This document discusses how cancer and its treatments can impact sexuality and provides recommendations for enhancing libido. It notes that several major cancers are hormone-driven and lists hormone therapies and blockers used in cancer treatment. It then outlines natural supplements and lifestyle changes that may help improve energy levels and sexual function for cancer patients. Examples given include DHEA, ginseng, exercise, limiting stress, and spending quality romantic time with a partner. The goal is to help cancer patients address common issues like low libido and fatigue and improve well-being.

1. James Wm. Forsythe, MD, HMD
Board Certified Medical Oncologist
Integrative Medical Oncologist
Board Certified Internal Medicine
Certified in Homeopathy
info@DrForsythe.com
RenoWellnessDr@yahoo.com
Sexuality and Cancer
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www.DrForsythe.com
www.CenturyWellness.com

2. Sexuality and Cancer
• Top Ten Take Home Points:
1. The major and minor hormone-driven cancers
2. The major goals of hormonal balancing
3. The hormones that are safe for cancer patients
4. Hormone blockers used in different cancers
5. Understanding the major “pauses” in life
6. Helping cancer patients improving their libido
7. Major reasons for loss of sexual drive in cancer
8. The fifteen steps to wellness
9. The best supplements for energy
10. Falling in love again
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3. “Pauses” in Life
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4. Sexuality and Cancer
Hormone-Driven Cancers
Major Cancers Minor Cancers
Breast Cancers Renal Cell Cancers
Prostate Cancers Testicular Cancers
Ovarian Cancers Cervical Cancers
Uterine Cancers Melanoma Cancers
Peritoneal Cancers
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5. Sexuality and Cancer
Major Goals of BHR Therapies
• All hormones except cortisone decrease with age
from peak 20-25 yrs.
• HGH is highest in infancy and peaks at 25 yrs.
• Cortisone rises until ages 45-55 yrs. then continues
up-ward because of personal stressors
• Returning hormonal levels to peak age 25
• Estrogens increase from day 1-14 during cycle
• Progesterone increases day 14-28 during cycle
• In pregnancy progesterone is the dominant hormone
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6. Hormone Replacement
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7. Sexuality and Cancer
Safe Hormones for Cancer Patients
• Estrogens
- Estrone (E1) NEVER use
- Estradiol (E2) use with caution
- Estriol (E3) use with caution
- Avoid in uterine and ovarian cancers
- DES older usage in prostate cancer
- Avoid synthetic estrogens (Premarin & Prempro)
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8. Sexuality and Cancer
Safe Hormones for Cancer Patients (cont.)
• Progesterone
- Safe to use in PR positive Breast CA
- Useful in Renal Cell CA
- Useful in Uterine CA
- Useful in Peritoneal CA
- Excellent appetite enhancer
- Excellent for insomnia
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9. Sexuality and Cancer
Safe Hormones for Cancer Patients (cont.)
• Testosterone
- Useful in Stage IV Breast CA with Bone mets
- Use cautiously in Prostate CA in CR
- Use in MDS and Aplastic Anemias for rbc growth
• DHEA
- Women 10 mg / day, men 25 mg / day
- Useful in Adrenal “Burn-out”
- Safe in most cancers
- Mother of male and female sex hormones
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10. BHRT
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11. Sexuality and Cancer
Safe Hormones for Cancer Patients (cont.)
• Glucocorticoids
- Useful in primary/metastatic CNS cancers
- Useful in NHL, HD, CLL and Myeloma
- Useful in Prostate Chemo Protocols
• Tamoxifen (estrogen blocker)
- Useful in premenopausal ER positive Breast CA
- Useful in Uterine and Ovarian Cancers
- Useful in Melanoma CA
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12. Sexuality and Cancer
Safe Hormones for Cancer Patients (cont.)
• Aromatase Inhibitors
- Available as: Femara, Arimidex, Aromasin and
Faslodex
- Blocks Adrenal Estrogens
• Testosterone Blockers
- Available as: Casodex, Flutamide and Zytiga
- Useful in hormone-sensitive Prostate CA
• LHRH
- Pituitary Blockers for hormone sensitive Prostate CA
- Useful in ER positive –premenopausal Breast CA
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13. Sexuality and Cancer
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14. Sexuality and Cancer
Reversing Life’s “Pauses”
• Major Pauses:
- Menopause age 45-55
- Andropause age 45-65
- Somatopause age 40-90
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15. Menopause
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16. Andropause
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17. Somatopause
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18. Sexuality and Cancer
Reversing Life’s “Pauses” (cont.)
• Minor Pauses:
- Cardiopause - heart
- Thyropause - thyroid
- Osteopause – bones
- Dermatopause – skin
- Immunopause – immune system
- Electropause - CNS
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19. Sexuality and Cancer
Self Wellness Planning
• Limit Stressful Situations
• Eat Organic Foods
• Limit Simple Sugars and High Glycemic Foods
• Exercise in moderation 5-6 days per week
• Get 7-8 hrs sleep / nite
• Take proper supplements
• Avoid hospitals and BIG Pharma
• Limit high dose radiological procedures
• Consider BHRT
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20. Moderate Exercise
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21. Sexuality and Cancer
Self Wellness Planning (cont.)
• Consider HGH
• Detox regularly – far infrared & chelation and juicing
• Avoid silver amalgams
• Use digestive enzymes/pro-biotics
• Avoid illegal drugs, smoking and alcohol
• Consider natural lipid supplements – Omega 3’s
• Avoid excessive sun exposure
• Eat healthy oils ( Flaxseed, Safflower and Sunflower)
• Maintain normal BMI
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22. Sexuality and Cancer
Male and Female Enhancers
• Male Libido
- ED Rx Drugs:
- Viagra, Levitra and Cialis
- Testosterone Cream 10-12%
- Injectable testosterone every 4-7 days
- Injectable HGH at hour of sleep
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23. Viagra
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24. Sexuality and Cancer
Male Enhancers (cont.)
- Natural Aphrodisiacs:
- Horney Goat Weed - Yohimbe Bark
- L-Arginine - Damiana Leaves
- Pumpkin Seed - Muira Puana
- DHEA - MACA Root
- Korean Ginseng - Ginkgo Biloba
- Vit E - Zinc
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25. Natural Enhancers
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26. Sexuality and Cancer
Female Enhancers (cont.)
• Female Libido:
- A Romantic Partner
- A romantic atmosphere/ambiance
- Flowers, Candy and Alcohol
- Prolonged Foreplay
- Toys
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27. Female Enhancer
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28. Sexuality and Cancer
Female Enhancers (cont.)
• Natural Aphrodisiacs:
- MACA - DHEA
- Gingseng - Black Cohosh
- Ginkgo Biloba - Wild Yam Root
- Horney Goat Weed - Zinc
- Vit E - False Unicorn Root
- Chaste Tree Berry - Testosterone Cream 2-3%
- L-Arginine (BHRT)
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29. Natural Aphrodisiac
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30. Sexuality and Cancer
Major Reasons for Reduced Libido
• Male and Female
- Worry about cancer
- Poor self-image
- Fatigue and energy loss
- Narcotic drowsiness and disinterest
- Anemia
- Adverse reactions to chemo
- Loss of appetite
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31. Sexuality and Cancer
Major Reasons for Reduced Libido
• Male and Female
- Pain problems
- Lowest priority
- Vaginal dryness/dyspareunia
- Depression and fear of dying
- Persistent nausea/vomiting/diarrhea/constipation
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32. Low Libido
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33. Sexuality and Cancer
Natural Energy Enhancers
• Supplements Improving Energy:
- Resveratrol - Vit B-12
- Alpha Lipoic Acid - Folic Acid
- Una de Gato - Magnesium
- CO-Q-10 - Arginine Alpha KG
- DHEA - L-Glutathione
- MACA - Korean Ginseng
- Testosterone Cream or injection
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34. Sexuality and Cancer
Falling In Love Again
• Pray together
• Write love letters to each other
• Re-do wedding vows
• Spend quality time together
• Communicate your worries and desires
• Be lovable
• Good hygiene
• Enjoy each other-couples massage
• Date night
• Romantic get away
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35. Romancing
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36. Dr. Forsythe’s New Books
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DrForsythe.com or Amazon.com

37. Dr. Forsythe’s Books
• Suzanne Somers’ number one best
sellers: KNOCKOUT, Interviews
with Doctors who are Curing
Cancer (single chapter) &
BREAKTHROUGH, Eight Steps to
Wellness
• Alternative Medicine Definitive
Guide to Cancer (single chapter)
• Dr. Forsythe’s Natural Remedies
• Natural Pain Killers
• Take Control of Your Cancer-Kindle
2nd edition
• The Forsythe Anti-Cancer Diet
• About Death from a Cancer Doctor’s
Perspective
• The Healing Power of Sleep
• Sleep and Grow Young
• Emergency Radiation Medical
handbook, The Essential mandatory
Guide for Citizens and Responders
to Nuclear Events
• Complete Pain-Forget Everything
You Thought You Knew About Pain
• Understanding and Surviving
Obama Care
• Anti-Aging Cures
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38. Sexuality and Cancer
Slide presentation will be
available at:
www.DrForsythe.com
eforsythe@sbcglobal.net
1-877-789-0707
1-775-827-0707
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