Voznesensky Maria, Annam Kiran, Kreder Karl J
University of Iowa, Iowa City, IA.
University of Iowa, Iowa City, IA
J Oncol Pract. 2016 Apr;12(4):297-304. doi: 10.1200/JOP.2016.010678.
Cancer can cause sexual adverse effects by direct and indirect pathways. It can involve sexual organs, indirectly affect body image, or cause fatigue or depression with subsequent effects on libido. Erectile dysfunction (ED), the inability to obtain or maintain an erection firm enough for sexual intercourse, can also result from adverse effects of cancer treatment, such as fatigue, pain, or anxiety about therapy. In addition, depressed feelings about having cancer can affect sexuality, causing a range of signs and symptoms that can lead to ED. Chemotherapy, hormone therapy, surgery, and radiation can all cause sexual adverse effects. Additional factors that play a role include patient age and degree of ED before starting cancer treatment. In this article, we discuss how chemotherapy, hormone therapy, surgery, and radiation affect erectile function as well as possible treatment options for ED.
癌症可通过直接和间接途径导致性方面的不良反应。它可能累及性器官，间接影响身体形象，或引发疲劳或抑郁，进而对性欲产生后续影响。勃起功能障碍（ED），即无法获得或维持足够坚挺的勃起以进行性交，也可能由癌症治疗的不良反应引起，如疲劳、疼痛或对治疗的焦虑。此外，对患癌的抑郁情绪会影响性功能，导致一系列可能引发勃起功能障碍的体征和症状。化疗、激素治疗、手术和放疗都可能导致性方面的不良反应。其他起作用的因素包括患者年龄以及开始癌症治疗前的勃起功能障碍程度。在本文中，我们将讨论化疗、激素治疗、手术和放疗如何影响勃起功能以及勃起功能障碍的可能治疗方案。
