Sexuality is a reflection of our human character. It is unique and central to each individual’s personality and is present throughout life. Sexuality is developed and altered through life experiences and perception of events. Cancer may have both psychological and physical impact on an individual’s sexuality, significantly impacting on their relationships and ability to be intimate with others.
South Western Sydney Local Health District (SWSLHD) is home to a large culturally and linguistically diverse community with 36% of the population born overseas. Studies have identified that conversations about sexuality are not occurring between health professionals and patients, this being more apparent in the culturally and linguistically diverse communities.
A participant cohort of 80 patients completed the Functional Assessment of Cancer Therapy: General (FACT G- Version 4) e-tool questionnaire, within the Wellness Centres of SWSLHD Cancer Services. This preliminary data reported 38% of our patients are not satisfied with their sex life, with a further 25% reporting not feeling close to or connected with their partners. Limited access to professionals trained in sexual health was also identified as a key area of concern.
A current literature review revealed that sexual issues remain unaddressed for many cancer survivors, particularly women, highly recommending both patient and clinician interventions are required.
Addressing patient related sexuality, sexual health & intimacy issues is an unmet need in SWSLHD. Mapping of services available within SWSLHD is currently underway, including ongoing consultation with clinical psychologists, specialist nurses, doctors and an accredited clinical sexologist. Moving forward, plans are underway to develop and provide education sessions and workshops for clinicians, as well as implementing a pilot clinic. This will endeavour to address the concerns relating to sexuality and sexual health, enabling the delivery of optimal patient care across SWSLHD Cancer Services.