The Elephant in the Room is Cancer. Tea is the Relief Conversation Provides.

Posts by Marloe Esch RN, BSN, OCN

Survivor

Marloe Esch, RN, BSN, Oncology Certified Nurse, AASECT Certified Sexuality Counselor, and young adult cancer survivor, graduated from the University of Wisconsin – Madison School of Nursing (Go Badgers!) in 2008. She enjoys educating both survivors and healthcare professionals on the topic of cancer and sexuality, and has presented for the Young Survival Coalition, the Oncology Nursing Society, and Planned Parenthood of WI, among others.  She holds a certificate from the Sexual Health Certificate Program through the University of Michigan and is currently pursuing her Doctor of Nursing Practice (DNP) at the University of Wisconsin – Milwaukee.  An enthusiastic supporter of sexual health and wellness, she is making it her mission to bring sex into the survivorship spotlight.

Marloe works as a Breast Care Nurse Navigator in Milwaukee, WI.  She lives in the Bay View neighborhood her husband and their cat, Princess Leia, in a fixer-upper that has “a lot of potential.” When she’s not at work or supervising her husband’s house projects, you’re likely to find her reading, writing, running, playing guitar, or enjoying a cold beverage and contemplating life. She’s also fairly competent at crochet, which comes in handy during the cold, dark Wisconsin winters. Feel free to give her a shout out at marloe.esch@uwalumni.com and let her know what questions you’ve got about sex, intimacy, and cancer!

Dude, Where’s My Erection? Part I

by Marloe Esch RN, BSN, OCN March 7, 2023

Warning: Mature Content

One of the most common sexual problems that survivors with penises experience are changes with erections (6,10). Unfortunately, erections don’t get a lot of air time during clinic conversations. For one thing, sexual side effects of treatments sometimes don’t show up right away, and over time survivorship concerns may no longer be on a provider’s radar (though they should be!).

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Orgasms After Cancer: Part II

by Marloe Esch RN, BSN, OCN November 22, 2022

Welcome to Part II of “Orgasms After Cancer!” In case you missed Part I, head back to the March 2022 issue of Elephants and Tea for a quick peek; it will be helpful as we move on to Part II. After all, the more you know about how things work, the more likely you are to discover what works for you. Sit tight, because things are about to get stimulating!

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Orgasms After Cancer: Part I

by Marloe Esch RN, BSN, OCN November 2, 2022

Understanding the “O” in “OMG!”

As if all the other side effects from cancer treatment aren’t bad enough, survivors can also experience frustrating changes in their sex lives, including newly altered (or absent!) orgasms. Why does this happen, and what can be done?

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“E” is for Emotional Intimacy

by Marloe Esch RN, BSN, OCN September 29, 2022

Cancer has a way of disrupting almost every aspect of a person’s life, including sex. If you’re like most young survivors, you may be struggling with a number of things that can affect how sexual you feel, or whether or not you’re interested in or able to engage in sexual activity. This is totally normal. Sometimes, though, altered sexual routines can also impact a couple’s emotional closeness. If you are in a romantic relationship, it’s important to remember that there are lots of ways to share intimacy that don’t include sex.

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The Who’s Who of Sexual Health in Survivorship

by Marloe Esch RN, BSN, OCN April 22, 2022

Building a Sexual Wellness Recovery Team. Changes in sex, intimacy, and relationships are common after cancer.  But if you are experiencing an issue, it can feel pretty lonely, and you may not know who to ask for help. Your primary care or oncology care teams are always a good place to start.

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The Ouch Factor

by Marloe Esch RN, BSN, OCN January 7, 2022

Why Sexual Pain Happens After Cancer, and What Can Be Done. If you experience discomfort with sexual activity, you’re not alone. Sexual pain happens to be the most commonly reported sexual complaint for women after cancer (Bober & Krapf, 2021).

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Help! I’m in Hot Flash Hell!

by Marloe Esch RN, BSN, OCN July 23, 2021

Hot flashes and night sweats are common side effects of cancer treatment. Although hot flashes themselves are not unsafe or unhealthy, they can be extremely disruptive and distressing. The good news is that there are options available to help you find relief.  

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Intimate Issues with Marloe: Your Brain in the Bedroom

by Marloe Esch RN, BSN, OCN July 8, 2021

While it’s true that the physiological aspects of sexual functioning, like vaginal lubrication, erection, and orgasm, are impacted in part by both our hormones and the health of the blood vessels and nerves that supply our nether-regions, that’s not the whole story. 

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Dear Cancer, Your Fingerprints Are Everywhere

by Marloe Esch RN, BSN, OCN June 11, 2021

What an unforgiving companion you are.
So nonchalant,
          so willing 
          to hollow out dreams.

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Embody Your Body

by Marloe Esch RN, BSN, OCN March 14, 2021

Cancer is not just life-changing; it can be body-altering as well.  We lose body parts to surgery and our hair with chemo.  We acquire scars, develop lymphedema, and experience weight fluctuations. 

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