Conversation Continues: Addressing the Persistent Gap in Female Sexual Health for Cancer Survivors.

Area of Science:

• Oncology
• Sexual Health
• Survivorship Care

Background:

• Sexual dysfunction is a prevalent, under-recognized adverse effect of cancer treatment in female survivors.
• Poor integration of sexual health into survivorship care stems from provider, patient, and system-level barriers.
• Marginalized groups, including LGBTQ2SIA+ individuals, older women, and minorities, face compounded disparities in sexual health support.

Purpose of the Study:

• To highlight the challenges in integrating sexual health into cancer survivorship care.
• To identify barriers hindering effective sexual health support for female cancer survivors.
• To advocate for an equity-driven approach to address sexual health needs in oncology.

Main Methods:

• Literature review and synthesis of existing evidence on sexual dysfunction in cancer survivorship.
• Analysis of barriers at provider, patient, and system levels.
• Examination of disparities faced by marginalized populations.

Main Results:

• Significant barriers include limited provider training, time constraints, patient stigma, and fragmented care systems.
• Evidence-based interventions and guidelines are underutilized.
• Disparities in care are exacerbated for marginalized patient populations.

Conclusions:

• Addressing sexual health in cancer survivorship requires a comprehensive, equity-driven strategy.
• Key components include enhanced provider education, standardized screening, interdisciplinary collaboration, and inclusive communication.
• Integrating sexual health is crucial for improving patient outcomes and delivering holistic cancer care.