Evolution of sexual health of patients with head and neck cancer before, during, and 1 year after treatment.

PURPOSE

The impact of cancer and its treatments on sexuality is often overlooked, particularly in head and neck cancer. This study aimed to investigate the medium-term effects of head and neck cancer on sexual health and its correlation with overall quality of life.

METHODS

A cohort of 44 patients with head and neck cancer was prospectively followed from diagnosis to 1 year post-treatment. Sexual interest and enjoyment were assessed using the EORTC QLQ30 and HN35 questionnaires, alongside quality of life evaluations, conducted six to eight times over a year.

RESULTS

Sexual interest and enjoyment were compromised at diagnosis, further diminished during treatments, showed partial recovery post-treatment, and subsequently declined again. A significant association between sexual well-being and overall quality of life impairments was noted. Questions regarding sexuality constituted a substantial proportion of unanswered queries, indicating patient discomfort.

CONCLUSION

This study contributes to understanding the medium-term repercussions of head and neck cancer on the sexual health and highlights the need for enhanced support strategies. Addressing sexual health needs in head and neck cancer survivors requires a multifaceted approach, including improved patient-provider communication and integration into comprehensive cancer care plans.