Challenges having conversations about sexuality in ambulatory settings: Part I--patient perspectives

A cancer diagnosis and treatment can have a significant impact on an individual's quality of life. In particular, body image and sexuality can be compromised. However, there is increasing evidence that conversations about these consequences are not happening often between cancer patients and their health care providers. This is especially the case in busy ambulatory settings.

This study was undertaken to explore the perspectives of cancer patients concerning the conversations that happen about sexuality following a cancer diagnosis in daily practice. There was a desire to understand more about the barriers that exist with regards to having this type of conversation.

Thirty-two cancer patients participated in interviews that explored their experiences with having conversations about sexuality. Transcripts of the interviews were subjected to a standard qualitative content and theme analysis.

Patients described many changes in their bodies following cancer treatment that had the potential to impact on sexuality, but actual concerns or problems about sexuality were highly individualized. Few had had conversations about sexuality with their health care providers. Most thought it was the responsibility of the cancer care team to "open the door" to the topic area.

The results support the idea that few conversations are taking place between cancer patients and their providers about sexuality. Innovative approaches are required to better meet patient needs.