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Sexual Function in Elderly Men Receiving Androgen Deprivation Therapy (ADT)
1Department of Urology, Herlev University Hospital, Herlev, Denmark.
Sexual Medicine Reviews
|January 1, 2014
Summary
Androgen deprivation therapy (ADT) significantly impacts sexual function in most men with prostate cancer. However, some patients retain sexual desire, and management should involve partners and respect individual needs.
Area of Science:
- Urology
- Oncology
- Sexual Medicine
Background:
- Androgen deprivation therapy (ADT) is a cornerstone treatment for prostate cancer.
- Sexual dysfunction is a common and significant side effect of ADT.
Approach:
- A comprehensive literature review was conducted.
- The review focused on the role of androgens in sexual function and ADT-induced sexual dysfunction.
Key Points:
- Most men on ADT experience decreased libido and erectile function.
- Approximately 20% of patients maintain some sexual desire and function.
- Partner involvement and addressing intimacy are crucial for management.
Conclusions:
- Sexual dysfunction is prevalent but not universal with ADT.
- Management strategies should be individualized, respecting patient and partner needs.
- Routine discussion and intervention regarding sexual health are essential for men undergoing ADT.
Keywords:
Androgen Deprivation TherapyErectile FunctionProstatic NeoplasmsQuality of LifeSexual FunctionSide EffectsMore Related Videos
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