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Lymphedema, a swelling of the arm following surgical removal of the lymph nodes, can last indefinitely, making intercourse awkward.The Sloan-Kettering program advises couples about alternative sexual positions that can make women with lymphedema more comfortable.

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Many of the 250,000 women under age 40 who are living with the disease in the U. are just becoming comfortable with their bodies and in serious relationships when they are first diagnosed.

The New York-based coalition was founded by three young survivors in 1998, when they realized that most services to improve the quality of life for breast cancer patients are tailored to the needs of women over 50.

Since then, "survivorship medicine" has become a hot topic for doctors and scientists who recognize that for many patients, cancer is a chronic illness rather than a death sentence.

Those in the field are working to improve the quality of life for all cancer patients, with a special focus on the unique difficulties young women face.

"Under the best of circumstances we have things about our bodies we like and things we don't like.




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