Interventions to improve sexual health in women living with and surviving cancer: review and recommendations

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Authors
Sopfe, Jenna
Pettigrew, Jessica
Afghahi, Anosheh
Appiah, Leslie C.
Coons, Helen L.
Issue Date
2021-06-24
Type
Article
Language
en_US
Keywords
Female Cancer , Survivorship , Sexual Health , Sexual Function , Body Image , Sexual Desire , Dyspareunia
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Abstract
Simple Summary: Sexual health, both physical and psychological, is a common concern and unmet need among women with and surviving cancer. To guide clinical care and future research to improve sexual function and satisfaction in women with cancer, we performed a narrative review of interventions for sexual health concerns including sexual function, body image, genitourinary symptoms, and hot flashes. Relevant investigations conducted in the US and abroad published between 2005 and 2020 were reviewed (n = 91). Recommendations for future research in this area are also offered. Abstract: Sexual health concerns, both physical and psychological, are common and represent an unmet need among women with and surviving cancer. Sexual challenges and conditions negatively impact body image, satisfaction, relationships, well-being, and quality of life, yet are widely reported to be under-recognized and undertreated. To guide clinical care and future research on sexual function in women with cancer, we performed a scoping review of interventions for sexual health concerns, including sexual function, body image, genitourinary symptoms, and hot flashes. Relevant publications between 2005 and 2020 were identified by searching PubMed with a combination of medical subject headings and keywords. Articles were included if they focused on the aforementioned topics, were primary research publications, and included female cancer survivors. Studies focusing on women receiving hormone therapy for breast cancer were also included. A total of 91 investigations conducted in the US and abroad were reviewed. Most commonly, interventions included a component of psychoeducation, although pharmacologic, exercise, and other approaches have been evaluated. Many studies have focused on survivors of breast or gynecologic cancer, among other sampling and methodological limitations. These limitations underscore the need for more work on this vital survivorship issue. Recommendations for future research in this area are also offered.
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Citation
Sopfe, J., Pettigrew, J., Afghahi, A., Appiah, L. C., & Coons, H. L. (2021). Interventions to Improve Sexual Health in Women Living with and Surviving Cancer: Review and Recommendations. Cancers, 13(13), 3153. https://doi.org/10.3390/cancers13133153
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Cancers
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