Sexual dysfunction after treatment for testicular cancer

Nazareth, Irwin; Lewin, Jona; King, Michael

doi:10.1016/s0022-3999(01)00282-3

Cited by 72 publications

(52 citation statements)

References 26 publications

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“…Cancer has been hypothesized to influence emotional and physical intimacy, sexuality and fertility, and thereby marriage rates [28,30,[45][46][47]. Men may for instance experience erectile and ejaculatory dysfunction related to damage to the autonomic nervous system [47], and although hormonal impairment is less common, some men with cancer may experience a general decrease in libido [47].…”

Section: An Evaluation Of Possible Mechanisms In Light Of Resultsmentioning

confidence: 99%

“…Men may for instance experience erectile and ejaculatory dysfunction related to damage to the autonomic nervous system [47], and although hormonal impairment is less common, some men with cancer may experience a general decrease in libido [47]. Among women, direct effects of radiation fibrosis or surgical scar tissue may cause pain with sexual activity [45].…”

Section: An Evaluation Of Possible Mechanisms In Light Of Resultsmentioning

confidence: 99%

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Does cancer affect marriage rates?

Syse

2008

J Cancer Surviv

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Introduction Finding a life partner is of great importance for persons' life satisfaction, but cancer's potential impact on family life is not well described. Cancer's impact on marriage formation rates was therefore explored. Method Data on the entire unmarried Norwegian population aged 17-44 in 1974-2001 (N=2.2 million) come from the Cancer Registry and the Central Population Register. Marriage rates for 12,100 persons diagnosed with cancer were compared to marriage rates for otherwise similar persons using discrete-time hazard regression models. Results Men with cancer had a marriage probability that was five percent higher (OR 1.05, CI 1.01-1.11) than cancer-free men. No cancer forms reduced men's marriage rates, and significantly elevated rates were seen after skin and testicular cancer (OR 1.16 and 1.11). Cancer did not impact significantly on women's overall marriage rate (OR 0.95, CI 0.90-1.00), but pronounced deficiencies were seen after brain and breast cancer (OR 0.62 and 0.74). Skin cancer elevated women's marriage rate (OR 1.27). Male cancer survivors with children were more likely to marry than their female counterparts. Significant increases in cancer survivors' marriage rates were observed over time. Conclusion Marrying after cancer is more common today than previously, and only slight overall differences were observed in cancer survivors' marriage rates relative to those of the cancer-free population. However, while brain and breast cancer in women is associated with reduced marriage rates, testicular cancer is associated with increased rates. The differences observed between common cancer forms in young adults deserve further exploration. Implications for cancer survivors In general, marriage rates in survivors of most types of cancer are very similar to those in the population as a whole. Women with brain and breast cancer have lower marriage rates than their cancerfree counterparts. While it is necessary to identify exactly why this was observed, the information can alert those with these cancers to the potential impact on marriage and thus work to reduce the possible effect, if desired.

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Section: An Evaluation Of Possible Mechanisms In Light Of Resultsmentioning

confidence: 99%

Section: An Evaluation Of Possible Mechanisms In Light Of Resultsmentioning

confidence: 99%

Does cancer affect marriage rates?

Syse

2008

J Cancer Surviv

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“…For example, it has been reported than men with urogential or colorectal cancer may experience erectile and ejaculatory dysfunction related to damage to the autonomic nervous system or a reduced circulation of blood to the penis (Nazareth, Lewin, and King 2001). Hormonal impairment of sexual function is less common, but some men with cancer in the aforementioned organs, as well as cancer in the brain, leukaemia and lymphoma, experience a general decrease in libido (Nazareth, Lewin, and King 2001). Among women, sudden premature ovarian failure and direct effects of radiation fibrosis or surgical scar tissue may cause pain with sexual activity (Bergmark et al 1999).…”

Section: Intimacy and Sexualitymentioning

confidence: 99%

“…a stoma, limb amputation or removal of a breast may affect sexuality both for men and women, and fatigue and chronic weakness may decrease libido (Schover 2005). Another issue is that a person's gender identity and 'sense of self' may be disturbed because of cancer in reproductive organs, with implications for the sexual desires (Fobair et al 2006, Nazareth, Lewin, andKing 2001). Some have argued that this is particularly true for men (Monga et al 2004, Joly et al 2002.…”

Section: Intimacy and Sexualitymentioning

confidence: 99%

Does cancer affect the divorce rate?

Syse¹,

Kravdal²

2007

DemRes

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Discrete-time hazard regression models were employed to register and census data on 1.4 million Norwegian married couples from 1974-2001 to explore the probability of divorce following cancer illness. Divorce rates for around 215 000 persons diagnosed with cancer were compared to divorce rates for persons for whom all the other observed variables were the same. No overall harmful influence of a cancer diagnosis was observed. Most cancer forms resulted in small, immediate declines in divorce rates the first years following diagnosis. Exceptions were significant increases in the divorce rates for persons diagnosed with cervical and testicular cancer.

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“…Male cancer patients may experience erectile and ejaculatory dysfunction related to damage to the autonomic nervous system [32], and some men may also experience a general decrease in libido [32]. If side-effects such as these were to be of significance, reduced marriage rates could be expected after testicular, prostate, and perhaps colorectal cancer.…”

Section: Discussionmentioning

confidence: 99%

Marriage after cancer in older adulthood

Syse

Bergva

2009

J Cancer Surviv

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Introduction Cancer's impact on family formation in older adulthood is not well described. Marriage rates among older adults were therefore explored. Method Data on the unmarried Norwegian population aged 45-80 in 1974-2001 (N=306 000) was retrieved from the Cancer Registry, the Central Population Register, and population censuses. Marriage rates for 27600 persons diagnosed with cancer were compared to those of the general population by means of discrete-time hazard regression models. Results Men with cancer had a similar marriage rate as cancer-free men, whereas women experienced a 25% marriage deficit after cancer. This deficit was most pronounced after ovarian (OR 0.48) and breast (OR 0.69) cancer. Marriage rates decreased with time from diagnosis. No cancer forms elevated marriage rates. Conclusion Marriage rates among older male cancer survivors are similar to those of the general population. Ovarian and breast cancer in older women was associated with pronounced marriage deficits. A possible explanation is that these gender-specific cancers relate to aspects of persons' psychological well-being, body image, and sense of femininity. Long-term adverse treatment effects are also common for the cancers in question. To explore explanations further, more details on treatment and illness progression are needed. Implications for cancer survivors Increased awareness of how ovarian and breast cancer may affect (prospects of) interpersonal relationships is valuable for cancer survivors and clinicians, and may facilitate communication of relevant, related issues during consultations. Our findings may suggest a need for more extensive psychosocial follow-up after these gender-specific cancer forms in older women, but further research is clearly warranted.

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Sexual dysfunction after treatment for testicular cancer

Cited by 72 publications

References 26 publications

Does cancer affect marriage rates?

Does cancer affect marriage rates?

Does cancer affect the divorce rate?

Marriage after cancer in older adulthood

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