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Discussing Sexual Health in the Medical Oncologist's Practice: Exploring Current Practice and Challenges
E M Krouwel1,2, L F Albers3,4, M P J Nicolai1,2
1Department of Urology, J3P, Leiden University Medical Centre, PO Box 9600, 2300 WB, Leiden, The Netherlands.
Summary
Most oncologists acknowledge discussing sexual health is their duty but rarely do so, citing lack of time and training. Enhancing oncologists
Area of Science:
- Oncology
- Sexual Health
- Patient Quality of Life
Background:
- Sexual health is a critical aspect of quality of life for cancer patients.
- Lack of sexual health care can negatively impact cancer survivors.
- Oncologists' current practices and opinions on sexual counseling require investigation.
Purpose of the Study:
- To explore Dutch medical oncologists' knowledge, attitudes, and practices regarding treatment-related sexual dysfunction.
- To identify barriers preventing oncologists from discussing sexual function with patients.
- To assess oncologists' willingness to receive further training in sexual function counseling.
Main Methods:
- A questionnaire survey was distributed to 433 members of the Dutch Society of Medical Oncology.
- 120 medical oncologists responded, yielding a response rate of 30.6%.
- Data analysis focused on current practices, attitudes, and perceived barriers.
Main Results:
- 81.5% of oncologists discussed sexual function with less than half of their patients.
- 75.8% agreed that addressing sexual function is their responsibility.
- Barriers included lack of time (56.1%), training (49.5%), and patient's age (50.4%); 64.6% reported limited knowledge.
Conclusions:
- Medical oncologists recognize sexual function counseling as part of their role but do not routinely practice it.
- Counseling frequency is influenced by patient prognosis, age, and oncologist's self-reported knowledge.
- There is a clear need for targeted education and practical training for oncologists in sexual function counseling.