Approach to sexual dysfunction in women with cancer

Area of Science:

• Oncology
• Sexual Medicine
• Gynecology

Background:

• Sexual dysfunction is a prevalent and often overlooked side effect of cancer treatments in women.
• There is a critical need for healthcare providers, particularly gynecologic oncologists, to routinely assess sexual health in female cancer patients.

Purpose of the Study:

• To propose a practical, three-step approach for managing sexual dysfunction in female cancer patients.
• To emphasize the importance of knowledge acquisition, accurate diagnosis, and effective sexual counseling.

Main Methods:

• The review outlines a systematic approach encompassing knowledge enhancement, comprehensive diagnostic evaluation (history and physical examination), and targeted sexual counseling.
• It highlights the role of oncologists in initial counseling and the necessity of referrals for specialized psychological or sexological interventions when required.

Main Results:

• Implementing simple tools and specific training can enhance oncologists' ability to manage sexual dysfunctions.
• Sexual counseling is identified as a crucial intervention, sometimes sufficient on its own, to help patients manage symptoms.

Conclusions:

• A structured approach integrating knowledge, diagnosis, and counseling is essential for addressing sexual dysfunction in female cancer survivors.
• A multidisciplinary team approach is recommended as the optimal strategy for comprehensive care of these complex issues.