AI Article Synopsis
- Gynecologic cancer diagnoses and treatments often lead to sexual health issues and reduced quality of life for survivors.
- Research indicates that sexual dysfunction is common among these survivors, yet many feel uncomfortable discussing these problems with their doctors; effective non-hormonal treatments include lubricants, pelvic floor therapy, and cognitive behavioral therapy.
- Oncology providers play a crucial role in improving survivors' quality of life by proactively addressing sexual health concerns, implementing simple strategies, and making referrals to specialists when needed.
Article Abstract
Objective: The diagnosis and treatment of gynecologic cancer can cause short- and long-term negative effects on sexual health and quality of life (QoL). The aim of this article is to present a comprehensive overview of the sexual health concerns of gynecologic cancer survivors and discuss evidence-based treatment options for commonly encountered sexual health issues.
Methods: A comprehensive literature search of English language studies on sexual health in gynecologic cancer survivors and the treatment of sexual dysfunction was conducted in MEDLINE databases. Relevant data are presented in this review. Additionally, personal and institutional practices are incorporated where relevant.
Results: Sexual dysfunction is prevalent among gynecologic cancer survivors as a result of surgery, radiation, and chemotherapy-negatively impacting QoL. Many patients expect their healthcare providers to address sexual health concerns, but most have never discussed sex-related issues with their physician. Lubricants, moisturizers, and dilators are effective, simple, non-hormonal interventions that can alleviate the morbidity of vaginal atrophy, stenosis, and pain. Pelvic floor physical therapy can be an additional tool to address dyspareunia. Cognitive behavioral therapy has been shown to be beneficial to patients reporting problems with sexual interest, arousal, and orgasm.
Conclusion: Oncology providers can make a significant impact on the QoL of gynecologic cancer survivors by addressing sexual health concerns. Simple strategies can be implemented into clinical practice to discuss and treat many sexual issues. Referral to specialized sexual health providers may be needed to address more complex problems.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4835814 | PMC |
| http://dx.doi.org/10.1016/j.ygyno.2015.11.010 | DOI Listing |
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