Skip to main content
Top
Published in: Journal of Cancer Survivorship 4/2018

Open Access 01-08-2018

Sexual function in adolescent and young adult cancer survivors—a population-based study

Authors: Maria Olsson, Gunnar Steineck, Karin Enskär, Ulrica Wilderäng, Marianne Jarfelt

Published in: Journal of Cancer Survivorship | Issue 4/2018

Login to get access

Abstract

Purpose

Previous research has established that treatments for cancer can result in short- and long-term effects on sexual function in adult cancer patients. The purpose was to investigate patient-reported physical and psychosexual complications in adolescents and young adults after they have undergone treatment for cancer.

Methods

In this population-based study, a study-specific questionnaire was developed by a method used in several previous investigations carried out by our research group, Clinical Cancer Epidemiology. The questionnaire was developed in collaboration with adolescent and young adult cancer survivors (15–29 years) and validated by professionals from oncology units, midwives, epidemiologists, and statisticians. The topics covered in the questionnaire were psychosocial health, body image, sexuality, fertility, education, work, and leisure. The web-based questionnaire was sent to adolescent and young adult cancer survivors and matched controls in Sweden.

Results

In this study, adolescent and young adult cancer survivors (15–29 years) showed low satisfaction regarding sexual function compared to controls (P < 0.01). Female adolescent and young adult cancer survivors had a statistically significant lower frequency of orgasm during sexual activity than the controls (P < 0.01). Male adolescent and young adult cancer survivors had statistically significant lower sexual desire than the controls (P = 0.04).

Conclusions

We found that adolescent and young adult cancer survivors perceived themselves as being less satisfied with their sexual function than matched population-based controls.

Implications for Cancer Survivors

Adolescent and young adult cancer survivors need psychological rehabilitation support from the health care profession during and after cancer treatment to help them to reduce their reported poor sexual function to enhance a good sexual quality of life.
Literature
1.
4.
go back to reference Jensen PT, Groenvold M, Klee MC, Thranov I, Petersen MA, Machin D. Longitudinal study of sexual function and vaginal changes after radiotherapy for cervical cancer. Int J Radiat Oncol Biol Phys. 2003;56(4):937–49.CrossRefPubMed Jensen PT, Groenvold M, Klee MC, Thranov I, Petersen MA, Machin D. Longitudinal study of sexual function and vaginal changes after radiotherapy for cervical cancer. Int J Radiat Oncol Biol Phys. 2003;56(4):937–49.CrossRefPubMed
5.
go back to reference Stanford JL, Feng Z, Hamilton AS, Gilliland FD, Stephenson RA, Eley JW, et al. Urinary and sexual function after radical prostatectomy for clinically localized prostate cancer: the Prostate Cancer Outcomes Study. JAMA. 2000;283(3):354–60.CrossRefPubMed Stanford JL, Feng Z, Hamilton AS, Gilliland FD, Stephenson RA, Eley JW, et al. Urinary and sexual function after radical prostatectomy for clinically localized prostate cancer: the Prostate Cancer Outcomes Study. JAMA. 2000;283(3):354–60.CrossRefPubMed
19.
go back to reference Omerov P, Steineck G, Runeson B, Christensson A, Kreicbergs U, Pettersen R, et al. Preparatory studies to a population-based survey of suicide-bereaved parents in sweden. Crisis. 2013;34(3):200–10.CrossRefPubMed Omerov P, Steineck G, Runeson B, Christensson A, Kreicbergs U, Pettersen R, et al. Preparatory studies to a population-based survey of suicide-bereaved parents in sweden. Crisis. 2013;34(3):200–10.CrossRefPubMed
25.
go back to reference Dunberger G, Thulin H, Waldenstrom AC, Lind H, Henningsohn L, Avall-Lundqvist E, et al. Cancer survivors' perception of participation in a long-term follow-up study. J Med Ethics. 2013;39(1):41–5.CrossRefPubMed Dunberger G, Thulin H, Waldenstrom AC, Lind H, Henningsohn L, Avall-Lundqvist E, et al. Cancer survivors' perception of participation in a long-term follow-up study. J Med Ethics. 2013;39(1):41–5.CrossRefPubMed
26.
go back to reference Kreicbergs U, Valdimarsdottir U, Onelov E, Bjork O, Steineck G, Henter JI. Care-related distress: a nationwide study of parents who lost their child to cancer. J Clin Oncol. 2005;23(36):9162–71.CrossRefPubMed Kreicbergs U, Valdimarsdottir U, Onelov E, Bjork O, Steineck G, Henter JI. Care-related distress: a nationwide study of parents who lost their child to cancer. J Clin Oncol. 2005;23(36):9162–71.CrossRefPubMed
34.
go back to reference Park EM, Rosenstein DL. Depression in adolescents and young adults with cancer. Dialogues Clin Neurosci. 2015;17(2):171–80.PubMedPubMedCentral Park EM, Rosenstein DL. Depression in adolescents and young adults with cancer. Dialogues Clin Neurosci. 2015;17(2):171–80.PubMedPubMedCentral
38.
go back to reference Blackmore C. The impact of orchidectomy upon the sexuality of the man with testicular cancer. Cancer Nurs. 1988;11(1):33-40.CrossRefPubMed Blackmore C. The impact of orchidectomy upon the sexuality of the man with testicular cancer. Cancer Nurs. 1988;11(1):33-40.CrossRefPubMed
40.
go back to reference Helgason AR, Adolfsson J, Dickman P, Arver S, Fredrikson M, Gothberg M, et al. Sexual desire, erection, orgasm and ejaculatory functions and their importance to elderly Swedish men: a population-based study. Age Ageing. 1996;25(4):285–91.CrossRefPubMed Helgason AR, Adolfsson J, Dickman P, Arver S, Fredrikson M, Gothberg M, et al. Sexual desire, erection, orgasm and ejaculatory functions and their importance to elderly Swedish men: a population-based study. Age Ageing. 1996;25(4):285–91.CrossRefPubMed
Metadata
Title
Sexual function in adolescent and young adult cancer survivors—a population-based study
Authors
Maria Olsson
Gunnar Steineck
Karin Enskär
Ulrica Wilderäng
Marianne Jarfelt
Publication date
01-08-2018
Publisher
Springer US
Published in
Journal of Cancer Survivorship / Issue 4/2018
Print ISSN: 1932-2259
Electronic ISSN: 1932-2267
DOI
https://doi.org/10.1007/s11764-018-0684-x

Other articles of this Issue 4/2018

Journal of Cancer Survivorship 4/2018 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine