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关注乳腺癌幸存者的性健康:循证实践与临床考量

Addressing Sexual Health in Breast Cancer Survivors: Evidence-Based Practices and Clinical Considerations.

作者信息

Agrawal Laila S

机构信息

Norton Cancer Institute, 4955 Norton Healthcare Blvd, Louisville, KY, 40241, USA.

出版信息

Curr Treat Options Oncol. 2025 Apr 30. doi: 10.1007/s11864-025-01309-5.

DOI:10.1007/s11864-025-01309-5
PMID:40304976
Abstract

Sexual health concerns are extremely prevalent among breast cancer survivors. The treatments used to treat and cure breast cancer - surgical removal of part or the whole breast, chemotherapy, radiation, and endocrine therapy - can have devastating impact on sexual function. Unfortunately, most patients are not given adequate preparation for these impending effects and can be blindsided by the resulting loss of sexual desire, vaginal dryness and decreased lubrication, pain with sex, vaginal stenosis, loss of nipple and breast sensation, muted or loss of orgasms and the resulting impact on sexuality and intimate relationships. Education about female sexual health is still lacking in most training programs and few cancer centers offer sexual health programs for cancer survivors. Oncology professionals and others who provide care for patients with breast cancer have the opportunity address sexual health, a vital aspect of quality of life. A focus on training and education, development of sexual health programs, and focus on sexual health in research is vital.

摘要

性健康问题在乳腺癌幸存者中极为普遍。用于治疗和治愈乳腺癌的疗法——部分或整个乳房的手术切除、化疗、放疗和内分泌治疗——可能对性功能产生毁灭性影响。不幸的是,大多数患者并未为这些即将出现的影响做好充分准备,可能会因随之而来的性欲丧失、阴道干燥和润滑减少、性交疼痛、阴道狭窄、乳头和乳房感觉丧失、性高潮减弱或丧失以及对性行为和亲密关系的影响而措手不及。大多数培训项目中仍缺乏关于女性性健康的教育,很少有癌症中心为癌症幸存者提供性健康项目。肿瘤学专业人员和其他为乳腺癌患者提供护理的人员有机会关注性健康,这是生活质量的一个重要方面。注重培训和教育、开展性健康项目以及在研究中关注性健康至关重要。

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本文引用的文献

1
Investigating sexual health after breast cancer by longitudinal assessment of patient-reported outcomes.通过对患者报告结果的纵向评估来研究乳腺癌后的性健康。
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Feasibility and Acceptability of a Group-Based Mindfulness Intervention for Sexual Interest/Arousal Disorder Following Breast Cancer Treatment.基于小组的正念干预对乳腺癌治疗后性兴趣/唤起障碍的可行性和可接受性。
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Sexual Health after a Breast Cancer Diagnosis: Addressing a Forgotten Aspect of Survivorship.乳腺癌诊断后的性健康:关注幸存者被遗忘的一个方面。
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