Kristen Stelzer, OTD, OTR/L, CLT
Occupational Therapist
GO Physical Therapy Balance & Mobility Cancer Rehab
- How can breast cancer rehab address intimacy in an outpatient setting?
Provide education on energy conservation and positioning to optimize ability to complete as well as provide support for the emotional/mental aspect of intimacy. Educate on impact of aromatase inhibitors/hormone treatment on pelvic health. Screening/education and referrals to help support mental health with regards to changing self-image.
- How can pelvic floor therapy assist breast cancer patients and survivors in addressing sexual health concerns?
Provide education & resources on maintaining vaginal health, reducing pain and other bladder/bowel symptoms. Treating urgency and urinary incontinence. Help patients discuss with their partners what they are experiencing and ways to support overall intimacy with potentially having their partner come into the clinic.
- What are some common changes to the pelvic floor for individuals with vaginas who are diagnosed with breast cancer and have undergone or completed cancer treatment?
Vaginal tissue/pelvic floor musculature atrophy, thinning of tissue that may lead to pain with intercourse, urinary urgency & incontinence.
- How does your organization address sexual health and intimacy?
We have 2 pelvic floor OTs who work with patients who are experiencing pelvic floor difficulties after breast cancer treatment as well as mental health aspects of their journey. Our PTs are also trained in screening for intimacy concerns regarding appearance/self-image after breast cancer surgery & treatment that may have resulted in loss of their breasts or damage to their appearance.
- What educational resources are available in regard to intimacy?
Currently we don't have any specific handouts but will provide individualized recommendations. We do refer them to Susan G Komen for resources (they have a PDF).
- How can patients receive your services? (Referral, walk in)
Typically they require an order/referral from their physician.
