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Higher risk of sexual problems among young women cancer survivors

Young women cancer survivors are at much higher risk of sexual problems including loss of libido and discomfort, according to research published in the peer-reviewed journal Acta Oncologica. The findings are based on nearly 700 women diagnosed with breast and other cancers before the age of 40. They show women are equally sexually active as those without these diseases but a significantly higher proportion experience intimacy difficulties. Lack of interest in sex (45%) was the number one issue cancer patients reported, followed by problems around achieving orgasm (34%) and satisfaction with sex life (22%). Hormone replacement therapy (HRT), vaginal moisturizers and psychosexual counseling are among strategies they suggest, including for single women.More than half a million women in young adulthood are diagnosed with cancer every year globally. Hormone changes and body image issues are among biological and psychological factors which can undermine their participation in or enjoyment of intimacy.Yet the full extent of the link between cancer and sexual dysfunction is unknown. Some studies have suggested around half of young women report sexual issues in the first years after diagnosis. All were surveyed one-and-a-half years after diagnosis about their sex lives over the last month. Questions were based on eight topics relating to sexual activity such as satisfaction with sex life, interest in sexual activity, discomfort and pain when engaging in sexual activity, and ability to orgasm. In addition, patients were asked to give reasons for not having sex with a partner, and questioned about body image such as whether they found it hard to look at themselves naked. They also rated their own emotional distress. Vaginal dryness or pain, and feeling unattractive were the key factors linked to lack of sexual activity with a partner. This was among cancer patients and the authors highlight that these are all potentially related to cancer treatment. Limitations of the study include that the participants who did agree to take part may have been more sexually active and had fewer sex problems, or vice versa. It therefore could create results which over or underestimate the findings; but most people (72%) asked to complete the survey did so.
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