Maintaining Sexual Health throughout Gynecologic Cancer Survivorship: A Comprehensive Review and Clinical Guide
Identifieur interne : 003317 ( Pmc/Curation ); précédent : 003316; suivant : 003318Maintaining Sexual Health throughout Gynecologic Cancer Survivorship: A Comprehensive Review and Clinical Guide
Auteurs : Laura B. Huffman ; Ellen M. Hartenbach ; Jeanne Carter [États-Unis] ; Joanne K. Rash ; David M. KushnerSource :
- Gynecologic oncology [ 0090-8258 ] ; 2015.
Abstract
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.
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.
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.
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.
Url:
DOI: 10.1016/j.ygyno.2015.11.010
PubMed: 26556768
PubMed Central: 4835814
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Laura B. Huffman<affiliation><nlm:aff id="A1">Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, The University of Wisconsin School of Medicine and Public Health, Madison WI</nlm:aff>
<wicri:noCountry code="subfield">Madison WI</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="A1">Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, The University of Wisconsin School of Medicine and Public Health, Madison WI</nlm:aff>
<wicri:noCountry code="subfield">Madison WI</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="A1">Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, The University of Wisconsin School of Medicine and Public Health, Madison WI</nlm:aff>
<wicri:noCountry code="subfield">Madison WI</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="A1">Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, The University of Wisconsin School of Medicine and Public Health, Madison WI</nlm:aff>
<wicri:noCountry code="subfield">Madison WI</wicri:noCountry>
</affiliation>
Le document en format XML
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title>
<p id="P1">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.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">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.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">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.</p>
</sec>
<sec id="S4"><title>Conclusion</title>
<p id="P4">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.</p>
</sec>
</div>
</front>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">0365304</journal-id>
<journal-id journal-id-type="pubmed-jr-id">3932</journal-id>
<journal-id journal-id-type="nlm-ta">Gynecol Oncol</journal-id>
<journal-id journal-id-type="iso-abbrev">Gynecol. Oncol.</journal-id>
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<article-id pub-id-type="doi">10.1016/j.ygyno.2015.11.010</article-id>
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<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>Maintaining Sexual Health throughout Gynecologic Cancer Survivorship: A Comprehensive Review and Clinical Guide</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Huffman</surname>
<given-names>Laura B.</given-names>
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<xref ref-type="aff" rid="A1">a</xref>
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<contrib contrib-type="author"><name><surname>Hartenbach</surname>
<given-names>Ellen M.</given-names>
</name>
<xref ref-type="aff" rid="A1">a</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carter</surname>
<given-names>Jeanne</given-names>
</name>
<xref ref-type="aff" rid="A2">b</xref>
<xref ref-type="aff" rid="A3">c</xref>
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<contrib contrib-type="author"><name><surname>Rash</surname>
<given-names>Joanne K.</given-names>
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<xref ref-type="aff" rid="A1">a</xref>
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<contrib contrib-type="author"><name><surname>Kushner</surname>
<given-names>David M.</given-names>
</name>
<xref ref-type="aff" rid="A1">a</xref>
</contrib>
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<aff id="A1"><label>a</label>
Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, The University of Wisconsin School of Medicine and Public Health, Madison WI</aff>
<aff id="A2"><label>b</label>
Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, NY</aff>
<aff id="A3"><label>c</label>
Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY</aff>
<author-notes><corresp id="CR1"><bold>Corresponding Author:</bold>
David M. Kushner, Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, The University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue Rm H4/664, Madison, WI 53792, Phone 608-262-2262, Fax 608-265-6572, <email>DMKushner@wisc.edu</email>
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<pub-date pub-type="nihms-submitted"><day>9</day>
<month>4</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub"><day>07</day>
<month>11</month>
<year>2015</year>
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<pub-date pub-type="ppub"><month>2</month>
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<pub-date pub-type="pmc-release"><day>01</day>
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<lpage>368</lpage>
<pmc-comment>elocation-id from pubmed: 10.1016/j.ygyno.2015.11.010</pmc-comment>
<abstract><sec id="S1"><title>Objective</title>
<p id="P1">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.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">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.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">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.</p>
</sec>
<sec id="S4"><title>Conclusion</title>
<p id="P4">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.</p>
</sec>
</abstract>
</article-meta>
</front>
</pmc>
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