Scandinavian Prostate Cancer Patients’ Sexual Problems and Satisfaction With Their Sex Life Following Anti-Cancer Treatment

Introduction: Active prostate cancer treatment is often associated with significant adverse physiological and psychological effects including significant sexual problems. Most studied among these sexual problems is erectile dysfunction while related sexual bothers such as overall sexual function and...

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Main Authors: Gert Martin Hald, PhD, Mie Dahl Pind, Msc, Michael Borre, PhD, Theis Lange, PhD
Format: Article
Language:English
Published: Oxford University Press 2018-09-01
Series:Sexual Medicine
Online Access:http://www.sciencedirect.com/science/article/pii/S2050116118300564
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author Gert Martin Hald, PhD
Mie Dahl Pind, Msc
Michael Borre, PhD
Theis Lange, PhD
author_facet Gert Martin Hald, PhD
Mie Dahl Pind, Msc
Michael Borre, PhD
Theis Lange, PhD
author_sort Gert Martin Hald, PhD
collection DOAJ
description Introduction: Active prostate cancer treatment is often associated with significant adverse physiological and psychological effects including significant sexual problems. Most studied among these sexual problems is erectile dysfunction while related sexual bothers such as overall sexual function and satisfaction with one’s sex life are much less studied. Aim: To investigate problems related to erectile functioning, orgasmic ability, sexual function, and satisfaction with one’s sex life among a cohort of Scandinavian prostate cancer patients age 40 years and older who were sexually active prior to their diagnosis of prostatic cancer. Methods: The survey study used a cross-sectional design and a mixed recruitment procedure. Patients were recruited through the prostate cancer patient advocate organizations in Denmark, Norway, and Sweden (Scandinavia). The final sample included 1,707 prostate cancer patients. For analyses, participants were stratified into 4 groups according to their total treatment burden. Outcomes: Outcomes included subjective reporting of erectile functioning, orgasm, and sexual functioning, and satisfaction with one's sex life. Results: The study found that the prevalence of erectile dysfunction and problems related to orgasm and overall sexual function ranged from 72–92% across prostatic cancer treatment groups. Conversely, this range was 61–69% among the respondents who had not undergone prostatic cancer treatment. Across treatment groups, a minority of patients (<15%) reported being satisfied with their sex lives. After socio-demographic variables were controlled for, patients who did not receive prostatic cancer treatment were 3.75 times more likely than those in the reference group to not report sexual function problems. Conclusion: Among older prostate cancer patients, who at their time of diagnose were sexually active, sexual satisfaction is low and prevalence rates of sexual problems is high, thus underlining the strong clinical need to address sexual problems and satisfaction among this cohort of patients in order to promote sexual health and well-being following active cancer treatments.Martin Hald G, Dahl Pind M, Borre M, et al. Scandinavian Prostate Cancer Patients’ Sexual Problems and Satisfaction With Their Sex Life Following Anti-Cancer Treatment. Sex Med 2018;6:210–216. Key Words: Prostate Cancer, Erectile Dysfunction, Orgasmic Problems, Sexual Functioning, Sexual Satisfaction
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spelling doaj.art-4457c747483045f791f2243b10364d3b2023-08-02T02:45:14ZengOxford University PressSexual Medicine2050-11612018-09-0163210216Scandinavian Prostate Cancer Patients’ Sexual Problems and Satisfaction With Their Sex Life Following Anti-Cancer TreatmentGert Martin Hald, PhD0Mie Dahl Pind, Msc1Michael Borre, PhD2Theis Lange, PhD3Department of Public Health, University of Copenhagen, Denmark; Corresponding Author: Gert Martin Hald, PhD, Department of Public Health, University of Copenhagen, Øster Farimagsgade 5A, Building 5.1.01, Copenhagen K. 1153, Denmark. Tel: 4528731317Department of Public Health, University of Copenhagen, DenmarkDepartment of Urology, Aarhus University Hospital, Aarhus, DenmarkDepartment of Public Health, University of Copenhagen, DenmarkIntroduction: Active prostate cancer treatment is often associated with significant adverse physiological and psychological effects including significant sexual problems. Most studied among these sexual problems is erectile dysfunction while related sexual bothers such as overall sexual function and satisfaction with one’s sex life are much less studied. Aim: To investigate problems related to erectile functioning, orgasmic ability, sexual function, and satisfaction with one’s sex life among a cohort of Scandinavian prostate cancer patients age 40 years and older who were sexually active prior to their diagnosis of prostatic cancer. Methods: The survey study used a cross-sectional design and a mixed recruitment procedure. Patients were recruited through the prostate cancer patient advocate organizations in Denmark, Norway, and Sweden (Scandinavia). The final sample included 1,707 prostate cancer patients. For analyses, participants were stratified into 4 groups according to their total treatment burden. Outcomes: Outcomes included subjective reporting of erectile functioning, orgasm, and sexual functioning, and satisfaction with one's sex life. Results: The study found that the prevalence of erectile dysfunction and problems related to orgasm and overall sexual function ranged from 72–92% across prostatic cancer treatment groups. Conversely, this range was 61–69% among the respondents who had not undergone prostatic cancer treatment. Across treatment groups, a minority of patients (<15%) reported being satisfied with their sex lives. After socio-demographic variables were controlled for, patients who did not receive prostatic cancer treatment were 3.75 times more likely than those in the reference group to not report sexual function problems. Conclusion: Among older prostate cancer patients, who at their time of diagnose were sexually active, sexual satisfaction is low and prevalence rates of sexual problems is high, thus underlining the strong clinical need to address sexual problems and satisfaction among this cohort of patients in order to promote sexual health and well-being following active cancer treatments.Martin Hald G, Dahl Pind M, Borre M, et al. Scandinavian Prostate Cancer Patients’ Sexual Problems and Satisfaction With Their Sex Life Following Anti-Cancer Treatment. Sex Med 2018;6:210–216. Key Words: Prostate Cancer, Erectile Dysfunction, Orgasmic Problems, Sexual Functioning, Sexual Satisfactionhttp://www.sciencedirect.com/science/article/pii/S2050116118300564
spellingShingle Gert Martin Hald, PhD
Mie Dahl Pind, Msc
Michael Borre, PhD
Theis Lange, PhD
Scandinavian Prostate Cancer Patients’ Sexual Problems and Satisfaction With Their Sex Life Following Anti-Cancer Treatment
Sexual Medicine
title Scandinavian Prostate Cancer Patients’ Sexual Problems and Satisfaction With Their Sex Life Following Anti-Cancer Treatment
title_full Scandinavian Prostate Cancer Patients’ Sexual Problems and Satisfaction With Their Sex Life Following Anti-Cancer Treatment
title_fullStr Scandinavian Prostate Cancer Patients’ Sexual Problems and Satisfaction With Their Sex Life Following Anti-Cancer Treatment
title_full_unstemmed Scandinavian Prostate Cancer Patients’ Sexual Problems and Satisfaction With Their Sex Life Following Anti-Cancer Treatment
title_short Scandinavian Prostate Cancer Patients’ Sexual Problems and Satisfaction With Their Sex Life Following Anti-Cancer Treatment
title_sort scandinavian prostate cancer patients sexual problems and satisfaction with their sex life following anti cancer treatment
url http://www.sciencedirect.com/science/article/pii/S2050116118300564
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