Sexual health among adolescent and young adult cancer survivors: A scoping review from the Children's Oncology Group Adolescent and Young Adult Oncology Discipline Committee

Cherven, Brooke; Sampson, Amani; Bober, Sharon L.; Bingen, Kristin; Frederick, Natasha N.; Freyer, David R.; Quinn, Gwendolyn P.

doi:10.3322/caac.21655

Cited by 59 publications

(61 citation statements)

References 58 publications

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“…Cancer treatment and its side effects can cause various sexual problems, including decreased sexual interest and activity, arousal problems, diminished feelings of attractiveness, pain, vaginal dryness, or erectile dysfunction, all contributing to impaired sexual functioning [1][2][3][4][5][6][7]. Yet, attention to sexual health in clinical practice during and following cancer treatment is limited.…”

Section: Introductionmentioning

confidence: 99%

“…In clinical practice and interview studies, young adults with cancer expressed feelings of suddenly being faced with "old-people's problems" (e.g., menopausal symptoms or erectile problems), which they feel they cannot discuss with same-aged peers [29]. Patients and survivors can also have other age-specific difficulties that may negatively affect their sex lives, such as dealing with a young beauty ideal in the light of an impaired body image, fertility problems, caring for young children in the home, more aggressive treatment regimens that diminish energy levels, social disruptions in experimenting with their sexuality, disclosure of cancer, and (online) dating new partners during and following cancer treatment [2,[30][31][32][33][34][35][36].…”

Section: Introductionmentioning

confidence: 99%

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Sexual health-related care needs among young adult cancer patients and survivors: a systematic literature review

Lehmann

Laan²,

Oudsten

2021

J Cancer Surviv

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Purpose Young adult cancer patients and survivors have age-specific care needs, but care needs related to sexual health are poorly understood. A systematic literature review was conducted to examine sexual health-related care needs among patients/survivors diagnosed with cancer during young adulthood (age: 18–39 years). The prevalence and types needs were assessed along with associated patient factors. Methods Four major databases were screened to identify relevant studies, which were also assessed for risk of bias; all following PRISMA guidelines. Results Identified studies (N = 35) often assessed sexual health-related care needs by whether participants experienced a generic need for support from providers. The prevalence of such needs ranged between 8 and 61.7% and was higher in female survivors and those with more health impairments. The type of diagnosis could also play a role in these varying prevalence rates, but was not systematically tested in included studies. Types of sexual health-related care needs were clustered into practical/emotional support needs (e.g., coping with physical side effects), information needs (e.g., more details), and communication needs (e.g., providers should initiate conversations, validate concerns, be empathetic/open). Needs should be addressed in-person and/or online. Conclusions The extent of needs related to sexual health varies among young adult patients and survivors, but types of needs center around improving provision of support and information by providers. Implications for Cancer Survivors Sexual health should routinely be addressed alongside other potential effects of cancer treatment to allow for constructive conversations between patients and providers. Referrals to (online) resources or specialists should be tailored to individual preferences.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Sexual health-related care needs among young adult cancer patients and survivors: a systematic literature review

Lehmann

Laan²,

Oudsten

2021

J Cancer Surviv

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“…The evidence concerning sexual dysfunction among childhood cancer survivors is hampered by methodological limitations regarding sampling and measures [6,15,21]. Large-scale, methodologically rigorous studies using representative samples and validated measures are, thus, needed to gain better knowledge about the extent of sexual problems in survivors and how these are associated with sociodemographic, psychological and clinical factors.…”

Section: Introductionmentioning

confidence: 99%

Sexual dysfunction in young adult survivors of childhood cancer – A population-based study

Hovén

Fagerkvist

Jahnukainen

et al. 2021

European Journal of Cancer

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To determine the prevalence of sexual dysfunction and to identify the factors associated with sexual dysfunction in young adult childhood cancer survivors. Methods: All survivors of childhood cancer (aged 19e40 years) in Sweden were invited to this population-based study, and 2546 men and women (59%) participated. Sexual function was examined with the PROMIS Sexual Function and Satisfaction Measure. Logistic regression was used to assess the differences between survivors and a general population sample (n Z 819) and to identify the factors associated with sexual dysfunction in survivors. Results: Sexual dysfunction in at least one domain was reported by 57% of female and 35% of male survivors. Among females, dysfunction was most common for Sexual interest (36%), Orgasm e ability (32%) and Vulvar discomfort e labial (19%). Among males, dysfunction was most common for the domains satisfaction with sex life (20%), Sexual interest (14%) and Erectile function (9%). Compared with the general population, male survivors more frequently reported sexual dysfunction in 2 domains (OR Z 1.67, 95% CI: 1.03e2.71), with an increased likelihood of dysfunction regarding Orgasm e ability (OR Z 1.82; 95% CI: 1.01 e3.28) and Erectile function (OR Z 2.30; 95% CI: 1.18e4.49). Female survivors reported

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“…As previously mentioned, concerns about sexual health and fertility are common among AYA cancer survivors [21]. The World Health Organization defines sexual health as encompassing sexual orientation and gender identity, expression, sexual and romantic relationships, sexual function, sexually transmitted infections, and sexual violence [22]. Historically, there has been more focus given to the biomedical aspects of these issues.…”

Section: Narrative Review 21 Sexual Health and Fertility Concernsmentioning

confidence: 99%

Psychosexual Care of Adolescent and Young Adult (AYA) Cancer Survivors

et al. 2021

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Adolescent and young adult (AYA) survivors of cancer have diverse psychosocial and medical needs, including those related to fertility and sexual health. Much of the focus of care around issues such as fertility and sexual health tends to be filtered through a biomedical lens. However, it is essential that health care providers assess and support AYA survivors using a biopsychosocial and contextual framework to ensure the most comprehensive and accurate understanding of AYA survivor needs, especially those related to psychosexual health. A trusting relationship between the multi-disciplinary medical team and the AYA survivor that allows for open discussion about the physical and psychosocial components of sexual health is key to providing best care and outcomes.

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Sexual health among adolescent and young adult cancer survivors: A scoping review from the Children's Oncology Group Adolescent and Young Adult Oncology Discipline Committee

Cited by 59 publications

References 58 publications

Sexual health-related care needs among young adult cancer patients and survivors: a systematic literature review

Sexual health-related care needs among young adult cancer patients and survivors: a systematic literature review

Sexual dysfunction in young adult survivors of childhood cancer – A population-based study

Psychosexual Care of Adolescent and Young Adult (AYA) Cancer Survivors

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