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Breast cancer health centre
This article is from the WebMD Feature Archive
Breast cancer's relationship toll
For many women, the diagnosis of breast cancer represents not only a major physical battle, but also the ultimate emotional challenge, one that affects every relationship in your life.
Indeed, from friendships to romance, from being a parent to being a daughter, the way you relate to everyone, and the way they relate to you, can be affected.
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In many cases, breast cancer treatment involves chemotherapy, radiation therapy (radiotherapy), or a combination of the two. These treatments can affect your reproductive system and, as a result, your fertility. Chemotherapy is the use of drugs to kill cancer cells which divide rapidly. However, these drugs also kill some healthy cells, including those involved in the production of eggs, which also divide rapidly. The type of chemotherapy drug or drugs used, the length of treatment, and the person's...
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“I do think cancer has more impact on emotions and emotional relationships than other catastrophic diseases, because with cancer, death is often the first thing people flash on. There's an immediate shock and emotional impact that few other illnesses have”, says Katherine Puckett, national director of Mind-Body Medicine at the Cancer Treatment Centers of America.
Puckett says that the uncertainty of the disease itself enhances that impact. It's the not knowing aspect of breast cancer that increases the emotionality in regard to all your relationships. It heightens anxiety, but it heightens and changes everything in your life, says Puckett.
However, the changes, she says, don't have to be negative.
Indeed, for some women, breast cancer can be the catalyst that turns casual friendships into deep and meaningful bonds, that brings couples closer together, and that helps the family unit become stronger and more cohesive.
For others, however, it can be a lonely and isolating time, a period of life when people we counted on most seem to all but disappear.
So what is it that determines how breast cancer will affect you and the people in your life? Experts say it’s often linked to a willingness to let others share your burden, something that doesn't come easily for many women.
Women are the carers, and are used to taking care of everyone else, so it can be a huge emotional struggle to give up some of that control and let people in. Even with illness, women still want to handle everything on their own, says Gloria Nelson, senior oncology social worker at the Montefiore/Einstein Cancer Center in the US.
Moreover, experts say, many women view asking for help as a sign of weakness, so they won't allow even those who want to help to do so.
“They think that needing help means they have no willpower or strength. But in reality, being able to share your feelings and ask for help when you need it is a sign of strength that can strengthen the relationships in your life when you need them the most”, says Dr Mauricio Murillo, an oncology psychiatrist.
So where and how do you begin to do that? The best way to start, say experts, is with honest, open communication with family and friends.
Breast cancer and your family relationships
Among the most important relationships in our lives are those we forge with our partners and especially our children. And whether they’re toddlers, tweens, teens or even young adults, experts say if you want to keep the family unit strong during this challenging time, it's essential that you confide in them from the very earliest stages of your disease.

