Patient interest in the Lowdown on Down There: attendance at a vulvovaginal and sexual health workshop post-cancer treatment

Millman, Roanne; Jacox, Natalie; Sears, Carly; Robinson, John W.; Turner, Jill; Walker, Lauren M.

doi:10.1007/s00520-019-05162-9

Cited by 8 publications

(3 citation statements)

References 40 publications

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“…Although not all patients want sexual concerns discussed with them at their visit, assuming a low priority could lead clinicians to be less likely to raise the issue with their patients. Given that breast cancer patients’ sexual concerns tend to persist if not addressed [ 19 , 20 ], if this assumption leads to missed opportunities for discussion among patients experiencing sexual issues, it could be cause for concern. Therefore, to minimize long-term consequences of unaddressed sexual difficulties, clinicians should aim to prepare patients for sexual side effects, identify patients with sexual problems, and assist with planning or referrals [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

Investigating the impact of the COVID-19 pandemic on breast cancer clinicians’ communication about sexual health

Reese

El‐Jawahri

Sorice

et al. 2022

Support Care Cancer

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Purpose We assessed breast cancer clinicians’ perspectives on how the COVID-19 pandemic and increased use of telehealth affected their clinical communication about sexual heath. Methods Breast cancer clinicians participating in a sexual health communication intervention study ( N = 29; 76% female; 66% oncologists; 34% advanced practice clinicians) completed an online survey. Data analysis consisted of descriptive statistics and thematic analysis. Results All clinicians were using telehealth, with most (66%) using it for up to half of their clinic appointments. Although only 14% of clinicians reported having shorter clinic visits, 28% reported having less time to discuss sexual health; 69% reported no change; and 3% said they had more time. Forty-one percent reported sexual health was less of a priority; 55% reported no change; and 3% said it was more of a priority. Thirty-five percent reported telehealth was less conducive to discussing sexual health; 59% reported no change; and 7% reported more conducive. Qualitative analysis revealed key issues underlying the perceived impact of the pandemic on discussions of sexual health including heightened clinician discomfort discussing such issues via telehealth, the less personal nature and privacy issues in telehealth visits, increased concerns about risk of COVID-19 infection and other health concerns (e.g., missing recurrence, mental health) taking priority, and clinician-perceived patient factors (e.g., discomfort, decreased priority) in discussing sexual concerns. Conclusion Pandemic-related changes in breast cancer clinicians’ practice could be exacerbating challenges to discussing sexual health. Methods for integrating sexual health into cancer care are needed, regardless of the mode of delivery. Supplementary Information The online version contains supplementary material available at 10.1007/s00520-022-07003-8.

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Section: Discussionmentioning

confidence: 99%

Investigating the impact of the COVID-19 pandemic on breast cancer clinicians’ communication about sexual health

Reese

El‐Jawahri

Sorice

et al. 2022

Support Care Cancer

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show abstract

“…24,25 Recently, topics such as "cancer survivors" and "supporting care needs" have been increasingly published, and many researchers are studying these concepts, addressing dimensions such as "sexuality", "gynecologic cancer", and "health dysfunctions after cancer." [26][27][28][29][30] Various care strategies that can help survivor patients are mentioned in the scientific literature, such as the development of support groups with the purpose of providing an environment of cooperation, solidarity, and readaptation to the disease, multiprofessional care team support to minimize the difficulties associated with the disease, doctorpatient communication, and development of rehabilitation programs. [31][32][33][34] However, there are strategies that may present disadvantages such as the deficiency of clinical training by health professionals to perform an appropriate approach, because many patients have personal difficulties and taboos about sexuality.…”

Section: Introductionmentioning

confidence: 99%

“…Recognizing that post-treatment gynecologic cancer causes various negative impacts on the health of the female sexual organs, it becomes important to seek to understand the subjective phenomena about the experience of sexuality after treatment. 24 25 Recently, topics such as “cancer survivors” and “supporting care needs” have been increasingly published, and many researchers are studying these concepts, addressing dimensions such as “sexuality”, “gynecologic cancer”, and “health dysfunctions after cancer.” 26 27 28 29 30 …”

Section: Introductionmentioning

confidence: 99%

Management Strategies for Sexuality Complaints after Gynecologic Cancer: A Systematic Review

Pizetta

Reis

Méxas

et al. 2022

Rev Bras Ginecol Obstet

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Objective To explore the main sexuality complaints of gynecologic cancer survivors after treatment and to identify the care strategies provided. Data Source Searches were conducted in six electronic databases: Scopus, Web of Science, LILACS, MEDLINE, PsychINFO, and EMBASE. Study Selection Articles published between 2010 and 2020 were selected and the following descriptors were used in the English language: female genital neoplasms and gynaecological cancer. The methodological quality of the studies used the Mixed Methods Appraisal Tool (MMAT). Data Collection The primary data extracted were: names of the authors, year of publication, country of origin, objective and type of study, data collection instrument, sample size and age range, types of cancer, and symptoms affected with the strategies adopted. Data Summary A total of 34 out of 2,536 screened articles were included. The main strategies found for patient care were patient-clinician communication, practices for sexuality care, individualized care plan, multiprofessional team support, and development of rehabilitation programs. For sexuality care, the most common practices are pelvic physiotherapy sessions and the use of vaginal gels and moisturizers. Conclusion The main complaints identified in the scientific literature were low libido and lack of interest in sexual activity, vaginal dryness, pain during sexual intercourse, and stenosis. Different care strategies may be adopted, such as follow-up with a multidisciplinary health team and sexual health rehabilitation programs, which could minimize these symptoms and ensure the quality of life of patients.

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Perspectives of health care providers referring patients to a newly implemented sexual health program in a Canadian cancer center

Walker

Sears

Booker

et al. 2021

Support Care Cancer

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Patient interest in the Lowdown on Down There: attendance at a vulvovaginal and sexual health workshop post-cancer treatment

Cited by 8 publications

References 40 publications

Investigating the impact of the COVID-19 pandemic on breast cancer clinicians’ communication about sexual health

Investigating the impact of the COVID-19 pandemic on breast cancer clinicians’ communication about sexual health

Management Strategies for Sexuality Complaints after Gynecologic Cancer: A Systematic Review

Perspectives of health care providers referring patients to a newly implemented sexual health program in a Canadian cancer center

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