Are you experiencing difficulty with vaginal dilators after endometrial cancer treatment?
Using vaginal dilators can be challenging, especially after being sexually inactive for many years. Here are some practical tips that may help:
Start slowly and be patient with yourself
- Begin with the smallest dilator size available
- Show Full Answer
Are you experiencing difficulty with vaginal dilators after endometrial cancer treatment?
Using vaginal dilators can be challenging, especially after being sexually inactive for many years. Here are some practical tips that may help:
Start slowly and be patient with yourself:
- Begin with the smallest dilator size available
- Use plenty of water-based lubricant - this is essential
- Try when you're relaxed, perhaps after a warm bath
- Start with just a few minutes and gradually increase time
Positioning and technique:
- Lie on your back with knees bent and feet flat
- Take slow, deep breaths to help relax pelvic muscles
- Insert the dilator gently at a downward angle (toward your tailbone)
- Don't force it - gentle pressure is key
Address dryness and discomfort:
Vaginal dryness is a common long-term side effect of brachytherapy and can make dilator use more difficult. Lower estrogen levels and radiation effects can reduce vaginal moisture, increasing the risk of tearing and discomfort.
When to seek help:
If you're experiencing significant pain, bleeding, or can't insert even the smallest dilator, talk to your doctor. They can check for vaginal stenosis (narrowing from scar tissue) or other issues and may recommend additional treatments or adjustments to your approach.
A MyEndometrialCancerTeam member shared that talking openly with healthcare providers about what feels comfortable helped them find solutions.
January 29
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