Sexual Health, Fertility, and Relationships in Cancer Care最新文献

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Sexual Health, Fertility, and Relationships in Cancer Care Pub Date : 2020-03-01 DOI: 10.1093/med/9780190934033.003.0004

C. Benedict, Zeba N. Ahmad, V. Lehmann, J. Ford

{"title":"Adolescents and Young Adults","authors":"C. Benedict, Zeba N. Ahmad, V. Lehmann, J. Ford","doi":"10.1093/med/9780190934033.003.0004","DOIUrl":"https://doi.org/10.1093/med/9780190934033.003.0004","url":null,"abstract":"Adolescents and young adults (AYA) represent a unique patient population with a number of age-specific care needs that should be understood and attended to as a part of comprehensive cancer care. The effects of cancer and its treatment on sexual functioning and fertility are common and ranked as among the most distressing survivorship issues faced by this age group. Difficulties associated with sexuality, body image, and intimacy; facing infertility risk; and coping with loss of fertility are all relevant issues for patients across disease and treatment groups. Further, when cancer occurs during this age range, its sequelae can disrupt key developmental tasks and have long-lasting effects on areas of life connected to and affected by sexual and reproductive health problems. Patients are often not fully informed about the sexual side effects and infertility risks associated with treatment and as a result are typically unprepared for the challenges they experience. This chapter describes the challenges AYAs face related to their sexual and reproductive health after a cancer diagnosis, provides information for screening patients for heightened distress and dysfunction, and reviews treatment strategies to help clinicians prepare to discuss these complex issues with AYA patients and survivors.","PeriodicalId":147841,"journal":{"name":"Sexual Health, Fertility, and Relationships in Cancer Care","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116359992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lesbian, Gay, Bisexual, and Transgender Issues 女同性恋、男同性恋、双性恋和变性人问题

Sexual Health, Fertility, and Relationships in Cancer Care Pub Date : 2020-03-01 DOI: 10.1093/med/9780190934033.003.0003

K. Lisy, N. Hulbert-Williams, J. Ussher, A. Alpert, C. Kamen, M. Jefford

{"title":"Lesbian, Gay, Bisexual, and Transgender Issues","authors":"K. Lisy, N. Hulbert-Williams, J. Ussher, A. Alpert, C. Kamen, M. Jefford","doi":"10.1093/med/9780190934033.003.0003","DOIUrl":"https://doi.org/10.1093/med/9780190934033.003.0003","url":null,"abstract":"People identifying as lesbian, gay, bisexual, or transgender (LGBT) often experience unique issues and needs in the context of cancer care. These include experiences and fear of discrimination within heteronormative healthcare environments, assumptions of cisgender/heterosexual identity, exclusion of same-sex partners from care, and a lack of relevant supportive care and information resources. There are also unique impacts of cancer and treatment on LGBT sexuality and fertility. To provide the best possible care for LGBT people living with and after cancer, providers must understand the specific needs of LGBT people and be aware of strategies to deliver inclusive healthcare services. This chapter presents key background information to contextualize the needs of LGBT people with cancer before discussing specific challenges that LGBT people may face when accessing cancer care. We provide guidance for general cancer care, as well as specific concerns regarding the sexual health and fertility needs of LGBT patients. Finally, we outline issues for consideration by healthcare services seeking to advance LGBT awareness and improve care for this patient group.","PeriodicalId":147841,"journal":{"name":"Sexual Health, Fertility, and Relationships in Cancer Care","volume":"127 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117186416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3