A study of Irish cancer specialists’ opinions regarding sexual health for cancer patients

Abstract

20673 Background: Quality of life is an important aspect of cancer care. Sexual health is a feature of quality of life. Cancer patients may experience neutropenia secondary to disease or treatment. Yet, there is an absence of data on the risks to cancer patients from sexual activity when neutropenic. The aim of this study is to determine present opinion and practice by cancer specialists in Ireland regarding the sexual health care of cancer patients. Method: A cross-sectional survey using a confidential, self-administered questionnaire was performed of all ‘113’ identified consultants (75) and specialists registrars (38) in medical and paediatric oncology, haematology and palliative care attached to major cancer centres in the Republic of Ireland. Two reminders were sent. Descriptive and content analysis were performed on the quantitative and qualitative data respectively. Results: 43 (response rate of 37.5%) replies were received. While the majority of respondents 23/14 discussed to varying degrees the possible impact of cancer and treatment on fertility with patients, if applicable, only 1 ’always’ discussed the possible impact of cancer on sexual activity. Opinions regarding the risk of sexual activity in patients included: infection risk to women with neutropenia, possible infection-risk benefit of condom-associated sexual activity, bleeding secondary to related thrombocytopenia. In some cases this questionnaire provided the first opportunity to consider such issues. Concern was raised about the adequacy of medical training regarding sexual health care of patients. Conclusions: Diversity in medical advice and opinions regarding possible risks to cancer patients and specifically with neutropenia from sexual activity are evident. The sensitive nature of sexual health counselling, in this cohort of patients, together with the paucity of evidence, proved limiting factors to therapeutic dialogue. Further research is necessary with the aim of providing evidence based patient care. No significant financial relationships to disclose.