| Abstract: |
(from the chapter) Infertility and premature gonadal dysfunction are common outcomes following therapy for childhood cancer and influence a survivor's quality of life, body image, and sexuality. It is imperative that clinicians address the fears and concerns of survivors in a sensitive manner Moreover recognizing the complexity of this topic and the evolving options for fertility preservation, a multidisciplinary team that includes a reproductive specialist and a mental health provider who is familiar with the issues of cancer survivors is preferred. Oncology teams can facilitate the development of positive self-esteem and development of sexual health in several ways: facilitating personal control and individuation, offer opportunities for sexual health education, connect the patient/survivor with other teens diagnosed with cancer Evaluate sexual development to ensure puberty is proceeding normally. Those with late effects that alter sexual functioning, physical appearance, or fertility should be referred to heath-care providers who specialize in these issues. Any patient or survivor with sexual problems that result from treatment for childhood cancer needs both medical and psychological follow-up. A team approach that provides rehabilitation and psychological assistance to address concerns about body image, fertility, and sexuality is crucial. (PsycINFO Database Record (c) 2015 APA, all rights reserved). |
