Vaginal care using dilators (Colorectal)
Date issued: December 2023
Review date: December 2025
Ref: B-504/HA/Oncology/Vaginal care using dilators (Colorectal)
PDF: Vaginal care using dilators (Colorectal) 2023.pdf[pdf] 233KB
You have now finished your course of radiotherapy treatment. This leaflet contains suggestions how you may find it easier to resume sexual intercourse should you wish to.
The effects of radiotherapy to the Pelvis area
Radiotherapy can have some long-term effects. The treatment may cause scarring to the lining of the vagina which can lead to some narrowing and dryness. You may find that it is not as sensitive as before treatment. The use of a vaginal dilator can prevent the scarring and narrowing.
It is important to keep the vagina open so that:
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You can enjoy sexual intercourse.
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Your doctor can perform a vaginal examination in the future if needed.
What is a dilator?
A dilator is a plastic tube with a handle, which you insert into the vagina to help prevent the shortening and tightening effects of radiotherapy. There are four sizes supplied. You will be given a set and information after your first follow-up clinic appointment 6-8 weeks post radiotherapy.
How and when to use the dilator
You will be given a lubricant to make it easier to insert into the vagina. Each time you use the dilator place some lubricant on the rounded end. Extra supplies of lubricant can be obtained on prescription from your GP. Alternative lubricants are available from your chemist. Do not use KY Jelly, Vaseline, baby oil or any other oil-based lubricant on the dilator.
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Set aside about ten minutes when you are unlikely to be interrupted, and you can relax.
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It is probably best to start with the smallest size of dilator and change to a larger size, as you feel more confident.
It is important you find the place and position which is most comfortable for you. Here are some different suggestions.
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You can lie on your back on the bed with your knees bent and slightly apart.
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You can stand and put one foot on a stool or the side of the bath.
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You can use the dilator while you are having a bath.
Method
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Ensure the dilator is well lubricated, you may also wish to place a small amount of lubricant into the entrance to your vagina, place the rounded end of the dilator into your vagina.
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Gently rotate the dilator into the vagina until you meet resistance. Insert and withdraw the dilator several times for about 3-5.
Start to use the dilator about six weeks after your treatment has finished and once the soreness from the treatment has settled. If you find it difficult to insert, change to a smaller size. If the dilator feels too tight this is a sign that scar tissue is forming and you will have to increase the number of times you use it. We recognise that this may be difficult for some people. Please do not hesitate to contact the Colorectal Nurse Specialists for further advice and support.
Signs to look out for
After using the dilator, there may be some slight bleeding or spotting from the vagina. This is not unusual, and there is no need to worry or to stop using the dilator. If you should experience any of the symptoms listed below, stop using the dilator and contact your specialist nurse. They will be able to help and advise you.
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Heavy bleeding
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Pain
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Unpleasant smelling discharge
How often and how long will you need to use a dilator?
At first you will need to use the dilator 2-3 times each week. If you return to regular sexual intercourse (or use a vibrator at least twice a week) then you do not have to continue to use the dilator.
If you do not have regular sexual intercourse you may have to use the dilator permanently. Your doctor or nurse will be able to advise you.
Care of your dilator
After each time you use it, wash it in warm, soapy water and rinse well. Dry it and keep it in a clean container.
If you would like to talk about using dilators or experience any problems the specialist nurse or your liaison radiographer are available to help.
Colorectal Cancer Nurse Specialist Team
Telephone Number: 01752 439473
Counselling for sex, intimacy and relationship issues can be offered by the Mustard Tree Cancer Support Centre on Ext 430060
