To assess sexual/vaginal health issues and educational intervention preferences in women with a history of breast or gynecologic cancer. Patients/survivors completed a cross-sectional survey at their outpatient visits. Main outcome measures were sexual dysfunction prevalence, type of sexual/vaginal issues, awareness of treatments, and preferred intervention modalities. Descriptive frequencies were performed, and results were dichotomized by age, treatment status, and disease site. Of 218 eligible participants, 109 (50%) had a history of gynecologic and 109 (50%) a history of breast cancer. Median age was 49years (range 21-75); 61% were married/cohabitating. Seventy percent (n=153) were somewhat-to-very concerned about sexual function/vaginal health, 55% (n=120) reported vaginal dryness, 39% (n=84) vaginal pain, and 51% (n=112) libido loss. Many had heard of vaginal lubricants, moisturizers, and pelvic floor exercises (97, 72, and 57%, respectively). Seventy-four percent (n=161) had used lubricants, 28% moisturizers (n=61), and 28% pelvic floor exercises (n=60). Seventy percent (n=152) preferred the topic to be raised by the medical team; 48% (n=105) raised the topic themselves. Most preferred written educational material followed by expert discussion (66%, n=144/218). Compared to women≥50years old (41%, n=43/105), younger women (54%, n=61/113) preferred to discuss their concerns face-to-face (p=0.054). Older women were less interested in online interventions (52%, p<0.001), despite 94% having computer access. Female cancer patients/survivors have unmet sexual/vaginal health needs. Preferences for receiving sexual health information vary by age. Improved physician-patient communication, awareness, and educational resources using proven sexual health promotion strategies can help women cope with treatment side effects.