Addressing sexual dysfunction following radiation therapy for a gynecologic malignancy

Abstract

Purpose/objectives: To review the aspects of normal sexual response, current incidence of sexual dysfunction following radiation therapy for a gynecologic malignancy, nursing interventions for each symptom that may occur, and nursing research priorities.

Data sources: Published articles, book chapters, American Cancer Society materials, healthcare professionals working in the field of radiation oncology, and patients.

Data synthesis: Radiation therapy frequently is the treatment of choice for a gynecologic malignancy. High-dose radiation to the pelvis causes varying degrees of sexual dysfunction because of its effects on the ovaries and vagina.

Conclusions: Sexual dysfunction resulting from the effects of radiation therapy on the ovaries and vagina can be prevented, minimized, or managed when the nurse is aware of the needs, desires, and expectations of patients receiving this treatment.

Implications for nursing practice: Sexuality is an important aspect of quality of life that most healthcare professionals do not address. Nursing assessment and practical care strategies for sexual dysfunction can be implemented. Additional nursing research on this subject is warranted.