Screening for sexual health concerns in survivors of gynecological cancer

Roberts, Karen; Chong, T.; Hollands, Emma; Tan, Jason; Mohan, Ganendra Raj; Cohen, Paul A.

doi:10.1007/s00520-019-04872-4

Cited by 23 publications

(30 citation statements)

References 35 publications

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“…No significant difference in referral was found. Moreover, more than half of the patients failed to attend sexual counselling following referral by their specialist [ 48 ]. The effectiveness of a nursing record focused on sexual healthcare was tested among oncology nurses in a randomized control trial [ 49 ].…”

Section: Discussionmentioning

confidence: 99%

Can the provision of sexual healthcare for oncology patients be improved? A literature review of educational interventions for healthcare professionals

et al. 2020

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Purpose Sexual health is an important quality-of-life concern for cancer patients and survivors, but a difficult discussion topic for patients and healthcare professionals. The most important barriers causing healthcare professionals to avoid the topic are lack of education and lack of knowledge. How effective education about sexual health is for oncology healthcare professionals is not clear. The aim of this review is to examine the effectiveness of interventions in improving the provision of sexual healthcare for cancer patients. Methods A systematic literature review was conducted according to PRISMA guidelines using the following data sources: PubMed, PsychInfo, Embase and Emcare. Quantitative research was included which contained pre-intervention and post-intervention outcomes. The assessment of the studies was conducted independently by two reviewers. A third reviewer was involved if there was no consensus. Results Seven studies were included. In total, 572 oncology healthcare professionals participated, including physicians, nurses and allied healthcare professionals. Interventions consisted of 6 face-to-face sessions and one online program. Primary objectives of the studies were the assessment of improvement in knowledge about sexual health, improvement of practice, frequency of discussing sexual health and comfort level and the decline of perceived barriers to discussing sexual health. Studies showed that interventions resulted in improved realization of the objectives. Conclusions Although improvement in the knowledge of healthcare professionals was achieved, it was not possible to give an overall recommendation for the development of interventions due to the limited number of studies and heterogeneity of the data. Implications for Cancer Survivors Sexual health is an important area of survivorship that is often neglected. Many oncology healthcare professionals lack training and knowledge to provide such care. More evidence-based practices are needed to improve sexual healthcare for cancer survivors.

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Section: Discussionmentioning

confidence: 99%

Can the provision of sexual healthcare for oncology patients be improved? A literature review of educational interventions for healthcare professionals

et al. 2020

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“…Sexual health in cervical cancer survivors has also been a concern in recent years and one study found that more than half of cervical cancer survivors had sexual health concerns [26]. As women with the health concerns uncovered in the quoted studies may benefit from psychologist/psychiatrist treatment, a higher referral rate of cervical cancer patients may be beneficial.…”

Section: Discussionmentioning

confidence: 99%

Cervical cancer survivors and health care use: A Danish population-based register study

Skorstengaard

Frederiksen

Baillet

et al. 2021

Gynecologic Oncology

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Use of general practitioners, hospitals, and prescription drugs increased significantly after a cervical cancer diagnosis • Use of psychologists/psychiatrists was unaffected by a cervical cancer diagnosis • In five years after diagnosis, cervical cancer patients used on average analgesic/psychotropic drugs every 2-3 day • Optimizing balance for cervical cancer patients between prescription drug use and psychologist support might be considered

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“…Наиболее частым нарушением сексуальной функции у больных раком эндометрия, тела матки и яичников является снижение либидо. Пациентки с раком вульвы, которые получали лучевую терапию, имели более выраженную сухость во влагалище и были менее сексуально активны [40]. Кроме того, выявлена статистически значимая положительная корреляция между паховой лимфаденэктомией и сексуальной дисфункцией у больных раком вульвы [41].…”

Section: симптомы ятрогенной менопаузыunclassified

Managing menopausal symptoms in patients with hormone receptor-positive gynecologic cancers

et al. 2020

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Young women with reproductive tract neoplasms who receive treatment leading to termination of ovarian function often suffer from menopause symptoms that contribute to dramatic drop in quality of life. Climacteric symptoms in women with iatrogenic menopause are more severe than in case of natural menopause, especially in women with reproductive tract neoplasms. They lead to dramatic drop in quality of life and are one of the main reasons to stop applying endocrine therapy in women with hormone-positive tumors, which leads to decrease in disease free survival and to decline the prognosis. The most effective treatment option for climacteric symptoms of moderate to severe degrees is menopause hormone therapy; however, such therapy is not suitable for patients with estrogen-dependent tumors in past medical history due to the likelihood risk of progression of cancer, as well as the risk of venous thrombosis, the frequency of which in cancer patients increases. Non-hormonal pharmacological and non-pharmacological correction methods are used as first-line therapy for menopause disorders in women with estrogen-dependent tumors of the reproductive system. Among non-hormonal non-pharmacological correction methods actively study such methods as acupuncture, yoga, exercise to control weight, and a diet rich in phytoestrogens. The most effective non-hormonal methods of correcting vasomotor symptoms are serotonin and norepinephrine reuptake inhibitors. However, currently in Russia these drugs can be prescribed only by a psychiatrist. The finding of effective and safe non-hormonal methods to correct menopause symptoms in women with hormone-positive reproductive tract tumors is the important task in practice among doctors in different specialties.

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Screening for sexual health concerns in survivors of gynecological cancer

Cited by 23 publications

References 35 publications

Can the provision of sexual healthcare for oncology patients be improved? A literature review of educational interventions for healthcare professionals

Can the provision of sexual healthcare for oncology patients be improved? A literature review of educational interventions for healthcare professionals

Cervical cancer survivors and health care use: A Danish population-based register study

Managing menopausal symptoms in patients with hormone receptor-positive gynecologic cancers

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