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Sexual Consequences of Chemotherapy

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Cancer, Intimacy and Sexuality

Abstract

The diagnosis of any type of tumor always involves hurt and grief at the loss of everlasting health – a fact that we all take for granted. A tumor is an intimation of mortality. Therefore, a common consequence of a cancer diagnosis is a negative impact on psychological well-being and consequently on sexual health. Frequently, consequences can be observed in the form of depressive symptoms, anxiety, agitation, anger, misbelief about the cancer’s origin, and stress related to personal relationships, as well as various sexual disturbances. In particular, sexual problems are frequent in those with a diagnosis of a urogenital cancer. In addition, the side effects of cancer treatment have an important bearing on male and female sexuality. Among these treatments, chemotherapy takes a central role in worsening the psychological equilibrium and overall well-being. The most frequent symptoms related to chemotherapy are nausea, vomiting, diarrhoea, constipation, mucositis, weight changes, and an altered sense of taste and smell. Hence, the patient is conscious of taking a drug, which, on the one hand, is crucial to overcoming the illness, and, on the other hand, it destroys the integrity of body and mind. In this context, a common consequence of chemotherapy is loss of sexual desire, since sexuality is symbolic of life, while cancer calls to mind a death experience.

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References

  1. Wilmoth MC, Coleman EA, Smith SC, et al. Fatigue, weight gain, and altered sexuality in patients with breast cancer: exploration of a symptom cluster. Oncol Nurs Forum. 2004;31:1069–75.

    Article  PubMed  Google Scholar 

  2. Massie M, Popkin, MK. Depressive disorders. In: Holland JC, Breitbart W, Jacobsen PB, et al. editors. Psychooncology. In: Press NOU (ed) Oxford University Press, Oxford; 1998.

    Google Scholar 

  3. Ganz PA, Kwan L, Stanton AL, et al. Quality of life at the end of primary treatment of breast cancer: first results from the moving beyond cancer randomized trial. J Natl Cancer Inst. 2004;96:376–87.

    Article  PubMed  Google Scholar 

  4. Greimel E, Bottomley A, Cull A, et al. An international field study of the reliability and validity of a disease-specific questionnaire module (the QLQ-OV28) in assessing the quality of life of patients with ovarian cancer. Eur J Cancer. 2003;39:1402–8.

    Article  CAS  PubMed  Google Scholar 

  5. Given C, Given B, Rahbar M, et al. Effect of behavioral intervention on reducing symptom severity during chemotherapy. J Clin Oncol. 2004;22:507–16.

    Article  PubMed  Google Scholar 

  6. Jannini E, Lenzi A, Wagner G. Behavioural therapy and counselling. In: Schill WB, Comhaire FH, Hargreave TB, editors. Andrology for the clinician. Springer; Verlag Berlin Heidelberg, Germany 2006. p. 598–607.

    Google Scholar 

  7. Plotti F, Sansone M, Di Donato V, et al. Quality of life and sexual function after type C2/type III radical hysterectomy for locally advanced cervical cancer: a prospective study. J Sex Med. 2011;8:894–904.

    Article  PubMed  Google Scholar 

  8. Ganz PA, Greendale GA, Petersen L, et al. Breast cancer in younger women: reproductive and late health effects of treatment. J Clin Oncol. 2003;21:4184–93.

    Article  PubMed  Google Scholar 

  9. Kissane D, White K, Cooper K, et al. Psychosocial impact in the areas of body image and sexuality for women with breast cancer. In: Centre NBC, editors, The National Breast Cancer Centre, Camperdown NSW, 2004. p. 1–55.

    Google Scholar 

  10. Nappi R, Albani F, Strada MR, et al. Impact of chemotherapy and hormone therapy on female sexual health. In: Mulhall J, Incrocci L, Goldstein I, et al. editors. Cancer and sexual health. Humana Press, New York, 2011. p. 525–35.

    Google Scholar 

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Correspondence to Emmanuele A. Jannini MD .

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© 2017 Springer International Publishing Switzerland

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Limoncin, E., Mollaioli, D., Ciocca, G., Gravina, G.L., Jannini, E.A. (2017). Sexual Consequences of Chemotherapy. In: Reisman, Y., Gianotten, W. (eds) Cancer, Intimacy and Sexuality. Springer, Cham. https://doi.org/10.1007/978-3-319-43193-2_11

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  • DOI: https://doi.org/10.1007/978-3-319-43193-2_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43191-8

  • Online ISBN: 978-3-319-43193-2

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