Intimacy and Sexual Health for Cancer Survivors

Sexual dysfunction after cancer is associated with significant distress and quality of life deficits. Sexual problems are reported by patients of all ages and diagnoses, who are partnered and unpartnered, and irrespective of gender and sexual identity. Cultural and religious norms can play a role in patients’ experience of sexual changes, personal and interpersonal expectations, willingness to seek help, and the kinds of treatments and management strategies that are acceptable. Sexual health is also important to address for individuals from gender and sexual minority groups, who report sexual health needs after cancer but may differ in their experiences and preferences for support. Conversations about sexual function should occur with patients with advanced disease or at the end of life just as for patients diagnosed with early stage disease. Vulvovaginal dryness affecting women is defined as a lack of moisture and irritation of the vulva and vagina, occurring both during sexual activity and outside of sexual activity.