*Welcome to the OutUK series looking at gay men and their health brought to you in association with the NHS* website.**
	Each week we'll tackle a different topic in our A to Z of Gay Health. We'll have features and advice on everything from relationships, sexual health, mental and physical conditions and how to stay fit. You can follow any of links provided below for more information direct from the NHS website, or see this week's feature L: Laxatives.

Treatment

Main treatments for anal cancer

Anal cancer is often treatable when found early.

The treatment you have for anal cancer will depend on:

the size of the cancer
where it is
if it has spread
your general health

The main treatment for anal cancer is a combination of radiotherapy and chemotherapy, called chemoradiation (or chemoradiotherapy).

Other treatments include chemotherapy or radiotherapy on their own, and surgery.

The specialist care team looking after you will:

explain the treatments, benefits and side effects
work with you to create a treatment plan that is best for you
help you manage any side effects, including any changes to your diet

You'll have regular check-ups during and after any treatments. You may also have tests and scans.

If you have any symptoms or side effects that you are worried about, talk to your specialists. You do not need to wait for your next check-up.

Chemotherapy and radiotherapy

To treat anal cancer, chemotherapy and radiotherapy are often used together. This is called chemoradiation or chemoradiotherapy.

Radiotherapy uses high-energy radiation to kill cancer cells.

Chemotherapy is medicine taken to kill cancer cells.

Chemoradiation is usually given if anal cancer has not spread. It means most people with anal cancer do not need to have surgery.

Find out more

Macmillan Cancer Support: chemoradiation for anal cancer

Surgery

Surgery is sometimes used to treat anal cancer.

You may have surgery if:

the cancer is small and has not spread
chemoradiation does not get rid of all the cancer, or it comes back
you are not able to have radiotherapy, for example if you've had radiotherapy in the pelvic area before

Surgery for anal cancer usually involves removing just the part of the anus that's affected.

If the cancer has spread or come back, you may need surgery to remove all of the anus, the rectum (which joins the anus to the bowel) and part of the bowel.

This means you'll need to have a pouch (stoma bag) fitted to the outside of your body to collect poo. This is called a colostomy.

If you need a colostomy, you'll be looked after by a specialist stoma nurse. They'll be able to offer you support.

Find out more

Care after your treatment

The clinical nurse specialist, or another member of your specialist team, will be able to give you information on follow-up care after treatment.

It may also help to get support from family, friends or a support organisation, if you get anxious before or between appointments.

Macmillan Cancer Support has a free helpline that's open every day from 8am to 8pm.

They're there to listen if you have anything you want to talk about.

Call: 0808 808 00 00

You can also read more about living with anal cancer on the Cancer Research UK website.

OutUK's A to Z of Gay Health continues and you can read this week's feature L: Laxatives. We have covered many subjects in this series and you can catch up with all of our Previous A to Z Features. If you want to find out more about this particular topic you can visit the Original article on the NHS website. If you are worried by any aspect of your health make sure you go and see your doctor or book an appointment at your local clinic.
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