With increased detection and curability of cancer worldwide, the number of cancer patients and survivors is rapidly increasing. Sexual health, an important aspect of quality of life, may initially be a low priority for newly diagnosed patients with cancer. Sexual health is impacted regardless of cancer type and /or treatment .
There are numerous factors that influence whether or not conversations about sexuality take place.
There is universal acceptance and guidelines that in All People With Cancer there be a discussion with the patient, initiated by a member of the health care team.
Screening checklists to assist in diagnosing sexual dysfunctions and difficulties include the Female Sexual Function Index (FSFI) Arizona Sexual Experiences Scale, International Index of Erectile Function 5.
Symptoms and Interventions for Sexual Dysfunction (CCO & ASCO ) for men and women with cancer i.e. Sexual response, Fertility, Body image, Intimacy & relationships, Altered sexual function and satisfaction, Vasomotor symptoms, and Genital symptoms . Erectile/ejaculatory dysfunction and the absence of ejaculate (men ) by using THERAPY that is Integrative/Combined Biopsychosocial Cultural Sex Therapy with psycho education and sexual renegotiation are the stepping stones .Maximizing the sexual and erotic function or abilities is the Core Care pathway of the Multi Modal team. Balancing erectogenic modalities agents, physical therapies, Hormone manipulation and psychotherapeutic agents with consultation in the team is ideal. Alternate or complimentary health approaches together with balanced lifestyles further enhance the therapeutic milleu
The psychosocial and sexual care pathway for cancer patients in Africa with integration of cancer programs into existing health care services in primary health‑care facilities”: MAKES IT ACCESSIBLE to most patients and will create one of the most reliable, cost‑effective interventions that can be utilized in Africa. Using telemedicine and web based services can increase access to scarce resources in Africa.