A description of heterosexual couples' sexual adjustment to androgen deprivation therapy for prostate cancer

Psycho-oncology
Lauren M Walker, John W Robinson

Abstract

It is estimated that 600,000 men are currently living in North America with castrate levels of testosterone as a result of androgen deprivation therapy for prostate cancer. The goal of this study was to explore how patients and their partners adjust to changes associated with androgen deprivation therapy (ADT). Eighteen couples were interviewed regarding their adjustment to ADT side effects. Three distinct patterns of adjustment were observed. One group of couples had assumed sex to be impossible after commencing ADT, and quickly accepted the loss of sex in exchange for a life extending treatment (four couples). Another group was found to be struggling to either maintain satisfying sex or adapt to the loss of their sexual relationship (five couples). The third group had struggled, but found that they were satisfied with their sexual outcome (nine couples). A subset of these couples successfully adjusted to changes in the man's sexual function and found satisfying ways to be sexually active (five couples). The finding that some couples are able to enjoy satisfying sex, despite castrate levels of testosterone, raised questions about how patients are prepared to undergo ADT and how they are managed. It is possible that both the co...Continue Reading

References

Nov 11, 1999·Qualitative Health Research·M B Kuyper, F Wester
Mar 19, 2003·Patient Education and Counseling·Hazel Templeton, Vivien Coates
Jul 3, 2003·Journal of the National Cancer Institute·Matthew R CooperbergPeter R Carroll
Nov 13, 2004·The Journal of Urology·Matthew R Smith
Mar 8, 2005·Social Science & Medicine·John Oliffe
Jan 20, 2006·Journal of the American Geriatrics Society·Kirsten DacalSusan L Greenspan
Jul 25, 2006·Critical Reviews in Oncology/hematology·Shabbir M H AlibhaiZishan Allibhai
Sep 9, 2006·Journal of Sex & Marital Therapy·Karen M WarkentinRichard J Wassersug
Jul 28, 2007·Cancer·Christopher S SaigalUNKNOWN Urologic Diseases in America Project
Oct 9, 2007·Current Opinion in Urology·Preston C Sprenkle, Harry Fisch
Oct 18, 2007·Current Opinion in Endocrinology, Diabetes, and Obesity·Matthew R Smith
Dec 9, 2008·Psycho-oncology·Hoda Badr, Cindy L Carmack Taylor
Dec 24, 2008·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Richard J Wassersug
Jan 23, 2009·International Journal of Impotence Research·D WittmannJ E Montie
Jan 30, 2009·The Journal of Sexual Medicine·Richard J Wassersug, John L Oliffe
Feb 20, 2010·Journal of Sex & Marital Therapy·Lauren M Walker, John W Robinson
Jul 16, 2010·The Journal of Sexual Medicine·Stacy ElliottUNKNOWN ADT Survivorship Working Group
May 1, 2002·Journal of Health Psychology·Karen D FergusMargaret I Fitch

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Citations

Jul 17, 2012·Asian Journal of Andrology·Erik WibowoThomas Johnson
Jun 5, 2012·Disability and Rehabilitation·Annmarie Hyland, Margaret Mc Grath
Jan 1, 2014·Sexual Medicine Reviews·Mikkel Fode, Jens Sønksen
Jul 26, 2014·The Journal of Sexual Medicine·Catherine BenedictFrank J Penedo
Jan 31, 2012·Urologic Oncology·Lauren M WalkerJohn W Robinson
Nov 21, 2012·International Journal of Clinical Practice·J L PhillipsD L McLeod
Mar 11, 2015·Nature Reviews. Urology·Lauren M WalkerJohn W Robinson
Sep 14, 2011·Qualitative Health Research·Lauren M Walker, John W Robinson
Sep 26, 2012·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Celestia S Higano
Oct 15, 2013·Journal of Oncology Pharmacy Practice : Official Publication of the International Society of Oncology Pharmacy Practitioners·Susan TranJohn W Robinson
Mar 8, 2018·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Nicole CollaçoEila Watson
Jan 14, 2016·Current Opinion in Supportive and Palliative Care·Richard J Wassersug
May 20, 2018·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Lauren M WalkerJohn Robinson
Jan 1, 2017·Archives of Sexual Behavior·Charlotte BenootJohan Bilsen
Feb 20, 2020·Archives of Sexual Behavior·Lauren M Walker, Pablo Santos-Iglesias
Mar 23, 2021·International Journal of Impotence Research·G CoronaM Maggi

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