What the NCCN guidelines on screening for sexual disfunction in cancer survivorship?

Updated: Feb 28, 2018
  • Author: Winston W Tan, MD, FACP; more...
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Answer

Answer

The NCCN guideline recommends including the following pair of questions on sexual function as part of a 29-question survivorship care survey [13] :

  • Do you have any concerns regarding your sexual function, sexual activity, sexual relationships, or sex life?
  • Are these concerns causing you distress? 

In patients who have concerns and wish to discuss them, the NCCN recommends considering a sexual screening tool and taking the following steps:

  • History and physical examination
  • Review oncologic history (ie, diagnosis/stage, surgeries, systemic treatment, local radiation therapy, endocrine therapy)
  • Explore treatment-related impact on sexual function
  • Assess for signs or symptoms of estrogen or androgen deprivation or refer to the appropriate specialist
  • Review medical history for conditions associated with sexual dysfunction (eg, depression, diabetes, hypertension)
  • Assess total morning testosterone in males as indicated
  • Review the medication list for drugs that can impact sexual function (eg, SSRIs, beta blockers)

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