Psychosocial Issues, Sexuality, and Cancer

It is well-documented in the literature that psychosocial factors play a significant role in the development and progress of, adaptation to, and survival from cancer. Cancer and its treatment often lead to psychiatric co-morbidity, precipitate spiritual crisis, compel lifestyle changes, and disrupt family and social relationships. One area most affected by cancer is quality of life, including sexual functioning. Cancer treatment may increase risk of infertility, difficulty with intimacy and sexuality, employment discrimination, increased general distress, and fear of recurrence. In addition to describing the psychosocial impact of cancer and its treatment, and discussing how psychosocial factors affect sexuality and sexual functioning, this paper concludes with options available to manage the sexual problems and related psychosocial issues in order to restore optimal sexual functioning.