Sexual health in colon cancer patients: A systematic review

Psychooncology. 2020 Jul;29(7):1095-1104. doi: 10.1002/pon.5391. Epub 2020 Apr 20.

Abstract

Objective: Despite the impact that diagnosis and treatment can have on patients' sexual health, very little research has been conducted on the impact of colon cancer on sexual health. The aim of this systematic review was to assess the prevalence of sexual dysfunctions in colon cancer and describe the sociodemographic, clinical, and psychological correlates of sexual dysfunction.

Methods: Four electronic databases (PsycINFO, PubMed, AcademicSearchPremier, Cochrane Library) were searched for studies reporting sexual adjustment outcomes for colorectal cancer patients from January 1990 to July 2019.

Results: Of the 380 articles screened, 14 were included in this review. Sexual function is affected by colon cancer: patients' sexual satisfaction decreases significantly, as does the frequency of sexual intercourse. There is an increase in sexual problems (desire, excitement, or pleasure disorders). Male gender, advanced age, distress, and the comorbidities increase sexual disorders. In addition, it appears that partner distress negatively affects patients' sexual health. Taking such difficulties into account appears key for these patients and their partners. They could benefit from better care throughout treatment and in remission.

Conclusion: The results of this systematic review highlight the importance of taking an interest in the sexual health of patients with colon cancer.

Keywords: colon cancer; oncology; sexual adjustment; sexual health; systematic review.

Publication types

  • Systematic Review

MeSH terms

  • Adult
  • Colonic Neoplasms / complications*
  • Colonic Neoplasms / psychology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Orgasm / physiology
  • Personal Satisfaction*
  • Sexual Behavior / psychology*
  • Sexual Dysfunction, Physiological / psychology*
  • Sexual Dysfunctions, Psychological / psychology*
  • Sexual Health / statistics & numerical data*
  • Sexual Partners / psychology