Cancer and sexual health: The continuum of care

Albers, L.F. (2021)

Doctoral Thesis

Since cancer survival rates are rising, there is growing attention for longterm side effects of cancer and its treatment. A common side effect is the negative impact of treatment on sexuality of patients and their partners. Patient and partners as well as healthcare professionals experience several barriers to discuss this topic, like lack of time and lack of knowlegde. Two-thirds of the cancer patients reported to be in need of information regarding sexual health; especially those who were younger, who reported a negative impact of cancer on sexuality and those who were diagnosed less than two years ago. Patients and partners reported to prefer to discuss sexual health with nurse practitioners throughout the treatment proces. Besides, satisfaction with sexual life after treatment is related to satisfaction before treatment, not only with current sexual function.
Widely available information and defining responsibility within the oncology treatment team would be helpful to improve communication around sexual health in cancer care. Additionally, specialized clinics would tackle soms frequently reported barriers of discussing sexuality. More reseach is needed on the implementation of sexual healthcare in oncology practice to deliver continuum of care, which will ultimately improve patient care.

• Sexual health
• Quality of life
• Cancer
• Adolescents and young adults
• Sexual satisfaction
• Prostate cancer
• Breast cancer

• All authors: Albers, L.F.
• Supervisor: Pelger, R.C.M.
• Co-supervisor: Elzevier, H.W.
• Committee: Putter, H.; Biermasz, N.R.; Incrocci, L.; Reisman, Y.
• Qualification: Doctor (dr.)
• Awarding Institution: Faculty of Medicine, Leiden University Medical Center (LUMC), Leiden University
• Date: 2021-04-07
• ISBN (print): 9789464212402
• Sponsorship: Coloplast BV, Chipsoft B.V., Kyowa Kirin Pharma BV