Cancer & Sex: Everything oncology professionals should discuss with their patients but maybe were afraid to start

Disturbances in sexual function and in intimacy are common consequences of cancer and its treatment. For a variety of populations and of cancer and treatment types, estimates of such disturbances range from 20% to 100% and involve both physical and psycho-social causes.

Sexual problems caused by common cancer treatments can lead to regret, depression, relationship problems, etc., and, thus, to a considerable reduction in quality of life. It is therefore necessary to address the negative consequences of treatment on sexuality and to support patients in dealing with it. 

Sexuality often is a taboo topic for both patients and healthcare professionals (HCPs). Intimacy and sexual difficulties are typically glossed over by cancer patients - as the vast majority of them and their partners do not feel at ease to bring up such a sensitive topic. Yet, after a consultation, they might regret missing the opportunity to talk about their sexual difficulties and concerns. Hence, HCPs should always introduce the topic and offer advice and support - as they are regarded as experts in the eyes of the patient and patients may expect them to initiate the discussion.