What are the ASCO guidelines on sexual function in women cancer survivors?

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

Answer

ASCO recommendations include the following [21] :

  • In addition to psychosocial counseling (individual, couple, or group), women  with cancer who have problems with overall sexual functioning may also benefit from physical exercise or pelvic floor physiotherapy.
  • For women with vasomotor symptoms, hormone therapy is the most effective intervention. Clinical hypnosis should also be offered. Systemic hormone therapy is contraindicated in women with hormone-sensitive breast cancer. For women unwilling or unable to use hormonal therapy, alternatives include paroxetine, venlafaxine, gabapentin, or clonidine. Paroxetine and fluoxetine should not be offered to women with breast cancer taking tamoxifen.

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