Internal radiation therapy may cause scar tissue to form at the top of your vagina (vaginal cuff).
This may make vaginal examinations difficult in the future. You can prevent scar tissue from forming by using a vaginal dilator (a smooth plastic rod), and/or by having regular sexual intercourse.
Your doctor will prescribe when to begin to use the dilator:
______ weeks after your radiation therapy begins or
______ weeks after completing your treatment
If not using the dilator you should be having intercourse two or three times a week. If you are unable to have intercourse, you should use your vaginal dilator.
You may have some spotting or bleeding from your dilator or intercourse the first few times. You may also have some discomfort. If discomfort occurs with intercourse, you and your partner may need to stop for a while and try again later.
Do not use Vaseline®, baby oil, or other oil based lubricants. They are not water-soluble and can be irritating to the tissues in the vagina.
It is important that you use the dilator routinely until instructed otherwise by your doctor.
In an Emergency Call:
Reviewed January 2013