Provision of sexual health support

Changes to sexuality and intimacy are a common consequence of cancer and cancer treatment. Such changes are multifaceted and associated with a range of negative physical and emotional outcomes for both people with cancer and their partners, as well as changes to roles and intimate relationships. This chapter examines cancer treatment side effects and their impact on sexuality and sexual functioning, risk factors for experiencing sexual difficulties, and the clinical management of sexual changes. We also address barriers to effective communication about sexuality and sexual changes and explore specific cultural or ethical challenges when providing support to people with cancer and their partners. Clinical management and effective communication, by providing general sexual health information and advice, as well as intensive therapy, are outlined, following the PLISSIT and BETTER models. The potential impact of information and advice, in terms of renegotiated sexual practice, is examined, illustrated through case examples.