9NCT HEIDELBERG Nicotine and alcohol should be avoided Avoid very hot food or sharp edged food items Thorough but gentle intimate hygiene is important Use a mild cleansing agent with a neutral pH value maybe a camomile solution and a soft flannel If possible avoid using tampons Use cotton underwear and avoid the use of vaginal deodorants Varying degrees of inflammation ranging from redness and swelling to even bleeding may occur Inflam mation of the mucous membrane is painful and can be very uncomfortable especially when eating Please watch any changes in your mucous membranes and keep us informed so that we can suggest suitable mea sures to relieve the symptoms Beside changes in the mucous membranes other physical as well as psychological changes may affect your sexuality Don t hesitate to address this in a private conversation with your physician or with the psycho oncological team Skin and nails One of the most common side effects of cytostatic drugs is a diverse change of various areas of skin and the nails Your skin will generally be extremely sensitive to UV light during tumor treatment and must therefore be protected Direct exposure to the sun should be avoided A darkening of the skin hyper pigmentation may also occur There is no preventive treatment for this but it usually disappears once the treatment has been completed A further frequent complaint is dry skin and itching A wide range of relieving and soothing products are available our physicians and nurses will advise and inform you We recommend Use moisturizing and lightly oily skin care products Wash and shower with lukewarm rather than hot water and avoid intense rubbing of your skin Sensitive skin should be dabbed dry rather than rubbed with a towel Avoid skin contact with strong or caustic cleaning agents as well as cosmetics containing alcohol such as perfumes and aftershave Direct sun exposure of your skin should be avoided regardless of the season Always use a strong sunscreen product with at least factor 50 Cytostatic drugs can damage the cells in the perionychium nail bed which may result in changes in growth and color of the nails The nail beds may become inflamed and your nails may become brittle In rare cases nails might even become detached completely They will grow back at the latest once the treatment is completed Nails should generally be protected from mechanical damage and UV radiation We recommend Take good care of your nails clean them daily and use a caring hand cream Following a lukewarm hand or foot bath cut your nails short and straight

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