Sexual function and fertility in CNS cancer patients: a neglected impact of radiotherapy on quality of life

Abstract

Central nervous system (CNS) cancer presents a significant challenge for patients and their families, especially when treated with radiotherapy. Sexual problems in cancer patients during oncological therapies are an important issue that is often overlooked, but they have a significant impact on their quality of life. This study aims to explore the experiences of this target group, with a special focus on the impacts on sexual function and fertility. Using a multidimensional and qualitative approach to identify the effects of radiotherapy treatment on sexual function and fertility, data were collected through surveys and in-depth interviews with patients, RTTs, radio-oncologists and medical staff. Patients undergoing radiotherapy in Albania are often reluctant to discuss sexual problems related to cancer and oncological treatments. However, the data show that many CNS cancer patients experience significant impairments in sexual function, such as decreased sexual desire, difficulties achieving an erection, painful sensations during sexual intercourse, and concerns about their fertility, which affect their personal lives and decisions about starting a family in the future. This situation is exacerbated by the lack of information and psychological support regarding these issues. This study highlights the need for planned interventions and psychosocial support for patients dealing with these issues. Education and information for patients and healthcare professionals are essential to address the consequences of radiotherapy and improve the quality of life for these individuals. Raising awareness about these issues is an important step toward creating a more supportive environment for CNS cancer patients. Patients may be more open to discussing these issues in a trusted and supportive setting, especially if healthcare professionals create a safe atmosphere and encourage conversations about sexual health.

Keyword: CNS Cancer, sexual problems, fertility, radiotherapy

DOI: 10.7176/ALST/101-01

Publication date: January 31^st 2025