Most women will have some change in the way that their bladder or bowel works and the treatment may also cause changes in the vaginal area and in the physical and emotional feelings associated with sex. The impact of these side effects varies from person to person.

For some women the effect on their bowel, bladder or sexuality may be very slight and may not cause them problems.

However, for some women the effects may mean that they have to make some changes to their life to be able to deal with the effects.

For a small proportion of women the changes may be difficult to cope with. The changes can mean that they have to restrict their activities, reduce or give up work, and avoid socialising because of needing to stay close to a toilet.

Much can be done to help if this happens.

What can be done?

Your cancer specialist or GP may be able to help you. They can also refer you to a doctor who has a special interest in treating long-term side effects of radiotherapy. These doctors are not in every hospital, so you may need to travel to see one.

The effects of pelvic radiotherapy may be difficult to talk about. It can be embarrassing to say that you have problems with your bowel, bladder or sex life. However, doctors and specialist nurses are very used to discussing intimate problems. You can tell them exactly what is happening to you. They will then be in the best position to help. Your doctor or nurse can also refer you to a continence adviser or relationship and sexual therapist if needed. The Continence Foundation can put you in touch with a local continence adviser.