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Sexuality after hematopoietic stem cell transplantation: A mixed methods study.

Reanne Booker1, Lauren Walker2, Shelley Raffin Bouchal3

  • 1Department of Psychosocial Resources, Tom Baker Cancer Centre, 1331 29 Street NW, Calgary, Alberta, T2N 4N2, Canada.

European Journal of Oncology Nursing : the Official Journal of European Oncology Nursing Society
|March 10, 2019
PubMed
Summary

Patients undergoing hematopoietic stem cell transplantation (HSCT) experience significant sexual health challenges, including body image and relationship concerns, impacting their quality of life long-term.

Keywords:
Hematopoietic stem cell transplantationMixed methods researchQuality of lifeSexual health

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Area of Science:

  • Oncology
  • Hematology
  • Psychosexual Medicine

Background:

  • Hematopoietic stem cell transplantation (HSCT) is a life-saving procedure with profound long-term effects.
  • Survivors often face complex physical and psychosocial challenges, including impacts on sexual health.
  • Understanding these experiences is crucial for comprehensive patient care.

Purpose of the Study:

  • To investigate the sexual experiences of patients post-hematopoietic stem cell transplantation (HSCT).
  • To explore patient-provider communication regarding sexual health concerns.
  • To identify key areas for intervention and support.

Main Methods:

  • A mixed-methods approach combining qualitative semi-structured interviews and quantitative FACT-BMT questionnaires.
  • Inclusion of 11 participants (8 male, 3 female) to gather diverse perspectives.
  • Utilized quantitative data to supplement and contextualize qualitative findings.

Main Results:

  • Emergent themes included altered sexual function (desire, arousal), changes in self-perception (body image, identity), relationship dynamics, and fear of contagion.
  • Quantitative data indicated low sexual life satisfaction despite continued sexual interest.
  • Most participants expressed dissatisfaction with body image, with fertility concerns being less prevalent.

Conclusions:

  • HSCT recipients, both male and female, report persistent physical and psychosocial sexual health concerns, even years after transplantation.
  • Healthcare providers should proactively assess and address sexual health throughout the HSCT trajectory and survivorship.
  • Patient education and tailored support are essential for improving sexual well-being in HSCT survivors.