Sexual function and the older cancer patient.

Cancer and sexual activity are not mutually exclusive or incompatible. Cancer survival is increasing and greater efforts are turning toward enhancement of quality of life. In this regard, sexuality is as important an issue for the older cancer patient as it is for younger patients. It is also clear that there is a pressing need for sexual health information. In one study, 63% of individuals wanted more information on the impact of cancer on sexuality, and 54% wanted to discuss this topic with their physician. Unfortunately, this rarely occurs. A variety of sexual dysfunctions, including loss of libido, impotence, decreased arousability, and orgasmic difficulties, may occur in patients with cancer. This paper explores the effects on sexuality of cancer and normal aging, and reviews some of the therapeutic modalities available to enhance and improve sexual health.