What are ASCO treatment guidelines for pain with sexual activity in women cancer survivors?

Updated: Feb 28, 2018
  • Author: Winston W Tan, MD, FACP; more...
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ASCO recommends that women on aromatase inhibitors who are experiencing arthralgia that interferes with intimacy be offered pain relievers. [21]

For women using pads for leakage and/or discharge, clinicians may suggest the use of skin protectants/sealants applied to the external folds of the vulva. [21]

Vaginal dilators may be of benefit in the management of vaginismus and/or vaginal stenosis; this can be offered to any patients having pain with examinations and/or sexual activity but is particularly important for women treated with pelvic (or vaginal) radiation therapy. Benefit is greatest when started early.  Dilators should not be recommended on the basis of sexual activity or sexual orientation but, rather, to all women at risk for vaginal changes to be proactive in their sexual and vulvovaginal health. [21]

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