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2015 ; 3
(3
): 198-212
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The Clinician s Toolbox: Assessing the Sexual Impacts of Cancer on Adolescents
and Young Adults with Cancer (AYAC)
#MMPMID26468383
Aubin S
; Perez S
Sex Med
2015[Sep]; 3
(3
): 198-212
PMID26468383
show ga
INTRODUCTION: Adolescents and young adults aged 15-39 years who have been
diagnosed with cancer (AYAC) have unique medical and psychosocial needs.
Following their cancer treatments, AYAC must learn to manage the sometimes
irreversible general side effects of cancer treatments including side effects
that impact their sexuality. These side effects include but are not limited to:
infertility, altered body/physical appearance, and sexual dysfunction. Such
effects may hinder AYAC efforts to date and experiment sexually, limiting sexual
maturation and confidence, as well as the formation or maintenance of meaningful
couple and sexual relationships. It is clear that we need to tailor our clinical
approaches to ensure that we assess the unique needs and concerns faced by AYAC.
AIMS: Based on consistent study findings substantiating the distinctive needs of
AYAC, the main objective of this article is to present the core clinical
components involved in assessing sexuality among AYAC. METHODS: The clinical
recommendations are based on the authors and experts' clinical experiences
coupled with a thorough examination of the literature related to AYAC sexuality.
MAIN OUTCOME MEASURES: This article first describes the three components
(clinical interview, review of chart notes, and self-report questionnaires) of a
sexuality assessment and the seven core domains that highlight target areas of
focus. RESULTS: A detailed outline of each of the core domains of assessment
(socio-demographics; medical history; fertility and sexually transmitted
infection; sexual functioning; sexual coping style; body and self-image; and
sexual history and dating/couple experience) is presented. A "toolbox" table
containing useful resources for clinicians (e.g., questionnaires and red flags)
and direct resources for AYAC patients are included. CONCLUSION: Cancer can have
a significant impact on numerous domains of AYAC sexuality. The assessment of and
attention to the impact of sexuality on AYAC is crucial in order to provide
effective and comprehensive quality patient cancer care.