Clinical Research News
Libido is mentioned once in the introduction, but the rest of their review focuses narrowly on the penis and its rigidity. Many men experience decreased desire for sex, difficulty reaching orgasm, decreased pleasure at orgasm, and changes such as having dry orgasms or urine leakage at orgasm. Sexual bother also occurs with urinary or bowel incontinence or interference from ostomy appliances.
A variety of surveys find that patients with cancer want and expect their medical team to initiate discussions of sexual problems. Psychologists also participate in this hot potato toss.
Meanwhile, sexual problems rank highly among unmet needs in surveys of cancer survivors. Randomized trials of penile rehabilitation have also been inconclusive because of poor adherence to the prescribed treatments.
Outcomes are best when medical and psychosocial care are coordinated.
I advocate the following: use internet-based resources to provide education and self-help tools to men and their partners in the privacy of their home; at each visit, starting with treatment disposition, assess problems briefly and offer referrals for urologic care coordinated with sex therapy; teach men to communicate openly about sex with their partner; ensure that female partners get care for postmenopausal sexual dysfunction; encourage men to increase their expression of affection and tenderness to partners, even when ED is causing anxiety; and encourage men or couples to view sexual activity and even penile rehabilitation as a chance to explore variety and fantasy rather than as a performance needing to be done correctly.
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Acknowledgment The author is founder of a for-profit startup health company offering online help for cancer survivors with sexual problems, including an internet-based intervention for men and partners, supplemented by telehealth counseling. Although this commentary is based on research and clinical experience, recommendations may be in line with the services offered. Prostate cancer treatment with injections relationships are considered compensated. Relationships are self-held unless noted.
Relationships may not relate to the subject matter of this manuscript.
For more information about ASCO's conflict of interest policy, please refer to www. Leslie R. Understanding and managing erectile dysfunction in patients treated for cancer.
J Oncol Pract. Sexual dysfunction and infertility as late effects of cancer treatment.
Citations per year
EJC Suppl. A national study of adverse effects and global quality of life among candidates for curative treatment for prostate cancer. BJU Int. Long-term disease-specific functioning among prostate cancer survivors and noncancer controls in the prostate, lung, colorectal, and ovarian cancer screening trial.
What to expect when being treated for prostate cancer at SCCA Proton Therapy Center
J Clin Oncol. Needs assessment survey to justify establishing a reproductive health clinic at a comprehensive cancer center. J Sex Med. Utilization of pharmacotherapy for erectile dysfunction following treatment for prostate cancer.
Description Summary: Introduction. ADT is used in the management of locally advanced and metastatic disease. The detrimental effect of ADT on bone density is well documented. This study assesses care gaps in screening, prevention and treatment of osteoporosis among prostate cancer patients. We conducted a retrospective cohort study for patients diagnosed with non-metastatic prostate cancer on ADT.
A randomized trial of internet-based versus traditional sexual counseling for couples after localized prostate cancer treatment.