Abstract
Cancer today is more of a chronic than a fatal disease: the improving survival rates increase the likelihood of long survival after the diagnosis. Unfortunately, cancer treatment is the most frequent cause of premature iatrogenic menopause and psychosexual dysfunction. Therefore, an increasing number of cancer survivors have to cope with both the consequences of cancer treatment per se, the complex physical and psychological changes secondary to a premature iatrogenic menopause, and the burden of sexual dysfunctions, more difficult to accept in the youngest patients. Female sexual identity may be variably affected by a cancer diagnosis and treatment depending on the age at diagnosis (and the age at the time of any recurrences). Age is the first biological factor that may modify the outcome of cancer diagnosis and treatment, when sexuality is considered as an independent variable in the quality of life (QOL) evaluation. The impact of cancer is increasingly worse in younger patients, especially if radical surgery, adjuvant systemic chemotherapy, and/or local radiotherapy further reduce the biological chances of a fulfilling sexual and procreative life.
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Graziottin, A., Serafini, A. (2011). Medical Treatments for Sexual Problems in Women. In: Mulhall, J., Incrocci, L., Goldstein, I., Rosen, R. (eds) Cancer and Sexual Health. Current Clinical Urology. Humana Press. https://doi.org/10.1007/978-1-60761-916-1_40
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