from a prospective partner, and that is not the way to have a relationship.
 
Your cancer is part of you, and there are people out there who themselves have a history of cancer or who live with other chronic illnesses. Perhaps you will be surprised. I wish you good luck as you dip your toes in this pond!

-Awkward Auntie 

Dr. Anne Katz, also known as the Awkward Auntie, is a certified sexuality counselor, nurse, and author. She specializes in the intersection of sexuality, intimacy, body, relationships, and young adult cancer. She’s here for all the “awkward” questions that you may be too afraid to ask your healthcare provider. 

YOU CAN ASK HER ANYTHING…. Don’t hold back! 

Questions are answered periodically and posted on the Young Adult Voices of Cancer blog. Got questions? Reach out to programs@cactuscancer.org

Case Files: Creative Coping Through Watercolor

In this new blog series, Case Files: Creative Coping, we are highlighting the creative coping practices our community members enjoy outside of our programs. If you have a hobby or practice that you’d like to tell us about, please email programs@cactuscancer.org. 

Today we’ll be hearing from Mallory, our Cactus Cancer Society CEO and Co-founder, about one of her favorite creative coping practices. Read on to learn more about how she fell in love with watercolor, what role it plays in her emotional well-being, and the artistic secret she kept – even from her husband.

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Awkward Auntie Question No. 31

Ever had a question about relationships or sex that you just can’t ask your oncology care provider? We’re back for another round of Awkward Auntie, the space for all the awkward questions inside young adult cancer.

Awkward Auntie: Questions About Sex Drive

Question: Hi Dr Katz,

I’ve read that the ‘pink pill,’ Addyi, is available in Canada.  Can the pill be prescribed and covered by insurance?  Also, how effective is the pill in increasing sex drive?  I’m at a loss as to what to try next.

Additional details: I am a….47-year-old female diagnosed with breast cancer at 38 and metastasis to my spine last year. I’ve had an oophorectomy, and I’m on exemestane and Kisqali. I’ve tried OTC Gynatroff and recently asked my oncologist for a prescription for vaginal estrogen. He prescribed Intrarosa, and my partner and I have used lubricant during sex, but it is still somewhat uncomfortable. I feel that having a sex drive would also help, but I have lost my libido.  Hence the question about Addyi.

Answer: Addyi is unfortunately not a very effective medication. In the original clinical trials, premenopausal women experienced ONE sexually satisfying sexual encounter over a TWO-month period. And that is after taking a pill every night! They were also not ‘allowed’ to drink any alcohol while on the medication (because of sleepiness). It was also only approved for use in premenopausal women, and women with a history of cancer were not included in the clinical trial (so we don’t know if these women would respond differently). Health Canada has approved the use of this medication for naturally postmenopausal women under the age of 6o years. There is no mention of women with a history of cancer, other than that caution should be taken, as the medication may interfere with other cancer drugs. That said, we know that there is a large placebo effect with medications prescribed for low libido; if you believe it will improve libido, then you experience increased interest! I don’t know if your insurance would cover the drug – every insurance company is different.

It is very common that if you experience pain with sexual touch or penetration, your interest will decrease or disappear. Also, many women experience REACTIVE desire rather than spontaneous desire. What does that mean? Once you start with some form of stimulation, then desire occurs with arousal rather than spontaneously (like just by thinking about it). Intrarosa is helpful for many women with a history of breast cancer, especially those on the anti-estrogen medication you are taking and the fact that your ovaries have been removed. You should also use a silicone-based lubricant. KY makes one (K-Y Silicone Personal Lubricant for Smooth Slide).
 
I hope this helps!


-Awkward Auntie 

Dr. Anne Katz, also known as the Awkward Auntie, is a certified sexuality counselor, nurse, and author. She specializes in the intersection of sexuality, intimacy, body, relationships, and young adult cancer. She’s here for all the “awkward” questions that you may be too afraid to ask your healthcare provider. 

YOU CAN ASK HER ANYTHING…. Don’t hold back! 

Questions are answered periodically and posted on the Young Adult Voices of Cancer blog. Got questions? Reach out to programs@cactuscancer.org

Awkward Auntie Question No. 30

Ever had a question about relationships or sex that you just can’t ask your oncology care provider? We’re back for another round of Awkward Auntie, the space for all the awkward questions inside young adult cancer.

Awkward Auntie: Body Confidence After Breast Cancer

Question: How do I practice being confident in my body after cancer? Do not want to be intimate with anyone because I hate the way my body looks and feels. I am straight and single. I want to date but don’t know when or if I’ll ever be ok with someone touching me again. I am also looking for tips on how and when to bring up that I had cancer. I went on a Bumble date, and they asked how my dating life has been the past year…it was non-existent because I was in chemotherapy, but I don’t want to say that.

Additional details: I am… 34-39 years old, cisgender female. “I had breast cancer and had a double mastectomy. I had reconstruction surgery but don’t think I could ever let someone touch my boobs again. I do not like how they look, feel, and that I have no nerves in them.”

Answer: Body image changes are a BIG issue for many cancer survivors, especially for women with a history of breast cancer. And it is quite common for women to not like/hate their ‘new’ breast(s). Losing confidence in how you look is a challenge because how you feel about yourself is emotional, and no one (including me!) should tell you how to ‘get over it’. What you don’t want to happen when you start a new relationship is not telling the person that you are not comfortable with someone touching your breasts – what happens if you don’t tell them? They may touch your breasts, and that is painful (or feels weird), and you suffer (often in silence) and hiding something like that is not good for any relationship. Perhaps you need more time to get used to your new body (not just your breasts) before you allow someone else into your space? About disclosing your cancer history: Everyone is different when it comes to this. Some people disclose immediately to weed out potential partners who may not be able to handle the situation. Some people put this in their bio if they are using an online dating app, while others wait until they have an invitation to meet up. Or they wait to see if they continue talking to the person online. Both approaches have risks and benefits, and if it were easy to figure out, you would have done it already!

 
You have to be comfortable with your approach – tell immediately or wait to see what happens – and also not take rejection or ghosting too seriously (not easy!). People don’t follow through for any number of reasons. What is important is that YOU tell when you are ready – but leaving disclosure for too long (how long is too long? I’m not sure, but certainly more than two actual dates, I think) will feel like you are hiding something really important from a prospective partner, and that is not the way to have a relationship.

Dr. Anne Katz, also known as the Awkward Auntie, is a certified sexuality counselor, nurse, and author. She specializes in the intersection of sexuality, intimacy, body, relationships, and young adult cancer. She’s here for all the “awkward” questions that you may be too afraid to ask your healthcare provider. 

YOU CAN ASK HER ANYTHING…. Don’t hold back! 

Questions are answered periodically and posted on the Young Adult Voices of Cancer blog. Got questions? Reach out to programs@cactuscancer.org

Cody’s Corner: November 2026

November is a time of thanks, of giving, of gratitude. Emotions like this can be hard to muster up when we are dealing with cancer, trying to process the crappy hand that we have been dealt, trying to push through having poison pumped through our bodies, having radiation blasted into us, being cut open, waiting for our doctors to say that now is the right time to start treatment, or any number of ways cancer can be handled. Our brains aren’t built to be constantly on tenterhooks!

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Case Files: Creative Coping Through Dungeons and Dragons

In this new blog series, Case Files: Creative Coping, we are highlighting the creative coping practices our community members enjoy outside of our programs. If you have a hobby or practice that you’d like to tell us about, please email programs@cactuscancer.org.

Today we’ll be hearing from Elizabeth, one of our amazing Cactus Cancer Society community members, and one of her many creative coping practices. Read on to learn more about how she found Dungeons and Dragons, how characters help her process her cancer experiences, and how she’s used long and short campaigns to connect with others!

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Case Files: Creative Coping Through Crochet

In this new blog series, Case Files: Creative Coping, we are highlighting the creative coping practices our community members enjoy outside of our programs. If you have a hobby or practice that you’d like to tell us about, please email programs@cactuscancer.org.

Today we’ll be hearing from Valarie, one of our amazing Cactus Cancer Society community members, and one of her many creative coping practices. Read on to learn more about how she got hooked on photography, its relationship to her cancer experience, and how she’s found community through her work!

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Ask Perrie: Carrying So Much

Dear Perrie,

My boyfriend, 26 years old, had a stool test, and they told him he has colon cancer. This was in April 2026. He has been having blood in his stool since November 2025. We had problems obtaining Medicaid, and his colonoscopy isn’t for another 2 weeks. We still don’t know the extent, and it’s killing me, but he said he does not feel well. He hasn’t told anyone. It’s weighing so heavily on me. We have 14-month-old twins. I can’t handle it anymore. Please, I’m just looking for support, advice, anything.

Dear Carrying So Much,

First, I want to say how sorry I am that you and your family are going through this. There is so much uncertainty in what you shared, and on top of that, you are caring for 14-month-old twins. It makes complete sense to me that you are feeling overwhelmed, and I’m glad you reached out for more support here with us.

I want to start with the waiting portion of what you’ve shared, because waiting for answers when cancer is a possibility can be excruciating. There are still questions about what is happening with your boyfriend’s health that his medical team will need to answer, and I know that having to wait another two weeks for the colonoscopy probably feels impossibly long right now. When we don’t have all the information, our brains often try to fill in the missing pieces. Unfortunately, anxious brains are rarely known for filling those spaces with comforting possibilities! 

Sometimes when we are scared, every possibility can feel like too much. Many end up on the wrong side of Dr. Google, stuck ruminating on “what ifs,” or feel frozen by the emotions. It can help to slow things down when you are feeling this way, and do your best to help your brain focus on what’s right in front of you right now. You don’t have all the information yet, which means your brain may be trying to solve problems you don’t have enough information to answer, like treatments or what the next steps will look like. When you notice yourself getting pulled far into the future, it may help to ask yourself, “What do I actually know to be true right now, and what do I need in this moment?” I can’t promise that it will remove the fear entirely, but often this simple act of slowing down and becoming more present-focused can turn down the temperature. 

I’m also really struck by the fact that he hasn’t told anyone this news. I absolutely understand and respect that this is his health information and that he gets to decide who knows about it. At the same time, you are living through this experience too, and it sounds like holding everything by yourself is becoming a lot.

I wonder if it might be worth having a conversation with him about how you can respect his privacy while still getting some support for yourself. Maybe there is one trusted person you both feel comfortable bringing into the circle, or perhaps your support comes from someone outside of your immediate life, such as a therapist or caregiver support group.

Being the romantic partner of a young adult navigating cancer can put you in a really unique position. You are still his partner, but you may also find yourself taking on pieces of caregiving, parenting, appointments, advocacy, logistics, and emotional support, all while having your own fears about someone you deeply love. It can be really easy for your needs to move further and further down the list when the person you love is sick.

I know the whole “put your own oxygen mask on first” saying can feel a little cliché, but it’s stuck around for a reason. Caring for yourself is vital to continuing to show up for the people you love. That doesn’t mean you need an elaborate self-care routine right now. It may simply mean making sure you have people you can lean on, accepting help with the twins if available, getting enough food and rest when you can, or having a place where you don’t have to be the strong one. You are allowed to need care while caring deeply for him.

I’d also encourage you to look into the Colorectal Cancer Alliance. They offer support and navigation for patients, caregivers, and family members, which may be especially helpful as you figure out what resources are available to your family. CancerCare also provides free counseling, support groups, education, and other resources for people affected by cancer, including caregivers and loved ones.

Most importantly, I want you to know that needing support does not take anything away from what your boyfriend is experiencing. You love someone who is going through something frightening, you are parenting two very young children together, and you have been trying to carry an enormous amount of uncertainty largely on your own. It makes sense that you have reached a point where you need some care and support too.

Sending you and your family so much care,

Perrie

Ask Perrie is Cactus Cancer Society’s advice column for the questions that young adult cancer doesn’t come with instructions for. Community members submit anonymous questions, and Perrie offers thoughtful guidance, perspective, and practical ideas for navigating life during and after cancer.

Case Files: Creative Coping Through Photography

In this new blog series, Case Files: Creative Coping, we are highlighting the creative coping practices our community members enjoy outside of our programs. If you have a hobby or practice that you’d like to tell us about, please email programs@cactuscancer.org.

Today we’ll be hearing from Valarie, one of our amazing Cactus Cancer Society community members, and one of her many creative coping practices. Read on to learn more about how she got hooked on photography, its relationship to her cancer experience, and how she’s found community through her work!

Continue reading