Brain cancer and sexual health: A case report Journal Article


Authors: Krychman, M. L.; Amsterdam, A.; Carter, J.; Castiel, M.; DeAngelis, L.
Article Title: Brain cancer and sexual health: A case report
Abstract: OBJECTIVE: Cancer patients often encounter sexual concerns during the diagnosing, treatment, and recovery phase of their illness. However, the sexual concerns of these patients are often overlooked. Brain cancer patients are no exception to this oversight. METHODS: A case report of a 39-year-old patient with a history of high-grade anaplastic astrocytoma presented to the Sexual Health Program at the Memorial Sloan-Kettering Cancer Center complaining of vaginal discharge and several months of amenorrhea. Although the patient was administered extensive aggressive antineoplastic treatments, her disease rapidly progressed. RESULTS: Despite the patient's terminal illness she continued to have normal sexual thoughts, feelings, and desires; however, she had difficulty discussing these issues with her partner and caregiver, who was her mother. An examination by the sexual medicine gynecologist noted no clinical signs of genital infections; however, there was minimal vaginal atrophy. Her sexual health laboratory evaluation was extensively abnormal. Her treatment consisted of intravaginal non-hormonal moisturizers and vaginal lubricants, counseling, and sexual education. The patient successfully engaged in sexual contact with her partner by the third counseling session. SIGNIFICANCE OF RESULTS: Almost all oncology patients have sexual concerns during or following cancer treatment. These patients should be referred to comprehensive sexual health programs for treatment, if available.
Keywords: adult; case report; pathophysiology; brain tumor; brain neoplasms; psychological aspect; astrocytoma; sexual behavior; humans; human; female; article
Journal Title: Palliative and Supportive Care
Volume: 2
Issue: 3
ISSN: 1478-9515
Publisher: Cambridge University Press  
Date Published: 2004-09-01
Start Page: 315
End Page: 318
Language: English
PROVIDER: scopus
PUBMED: 16594416
DOI: 10.1017/S1478951504040404
DOI/URL:
Notes: Cited By (since 1996):8 -- Export Date: 16 June 2014 -- Source: Scopus
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  1. Mercedes Castiel
    18 Castiel
  2. Jeanne Carter
    159 Carter