Interventions to Improve Sexual Health in Women Living with and Surviving Cancer: Review and Recommendations
Abstract
:Simple Summary
Abstract
1. Introduction
2. Materials and Methods
3. Results
3.1. General Sexual Concerns after Cancer
3.1.1. Psychoeducational and Psychotherapeutic Interventions
In-Person, Group Psychoeducational Interventions
In-Person, Individually Delivered Psychoeducational Interventions
Technology-Based Psychoeducational Interventions
Evaluation of Literature for Psychoeducational and Psychotherapeutic Interventions for General Sexual Function Concerns
3.1.2. Multimodal Sexual Medicine Clinics to Improve Sexual Health in Women with Cancer
3.1.3. Exercise Programs to Improve Sexual Health in Women with Cancer
3.1.4. Hormone Replacement in Women with Cancer with Low Sexual Desire
3.1.5. Complementary and Alternative Medicine Practices to Improve Sexual Health in Women with Cancer
3.1.6. Summary: General Sexual Function Interventions
3.2. Body Image Concerns
3.2.1. Psychoeducational and Psychotherapeutic Programs
3.2.2. Social and Expressive Programming to Improve Body Image
3.2.3. Exercise Programs
3.2.4. Cosmetic Interventions to Improve Body Image Related to Skin Concerns
3.2.5. Summary: Interventions to Address Body Image Concerns
3.3. Genitourinary Syndrome Impacting Sexual Health in Women with and Surviving Cancer
3.3.1. Non-Hormonal Topical Agents for Genitourinary Syndrome
3.3.2. Hormonal Topical Agents for Genitourinary Syndrome
3.3.3. Fractional CO2 Laser Therapy for Genitourinary Syndrome
3.3.4. Educational Programs for Genitourinary Syndrome in Women with Cancer
3.3.5. Summary: Interventions to Address GSM
3.4. Pelvic Floor Dysfunction in Women after Cancer
Pelvic Floor Rehabilitation and Dilator Use for Female Cancer Survivors
3.5. Vasomotor Symptoms of Menopause in Women with and Surviving Cancer
3.5.1. Pharmaceutical Agents for Vasomotor Symptoms of Menopause
3.5.2. Psychoeducational and Psychotherapeutic Programs to Address Vasomotor Symptoms of Menopause after Cancer
3.5.3. Educational Programs to Address Vasomotor Symptoms of Menopause after Cancer
3.5.4. Exercise Programs to Address Vasomotor Symptoms of Menopause after Cancer
3.5.5. Complementary and Alternative Medicine Practices to Address Vasomotor Symptoms of Menopause after Cancer
3.5.6. Summary: Interventions to Address Vasomotor Symptoms of Menopause
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Patient Populations | Intervention Type | Reference Number(s) |
---|---|---|
General sexual function concerns | ||
All adult cancers | Multimodal clinic | [22,23,24] |
Complementary/alternative medicine | [25] | |
Psychoeducation (technology-based) | [26] | |
Testosterone replacement | [27] | |
AYA patients | Psychoeducation (In-person, individual) | [28] |
Breast cancer | Exercise | [29,30,31,32] |
Psychoeducation/biomedical program (In-person, group) | [33] | |
Psychoeducation (In-person, group) | [34,35,36,37,38] | |
Psychoeducation (In-person, individual) | [39,40] | |
Psychoeducation (technology-based) | [41,42,43,44,45,46,47,48] | |
Cervical cancer | Psychoeducation/biomedical program (In-person, group) | [49] |
Colorectal cancer | Psychoeducation (technology-based) | [50] |
Endometrial cancer | Exercise | [51] |
Gynecologic cancers (all) | Multimodal clinic | [52] |
Psychoeducation (In-person, individual) | [40,50,53,54] | |
Psychoeducation (technology-based) | [48] | |
HSCT recipients | Multimodal clinic | [55] |
Ovarian cancer | Psychoeducation/biomedical program (In-person, group) | [56,57] |
Psychoeducation (In-person, group) | [58] | |
Rectal and anal cancer | Psychoeducation (In-person, individual) | [59] |
Body image concerns | ||
AYA patients | Psychoeducation (In-person, individual) | [28] |
Psychoeducation (technology-based) | [60] | |
Social/expressive programming | [61,62,63] | |
Breast cancer | Cosmetic programming | [64] |
Exercise | [29,32,65] | |
Psychoeducation/biomedical program (In-person, group) | [33] | |
Psychoeducation (In-person, group) | [37,66,67] | |
Psychoeducation (In-person, individual) | [40] | |
Psychoeducation (technology-based) | [47,68] | |
Gynecologic cancers (all) | Psychoeducation (In-person, individual) | [40] |
Psychoeducation (technology-based) | [68] | |
Head/neck cancers | Cosmetic programming | [69] |
Psychoeducation (technology-based) | [70] |
Patient Populations | Intervention Type | Reference Number(s) |
---|---|---|
Genitourinary syndrome | ||
All adult cancers | Non-hormonal topical agent | [23] |
Breast cancer | Education | [76] |
Er:YAG laser therapy | [77] | |
Fractional CO2 laser therapy | [75,78,79,80,81,82,83] | |
Hormonal topical agents | [84,85,86] | |
Non-hormonal topical agent | [87,88,89,90,91,92,93] | |
Cervical cancer | Hormonal topical agents | [94] |
Endometrial cancer | Non-hormonal topical agent | [93,95] |
Gynecologic cancers (all) | Fractional CO2 laser therapy | [79] |
Hormonal topical agents | [86] | |
Pelvic floor dysfunction | ||
Breast cancer | Pelvic floor rehabilitation | [90] |
Colorectal cancer | Dilator therapy | [96] |
Gynecologic cancers (all) | Dilator therapy | [96] |
Pelvic floor rehabilitation | [97,98] | |
Vasomotor symptoms of menopause | ||
Breast cancer | Complementary/alternative medicine | [99,100,101,102] |
Education | [76] | |
Exercise | [103,104] | |
Pharmacologic agents | [105,106,107] | |
Psychoeducation (In-person, group) | [108] | |
Psychoeducation (In-person, individual) | [109] | |
Psychoeducation (technology-based) | [110,111,112,113,114,115] | |
Gynecologic cancers (all) | Pharmacologic agents | [116] |
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Sopfe, J.; Pettigrew, J.; Afghahi, A.; Appiah, L.C.; Coons, H.L. Interventions to Improve Sexual Health in Women Living with and Surviving Cancer: Review and Recommendations. Cancers 2021, 13, 3153. https://doi.org/10.3390/cancers13133153
Sopfe J, Pettigrew J, Afghahi A, Appiah LC, Coons HL. Interventions to Improve Sexual Health in Women Living with and Surviving Cancer: Review and Recommendations. Cancers. 2021; 13(13):3153. https://doi.org/10.3390/cancers13133153
Chicago/Turabian StyleSopfe, Jenna, Jessica Pettigrew, Anosheh Afghahi, Leslie C. Appiah, and Helen L. Coons. 2021. "Interventions to Improve Sexual Health in Women Living with and Surviving Cancer: Review and Recommendations" Cancers 13, no. 13: 3153. https://doi.org/10.3390/cancers13133153